Table 9.

Overview of types of impact and related included studies.

Impact	Description	Source
Patient safety	The impact on the safety (physical and mental) of the patient	[20,28,29,41,43,46,48,53,54,58,59,67,75-77]
Effectiveness of care	The effectiveness and quality of the care process performed	[20,28,43,46,54,58,59,67]
Efficiency of care	The impact on the efficiency of the care process in terms of time and resources expended	[20,33,55,60,64,72,76]
Privacy and security (new)	Impact on the security and privacy of data related to the patient or organization	[32,39,51,52,56,63,68,75]
Data quality (new)	Impact of workarounds on data quality (eg, loss of data or decreased data quality)	[32,33,35,39,41,46,51,52,56,59,69,76]
Financial (new)	Financial implications because of the workaround	[58]
Laws and regulations (new)	Legal conflicts resulting from the use of a workaround	[63,75]
Workload (new)	An increase or decrease in workload of the EHRa user resulting from the use of a workaround	[43]

^aEHR: electronic health record.