The Impact of eHealth on the Quality and Safety of Health Care: A Systematic Overview
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{"title"=>"The impact of ehealth on the quality and safety of health care: A systematic overview", "type"=>"journal", "authors"=>[{"first_name"=>"Ashly D.", "last_name"=>"Black", "scopus_author_id"=>"26030217600"}, {"first_name"=>"Josip", "last_name"=>"Car", "scopus_author_id"=>"6701783618"}, {"first_name"=>"Claudia", "last_name"=>"Pagliari", "scopus_author_id"=>"7003869461"}, {"first_name"=>"Chantelle", "last_name"=>"Anandan", "scopus_author_id"=>"9434452100"}, {"first_name"=>"Kathrin", "last_name"=>"Cresswell", "scopus_author_id"=>"22933669600"}, {"first_name"=>"Tomislav", "last_name"=>"Bokun", "scopus_author_id"=>"57194731205"}, {"first_name"=>"Brian", "last_name"=>"McKinstry", "scopus_author_id"=>"7004456140"}, {"first_name"=>"Rob", "last_name"=>"Procter", "scopus_author_id"=>"7005500459"}, {"first_name"=>"Azeem", "last_name"=>"Majeed", "scopus_author_id"=>"7102027801"}, {"first_name"=>"Aziz", "last_name"=>"Sheikh", "scopus_author_id"=>"7202522962"}], "year"=>2011, "source"=>"PLoS Medicine", "identifiers"=>{"issn"=>"15491277", "scopus"=>"2-s2.0-79951644557", "sgr"=>"79951644557", "pui"=>"361278288", "isbn"=>"1549-1676", "pmid"=>"21267058", "doi"=>"10.1371/journal.pmed.1000387"}, "id"=>"cdb75a10-dcbc-3b39-b2f6-34f8ece6c9f9", "abstract"=>"BACKGROUND: There is considerable international interest in exploiting the potential of digital solutions to enhance the quality and safety of health care. Implementations of transformative eHealth technologies are underway globally, often at very considerable cost. In order to assess the impact of eHealth solutions on the quality and safety of health care, and to inform policy decisions on eHealth deployments, we undertook a systematic review of systematic reviews assessing the effectiveness and consequences of various eHealth technologies on the quality and safety of care.\\n\\nMETHODS AND FINDINGS: We developed novel search strategies, conceptual maps of health care quality, safety, and eHealth interventions, and then systematically identified, scrutinised, and synthesised the systematic review literature. Major biomedical databases were searched to identify systematic reviews published between 1997 and 2010. Related theoretical, methodological, and technical material was also reviewed. We identified 53 systematic reviews that focused on assessing the impact of eHealth interventions on the quality and/or safety of health care and 55 supplementary systematic reviews providing relevant supportive information. This systematic review literature was found to be generally of substandard quality with regards to methodology, reporting, and utility. We thematically categorised eHealth technologies into three main areas: (1) storing, managing, and transmission of data; (2) clinical decision support; and (3) facilitating care from a distance. We found that despite support from policymakers, there was relatively little empirical evidence to substantiate many of the claims made in relation to these technologies. Whether the success of those relatively few solutions identified to improve quality and safety would continue if these were deployed beyond the contexts in which they were originally developed, has yet to be established. Importantly, best practice guidelines in effective development and deployment strategies are lacking.\\n\\nCONCLUSIONS: There is a large gap between the postulated and empirically demonstrated benefits of eHealth technologies. In addition, there is a lack of robust research on the risks of implementing these technologies and their cost-effectiveness has yet to be demonstrated, despite being frequently promoted by policymakers and \"techno-enthusiasts\" as if this was a given. In the light of the paucity of evidence in relation to improvements in patient outcomes, as well as the lack of evidence on their cost-effectiveness, it is vital that future eHealth technologies are evaluated against a comprehensive set of measures, ideally throughout all stages of the technology's life cycle. Such evaluation should be characterised by careful attention to socio-technical factors to maximise the likelihood of successful implementation and adoption.", "link"=>"http://www.mendeley.com/research/impact-ehealth-quality-safety-health-care-systematic-overview-12", "reader_count"=>977, "reader_count_by_academic_status"=>{"Unspecified"=>16, "Professor > Associate Professor"=>41, "Librarian"=>9, "Researcher"=>137, "Student > Doctoral Student"=>64, "Student > Ph. D. Student"=>161, "Student > Postgraduate"=>77, "Student > Master"=>285, "Other"=>48, "Student > Bachelor"=>75, "Lecturer"=>24, "Lecturer > Senior Lecturer"=>8, "Professor"=>31}, "reader_count_by_user_role"=>{"Unspecified"=>16, "Professor > Associate Professor"=>41, "Librarian"=>9, "Researcher"=>137, "Student > Doctoral Student"=>64, "Student > Ph. D. Student"=>161, "Student > Postgraduate"=>77, "Student > Master"=>285, "Other"=>48, "Student > Bachelor"=>75, "Lecturer"=>24, "Lecturer > Senior Lecturer"=>8, "Professor"=>31}, "reader_count_by_subject_area"=>{"Unspecified"=>49, "Agricultural and Biological Sciences"=>37, "Arts and Humanities"=>6, "Philosophy"=>3, "Business, Management and Accounting"=>80, "Chemistry"=>4, "Computer Science"=>180, "Decision Sciences"=>5, "Earth and Planetary Sciences"=>1, "Economics, Econometrics and Finance"=>18, "Engineering"=>43, "Environmental Science"=>6, "Nursing and Health Professions"=>37, "Biochemistry, Genetics and Molecular Biology"=>6, "Mathematics"=>6, "Medicine and Dentistry"=>324, "Neuroscience"=>4, "Pharmacology, Toxicology and Pharmaceutical Science"=>7, "Physics and Astronomy"=>3, "Psychology"=>37, "Social Sciences"=>101, "Immunology and Microbiology"=>2, "Linguistics"=>1, "Design"=>11, "Sports and Recreations"=>5}, "reader_count_by_subdiscipline"=>{"Psychology"=>{"Psychology"=>37}, "Sports and Recreations"=>{"Sports and Recreations"=>5}, "Mathematics"=>{"Mathematics"=>6}, "Environmental Science"=>{"Environmental Science"=>6}, "Pharmacology, Toxicology and Pharmaceutical Science"=>{"Pharmacology, Toxicology and Pharmaceutical Science"=>7}, "Design"=>{"Design"=>11}, "Engineering"=>{"Engineering"=>43}, "Neuroscience"=>{"Neuroscience"=>4}, "Immunology and Microbiology"=>{"Immunology and Microbiology"=>2}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>37}, "Computer Science"=>{"Computer Science"=>180}, "Business, Management and Accounting"=>{"Business, Management and Accounting"=>80}, "Linguistics"=>{"Linguistics"=>1}, "Biochemistry, Genetics and Molecular Biology"=>{"Biochemistry, Genetics and Molecular Biology"=>6}, "Medicine and Dentistry"=>{"Medicine and Dentistry"=>324}, "Social Sciences"=>{"Social Sciences"=>101}, "Decision Sciences"=>{"Decision Sciences"=>5}, "Physics and Astronomy"=>{"Physics and Astronomy"=>3}, "Unspecified"=>{"Unspecified"=>49}, "Arts and Humanities"=>{"Arts and Humanities"=>6}, "Chemistry"=>{"Chemistry"=>4}, "Earth and Planetary Sciences"=>{"Earth and Planetary Sciences"=>1}, "Economics, Econometrics and Finance"=>{"Economics, Econometrics and Finance"=>18}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>37}, "Philosophy"=>{"Philosophy"=>3}}, "reader_count_by_country"=>{"Republic of Singapore"=>2, "United States"=>26, "Egypt"=>1, "Malaysia"=>3, "Portugal"=>2, "Malta"=>1, "Saudi Arabia"=>1, "Netherlands"=>7, "Sweden"=>1, "South Korea"=>2, "Ireland"=>4, "Brazil"=>4, "France"=>4, "Nigeria"=>2, "Colombia"=>2, "Argentina"=>2, "Philippines"=>1, "Tanzania"=>1, "Rwanda"=>1, "United Kingdom"=>17, "Switzerland"=>2, "Spain"=>8, "Canada"=>15, "Turkey"=>1, "Belgium"=>1, "Norway"=>2, "Finland"=>2, "Italy"=>1, "Uganda"=>1, "Mexico"=>2, "South Africa"=>3, "Australia"=>3, "Ethiopia"=>1, "Germany"=>2, "Indonesia"=>4, "Estonia"=>1}, "group_count"=>106}

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Figshare

  • {"files"=>["https://ndownloader.figshare.com/files/805929"], "description"=>"<p>PRISMA flow diagram.</p>", "links"=>[], "tags"=>["evidence-based healthcare/bedside evidence-based medicine", "evidence-based healthcare/quality and safety in medical practice"], "article_id"=>476288, "categories"=>["Computational Biology", "Medicine"], "users"=>["Ashly D. Black", "Josip Car", "Claudia Pagliari", "Chantelle Anandan", "Kathrin Cresswell", "Tomislav Bokun", "Brian McKinstry", "Rob Procter", "Azeem Majeed", "Aziz Sheikh"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.1000387.g001", "stats"=>{"downloads"=>0, "page_views"=>4, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_PRISMA_flow_diagram_/476288", "title"=>"PRISMA flow diagram.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2011-01-18 01:44:48"}
  • {"files"=>["https://ndownloader.figshare.com/files/806382"], "description"=>"<p>Evidence of benefits: N/A, not assessed; +/-, none; +, weak; +/++, weak to moderate; ++, moderate.</p>", "links"=>[], "tags"=>["benefits"], "article_id"=>476749, "categories"=>["Computational Biology", "Medicine"], "users"=>["Ashly D. Black", "Josip Car", "Claudia Pagliari", "Chantelle Anandan", "Kathrin Cresswell", "Tomislav Bokun", "Brian McKinstry", "Rob Procter", "Azeem Majeed", "Aziz Sheikh"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.1000387.t010", "stats"=>{"downloads"=>0, "page_views"=>5, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Evidence_of_benefits_associated_with_CDSS_/476749", "title"=>"Evidence of benefits associated with CDSS.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2011-01-18 01:52:29"}
  • {"files"=>["https://ndownloader.figshare.com/files/806303"], "description"=>"<p>Evidence of risks: N/A, not assessed; +/-, none; -, weak; -/- -, weak to moderate; --, moderate.</p>", "links"=>[], "tags"=>["risks"], "article_id"=>476666, "categories"=>["Computational Biology", "Medicine"], "users"=>["Ashly D. Black", "Josip Car", "Claudia Pagliari", "Chantelle Anandan", "Kathrin Cresswell", "Tomislav Bokun", "Brian McKinstry", "Rob Procter", "Azeem Majeed", "Aziz Sheikh"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.1000387.t009", "stats"=>{"downloads"=>0, "page_views"=>5, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Evidence_of_risks_associated_with_ePrescribing_/476666", "title"=>"Evidence of risks associated with ePrescribing.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2011-01-18 01:51:06"}
  • {"files"=>["https://ndownloader.figshare.com/files/806094"], "description"=>"<p>Evidence of risks: N/A, not assessed; +/-, none; -, weak; -/- -, weak to moderate; --, moderate.</p>", "links"=>[], "tags"=>["risks"], "article_id"=>476461, "categories"=>["Computational Biology", "Medicine"], "users"=>["Ashly D. Black", "Josip Car", "Claudia Pagliari", "Chantelle Anandan", "Kathrin Cresswell", "Tomislav Bokun", "Brian McKinstry", "Rob Procter", "Azeem Majeed", "Aziz Sheikh"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.1000387.t003", "stats"=>{"downloads"=>1, "page_views"=>10, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Evidence_of_risks_associated_with_EHRs_/476461", "title"=>"Evidence of risks associated with EHRs.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2011-01-18 01:47:41"}
  • {"files"=>["https://ndownloader.figshare.com/files/402298", "https://ndownloader.figshare.com/files/402359", "https://ndownloader.figshare.com/files/402427", "https://ndownloader.figshare.com/files/402479"], "description"=>"<div><h3>Background</h3><p>There is considerable international interest in exploiting the potential of digital solutions to enhance the quality and safety of health care. Implementations of transformative eHealth technologies are underway globally, often at very considerable cost. In order to assess the impact of eHealth solutions on the quality and safety of health care, and to inform policy decisions on eHealth deployments, we undertook a systematic review of systematic reviews assessing the effectiveness and consequences of various eHealth technologies on the quality and safety of care.</p><h3>Methods and Findings</h3><p>We developed novel search strategies, conceptual maps of health care quality, safety, and eHealth interventions, and then systematically identified, scrutinised, and synthesised the systematic review literature. Major biomedical databases were searched to identify systematic reviews published between 1997 and 2010. Related theoretical, methodological, and technical material was also reviewed. We identified 53 systematic reviews that focused on assessing the impact of eHealth interventions on the quality and/or safety of health care and 55 supplementary systematic reviews providing relevant supportive information. This systematic review literature was found to be generally of substandard quality with regards to methodology, reporting, and utility. We thematically categorised eHealth technologies into three main areas: (1) storing, managing, and transmission of data; (2) clinical decision support; and (3) facilitating care from a distance. We found that despite support from policymakers, there was relatively little empirical evidence to substantiate many of the claims made in relation to these technologies. Whether the success of those relatively few solutions identified to improve quality and safety would continue if these were deployed beyond the contexts in which they were originally developed, has yet to be established. Importantly, best practice guidelines in effective development and deployment strategies are lacking.</p><h3>Conclusions</h3><p>There is a large gap between the postulated and empirically demonstrated benefits of eHealth technologies. In addition, there is a lack of robust research on the risks of implementing these technologies and their cost-effectiveness has yet to be demonstrated, despite being frequently promoted by policymakers and “techno-enthusiasts” as if this was a given. In the light of the paucity of evidence in relation to improvements in patient outcomes, as well as the lack of evidence on their cost-effectiveness, it is vital that future eHealth technologies are evaluated against a comprehensive set of measures, ideally throughout all stages of the technology's life cycle. Such evaluation should be characterised by careful attention to socio-technical factors to maximise the likelihood of successful implementation and adoption.</p><h3></h3><p><em>Please see later in the article for the Editors' Summary</em></p></div>", "links"=>[], "tags"=>["ehealth", "systematic", "overview"], "article_id"=>139491, "categories"=>["Biological Sciences", "Medicine"], "users"=>["Ashly D. Black", "Josip Car", "Claudia Pagliari", "Chantelle Anandan", "Kathrin Cresswell", "Tomislav Bokun", "Brian McKinstry", "Rob Procter", "Azeem Majeed", "Aziz Sheikh"], "doi"=>["https://dx.doi.org/10.1371/journal.pmed.1000387.s001", "https://dx.doi.org/10.1371/journal.pmed.1000387.s002", "https://dx.doi.org/10.1371/journal.pmed.1000387.s003", "https://dx.doi.org/10.1371/journal.pmed.1000387.s004"], "stats"=>{"downloads"=>27, "page_views"=>11, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/The_Impact_of_eHealth_on_the_Quality_and_Safety_of_Health_Care_A_Systematic_Overview/139491", "title"=>"The Impact of eHealth on the Quality and Safety of Health Care: A Systematic Overview", "pos_in_sequence"=>0, "defined_type"=>4, "published_date"=>"2011-01-18 02:38:11"}
  • {"files"=>["https://ndownloader.figshare.com/files/806132"], "description"=>"<p>Evidence of benefits: N/A, not assessed; +/-, none; +, weak; +/++, weak to moderate; ++, moderate.</p>", "links"=>[], "tags"=>["benefits"], "article_id"=>476500, "categories"=>["Computational Biology", "Medicine"], "users"=>["Ashly D. Black", "Josip Car", "Claudia Pagliari", "Chantelle Anandan", "Kathrin Cresswell", "Tomislav Bokun", "Brian McKinstry", "Rob Procter", "Azeem Majeed", "Aziz Sheikh"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.1000387.t002", "stats"=>{"downloads"=>0, "page_views"=>2, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Evidence_of_benefits_associated_with_EHRs_/476500", "title"=>"Evidence of benefits associated with EHRs.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2011-01-18 01:48:20"}
  • {"files"=>["https://ndownloader.figshare.com/files/806419"], "description"=>"<p>Evidence of risks: N/A, not assessed; +/-, none; -, weak; -/- -, weak to moderate; --, moderate.</p>", "links"=>[], "tags"=>["risks"], "article_id"=>476785, "categories"=>["Computational Biology", "Medicine"], "users"=>["Ashly D. Black", "Josip Car", "Claudia Pagliari", "Chantelle Anandan", "Kathrin Cresswell", "Tomislav Bokun", "Brian McKinstry", "Rob Procter", "Azeem Majeed", "Aziz Sheikh"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.1000387.t011", "stats"=>{"downloads"=>1, "page_views"=>6, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Evidence_of_risks_associated_with_CDSS_/476785", "title"=>"Evidence of risks associated with CDSS.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2011-01-18 01:53:05"}
  • {"files"=>["https://ndownloader.figshare.com/files/806342"], "description"=>"<p>Evidence of benefits: N/A, not assessed; +/-, none; +, weak; +/++, weak to moderate; ++, moderate.</p>", "links"=>[], "tags"=>["benefits"], "article_id"=>476705, "categories"=>["Computational Biology", "Medicine"], "users"=>["Ashly D. Black", "Josip Car", "Claudia Pagliari", "Chantelle Anandan", "Kathrin Cresswell", "Tomislav Bokun", "Brian McKinstry", "Rob Procter", "Azeem Majeed", "Aziz Sheikh"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.1000387.t008", "stats"=>{"downloads"=>0, "page_views"=>4, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Evidence_of_benefits_associated_with_ePrescribing_/476705", "title"=>"Evidence of benefits associated with ePrescribing.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2011-01-18 01:51:45"}
  • {"files"=>["https://ndownloader.figshare.com/files/806062"], "description"=>"<p>Maximum total score of 30, each question <i>(or Q)</i> having a maximum of 2 points, refer to <a href=\"http://www.plosmedicine.org/article/info:doi/10.1371/journal.pmed.1000387#pmed.1000387.s001\" target=\"_blank\">Table S1</a> for the critical appraisal form for additional details.</p>", "links"=>[], "tags"=>["appraisal"], "article_id"=>476432, "categories"=>["Computational Biology", "Medicine"], "users"=>["Ashly D. Black", "Josip Car", "Claudia Pagliari", "Chantelle Anandan", "Kathrin Cresswell", "Tomislav Bokun", "Brian McKinstry", "Rob Procter", "Azeem Majeed", "Aziz Sheikh"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.1000387.t001", "stats"=>{"downloads"=>1, "page_views"=>5, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Critical_appraisal_of_8220_reviews_8221_see_legend_for_description_of_quality_assessment_criteria_/476432", "title"=>"Critical appraisal of “reviews” (see legend for description of quality assessment criteria).", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2011-01-18 01:47:12"}
  • {"files"=>["https://ndownloader.figshare.com/files/806210"], "description"=>"<p>Evidence of benefits: N/A, not assessed; +/-, none; +, weak; +/++, weak to moderate; ++, moderate.</p>", "links"=>[], "tags"=>["benefits"], "article_id"=>476573, "categories"=>["Computational Biology", "Medicine"], "users"=>["Ashly D. Black", "Josip Car", "Claudia Pagliari", "Chantelle Anandan", "Kathrin Cresswell", "Tomislav Bokun", "Brian McKinstry", "Rob Procter", "Azeem Majeed", "Aziz Sheikh"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.1000387.t004", "stats"=>{"downloads"=>2, "page_views"=>11, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Evidence_of_benefits_associated_with_PACS_/476573", "title"=>"Evidence of benefits associated with PACS.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2011-01-18 01:49:33"}
  • {"files"=>["https://ndownloader.figshare.com/files/806174"], "description"=>"<p>Evidence of risks: N/A, not assessed; +/-, none; -, weak; -/- -, weak to moderate; --, moderate.</p>", "links"=>[], "tags"=>["benefits"], "article_id"=>476537, "categories"=>["Computational Biology", "Medicine"], "users"=>["Ashly D. Black", "Josip Car", "Claudia Pagliari", "Chantelle Anandan", "Kathrin Cresswell", "Tomislav Bokun", "Brian McKinstry", "Rob Procter", "Azeem Majeed", "Aziz Sheikh"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.1000387.t005", "stats"=>{"downloads"=>1, "page_views"=>8, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Evidence_of_benefits_associated_with_PACS_/476537", "title"=>"Evidence of benefits associated with PACS.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2011-01-18 01:48:57"}
  • {"files"=>["https://ndownloader.figshare.com/files/806278"], "description"=>"<p>Evidence of benefits: N/A, not assessed; +/-, none; +, weak; +/++, weak to moderate; ++, moderate.</p>", "links"=>[], "tags"=>["benefits"], "article_id"=>476641, "categories"=>["Computational Biology", "Medicine"], "users"=>["Ashly D. Black", "Josip Car", "Claudia Pagliari", "Chantelle Anandan", "Kathrin Cresswell", "Tomislav Bokun", "Brian McKinstry", "Rob Procter", "Azeem Majeed", "Aziz Sheikh"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.1000387.t006", "stats"=>{"downloads"=>1, "page_views"=>8, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Evidence_of_benefits_associated_with_CPOE_/476641", "title"=>"Evidence of benefits associated with CPOE.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2011-01-18 01:50:41"}
  • {"files"=>["https://ndownloader.figshare.com/files/806241"], "description"=>"<p>Evidence of risks: N/A, not assessed; +/-, none; -, weak; -/- -, weak to moderate; --, moderate.</p>", "links"=>[], "tags"=>["risks"], "article_id"=>476609, "categories"=>["Computational Biology", "Medicine"], "users"=>["Ashly D. Black", "Josip Car", "Claudia Pagliari", "Chantelle Anandan", "Kathrin Cresswell", "Tomislav Bokun", "Brian McKinstry", "Rob Procter", "Azeem Majeed", "Aziz Sheikh"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.1000387.t007", "stats"=>{"downloads"=>0, "page_views"=>5, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Evidence_of_risks_associated_with_CPOE_/476609", "title"=>"Evidence of risks associated with CPOE.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2011-01-18 01:50:09"}

PMC Usage Stats | Further Information

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  • {"unique-ip"=>"64", "full-text"=>"103", "pdf"=>"20", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"2", "supp-data"=>"4", "cited-by"=>"2", "year"=>"2020", "month"=>"8"}
  • {"unique-ip"=>"95", "full-text"=>"94", "pdf"=>"23", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2020", "month"=>"9"}

Relative Metric

{"start_date"=>"2011-01-01T00:00:00Z", "end_date"=>"2011-12-31T00:00:00Z", "subject_areas"=>[{"subject_area"=>"/Biology and life sciences", "average_usage"=>[304, 568, 702, 818, 927, 1027, 1118, 1206, 1285, 1357, 1427, 1500, 1564, 1636, 1705, 1773, 1840, 1909, 1974, 2039, 2106, 2170, 2234, 2296, 2358, 2423, 2484, 2546, 2606, 2673, 2734, 2795, 2857, 2921, 2984, 3046, 3100]}, {"subject_area"=>"/Biology and life sciences/Neuroscience", "average_usage"=>[306, 540, 664, 768, 864, 959, 1036, 1121, 1199, 1277, 1341, 1411, 1477, 1543, 1609, 1675, 1739, 1802, 1868, 1933, 1995, 2050, 2107, 2164, 2220, 2277, 2327, 2374, 2436, 2488, 2542, 2594, 2650, 2705, 2769, 2817, 2859]}, {"subject_area"=>"/Medicine and health sciences/Health care", "average_usage"=>[337, 676, 827, 964, 1066, 1171, 1267, 1396, 1503, 1580, 1663, 1758, 1822, 1887, 1968, 2037, 2107, 2173, 2246, 2357, 2419, 2488, 2576, 2637, 2724, 2815, 2887, 2956, 3034, 3111, 3174, 3245, 3294, 3357, 3404, 3464, 3529]}]}
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