All of these factors favor the use of electronic medical records as the foundation of medical records management systems. These systems can also contribute to the detection of errors and improvements in quality by indexing patient treatment results to the overall performance of the system as well. Electronic medical record systems can hinder quality management of healthcare by having multiple versions of the truth, or highly fragmented and disparate databases that create more confusion that clarity (Darr, Harrison, Shakked, Shalom, 2003). One of the most major causes of an electronic medical records system failing to deliver its full potential is the lack of usability and alignment to specific process needs and requirements. All of these factors...

Finally the lack of integration to legacy databases and lack of quality management measures often lead to medical records systems failing to deliver long-term value.
References

Darr, a., Harrison, M.I., Shakked, L., & Shalom, N. (2003). Physicians and nurses reactions to electronic medical records. Journal of Health Organization and Management, 17(5), 349-59.

Elgert, S. (2005). RELIABILITY SCIENCE: Reducing the error rate in your practice. Family Practice Management, 12(9), 59-63.

Kovner, a.R., & Rundall, T.G. (2006). Evidence-based management reconsidered. Frontiers of Health Services Management, 22(3), 3-22.