Transition teams must overcome inadequate human infrastructure, technical challenges, security gaps, unrealistic providers' expectations, workflow changes, and insufficient training and support-all factors affecting potential clinician burnout.ĮHR transitions are remarkably expensive, laborious, personnel devouring, and time consuming. Identified challenges include financial burdens, personnel resources, patient safety threats from limited access to legacy records, data integrity during migration, cybersecurity, and semantic interoperability. There is scant literature concerning EHR-to-EHR transitions. We distinguished 10 domains in the literature that overlap yet present unique and salient opportunities for successful transitions and for problem mitigation. We supplemented with additional citations for a total of 70 cited. An additional PubMed search yielded 1,014 citations, for which we reviewed 74 full papers and included 5. Our PubMed query retrieved 1,351 citations: 43 were relevant for full paper review and 18 met the inclusion criterion of focus on EHR-to-EHR transitions. ![]() ![]() We combined these references with the authors' extensive experience to construct a conceptual schema and to offer recommendations to facilitate transitions. ![]() We searched PubMed and other sources to identify articles describing EHR-to-EHR transitions. We offer mitigating strategies to reduce unintended consequences, maximize patient safety, and enhance health care delivery. We address the challenges of transitioning from one electronic health record (EHR) to another-a near ubiquitous phenomenon in health care.
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