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A Concept Map Summary on Barriers to EHR-Based Medication Reconciliation Integration-Part 2
Beverly Jordan
Herzing University
NU725 Technology and Nursing Informatics in Advanced Practice
Dr. Kimberly Burks
10/12/2025
A Concept Map Summary on Barriers to EHR-Based Medication Reconciliation Integration
The incorporation of an Electronic Health Record (EHR)-based medication reconciliation system is a transformational opportunity that could be used to improve patient safety, minimize medication errors, and promote interdisciplinary collaboration. There are, however, several obstacles, as shown in the concept map below, to successful implementation in healthcare organizations:
1.
Ethical Barriers: Ethical issues arise due to the privacy of the patients and the misuse of health information. When adopting EHR systems, it is essential to follow the principles of confidentiality and data security because failure to do so may lead to a loss of patient trust and substandard care (Rittenberg et al., 2022). It is necessary to ensure patient information is distributed conscientiously across interdisciplinary teams without violating ethical standards.
2.
Legal Barriers: Legal limitations include adherence to federal and institutional laws, including HIPAA and The Joint Commission laws. The discrepancies between the documentation and the misuse of the digital medication data may put organizations at risk of litigation.
3.
Financial Barriers: The adoption of the EHR-based systems will require a significant investment in the software, hardware, and the training of the workforce (Ciudad-Gutierrez et al., 2025). Maintenance and system upgrades are also continuous costs. Budgets frequently require hospitals to postpone adoption even in cases where long-term returns, like gains in the reduction of errors and increased efficiency, have been demonstrated.
4.
Adoption Barriers: Healthcare professionals can be accustomed to manual operations or overwhelmed by technology (Davis, 2023). It has been demonstrated that concept mapping helps facilitate professional learning and involvement based on the possibility of making abstract notions concrete and creating common ground between users.
5.
User-Related Barriers: Issues of interest to the user include technical skills and workflow interference. The staff and the management might first have to cope with the workload as they learn the new system.
References
Ciudad-Gutiérrez, P., Suárez-Casillas, P., Guisado-Gil, A. B., Acosta-García, H. L., Campano-Pérez, I. L., Ramírez-Duque, N., & Alfaro-Lara, E. R. (2025).
Implementation and user satisfaction analysis of an electronic medication reconciliation tool (ConciliaMed) in patients undergoing elective colorectal surgery.
Healthcare, 13(7), 778.
Davis, C. (2023).
Medical students find their way with concept mapping. Virginia Tech News.
Guo, A., Beheshti, R., Khan, Y. M., Langabeer, J. R., & Foraker, R. E. (2021).
Predicting cardiovascular health trajectories in time-series electronic health records with LSTM models.
BMC Medical Informatics and Decision Making, 21(1), 5.
Rittenberg, E., Liebman, J. B., & Rexrode, K. M. (2022).
Primary care physician gender and electronic health record workload.
Journal of General Internal Medicine, 37(13), 3295–3301.
