DATA ANALYTICS IN INTEGRATED HEALTH RECORDS: ENHANCING PREDICTIVE HEALTH OUTCOMES ACROSS EMERGENCY, NURSING, PHARMACY, AND LABORATORY SERVICES

Ali Mesfer Alkhathami*, Awadh Mutab Alharbi, Mutlaq Shabab Huwaydi Alotaibi, Mesfer Hamed M. Almalki, Khalid Battaa Albeladi, Mohammed Abdulrahman Alrashed, Saleh Abdullah Altwaijri, Salah mohammed Alshaghroud and ‏Talal Habeeb Bokhamsin

ABSTRACT

Background: Clinical Practice Guidelines (CPGs) play a critical role in standardizing healthcare delivery to improve patient outcomes. However, adherence to CPGs varies significantly across healthcare domains, particularly in multidisciplinary settings such as emergency, nursing, pharmacy, medical records, and laboratory services. Understanding the intrinsic and extrinsic factors that influence adherence is essential to identify gaps and optimize healthcare practices. Methods: This study employed a mixed-method systematic review using a convergent integrated approach. Relevant literature was sourced from peer-reviewed journals, databases, and grey literature. The analysis incorporated qualitative and quantitative data to examine personal, cognitive, organizational, and technological factors influencing CPG adherence. A thematic synthesis of qualitative findings was integrated with quantitative results to ensure a comprehensive understanding of the barriers and facilitators. Results: The review identified several recurring factors influencing adherence across disciplines. Intrinsic factors included healthcare professionals’ knowledge, attitudes, and motivation, while extrinsic factors encompassed organizational support, availability of resources, and the integration of clinical decision support systems within electronic health records (EHRs). Emergency and nursing teams reported challenges related to high patient volumes and time constraints, while pharmacy and laboratory services highlighted the importance of accurate communication and data standardization. Improved adherence was associated with training programs, leadership support, and interoperable technology systems. Conclusion: Adherence to CPGs in multidisciplinary settings is influenced by complex, interrelated factors. Addressing both intrinsic and extrinsic barriers through targeted interventions, including education, enhanced collaboration, and technological integration, can significantly improve guideline adherence and patient care. The findings underscore the need for a cohesive approach to healthcare delivery that leverages multidisciplinary strengths.

Keywords: Clinical Practice Guidelines, Multidisciplinary Healthcare, Adherence, Electronic Health Records, Systematic Review.