Early cost and safety benefits of an inpatient electronic health record.

J. A Zlabek; J. W Wickus; M. A Mathiason

Study

Early cost and safety benefits of an inpatient electronic health record.

February 23, 2011

Zlabek JA, Wickus JW, Mathiason MA. Journal of the American Medical Informatics Association. 2011;18(2).

View more articles from the same authors.

This case report discusses one hospital's implementation of an inpatient electronic health record with computerized provider order entry, and how it resulted in rapid improvement of cost and safety measures.

Available at

PubMed citation

Related Resources From the Same Author(s)

Team communication in the operating room.

August 10, 2005

Accident analysis of large-scale technological disasters applied to an anaesthetic complication.

March 6, 2005

Disclosing medical errors: views from the United States and the United Kingdom.

May 21, 2014

The introduction of a surgical safety checklist in a tertiary referral obstetric centre.

July 27, 2011

Systematic review of serious games for medical education and surgical skills training.

November 21, 2012

Mandatory reporting of impaired medical practitioners: protecting patients, supporting practitioners.

February 4, 2015

Implementation of safeguards to improve patient safety in chemotherapy.

September 20, 2017

"Every error counts": a web-based incident reporting and learning system for general practice.

August 20, 2008

Resident uncertainty in clinical decision making and impact on patient care: a qualitative study.

April 16, 2008

Medication safety program reduces adverse drug events in a community hospital.

June 22, 2005

Prevalence of error-prone abbreviations used in medication prescribing for hospitalised patients: multi-hospital evaluation.

May 2, 2012

Possible net harms of breast cancer screening: updated modelling of Forrest report.

December 21, 2011

Measuring hospital adverse events: assessing inter-rater reliability and trigger performance of the Global Trigger Tool.

June 30, 2010

November 4, 2009

Surgical checklists: a detailed review of their emergence, development, and relevance to neurosurgical practice.

March 14, 2012

Research designs for studies evaluating the effectiveness of change and improvement strategies.

March 6, 2005

Attitudes and barriers to incident reporting: a collaborative hospital study.

February 22, 2006

Can the aviation industry be useful in teaching oncology about safety?

December 6, 2017

Barcode identification for transfusion safety.

March 27, 2005

Wrong-site nerve blocks: 10 yr experience in a large multihospital health-care system.

May 6, 2015

How can never event data be used to reflect or improve hospital safety performance?

May 19, 2021

Human factor in cardiac surgery: errors and near misses in a high technology medical domain.

March 27, 2005

What makes hospitalized patients more vulnerable and increases their risk of experiencing an adverse event?

September 21, 2011

Anatomy of a patient safety event: a pediatric patient safety taxonomy.

December 21, 2005

An exploratory study measuring verbal order content and context.

June 10, 2009

Crew resource management in the intensive care unit: a prospective 3-year cohort study.

July 1, 2015

Beyond "see one, do one, teach one": toward a different training paradigm.

February 25, 2009

April 27, 2022

Improving team information sharing with a structured call-out in anaesthetic emergencies: a randomized controlled trial.

March 12, 2014

Specimen labeling errors in surgical pathology: an 18-month experience.

October 27, 2010

Detecting adverse drug events through data mining.

March 24, 2010

Designing a safer process to prevent retained surgical sponges: a healthcare failure mode and effect analysis.

August 17, 2011

Assessing teamwork and communication in the authentic patient care learning environment.

April 6, 2011

Tackling communication barriers between long-term care facility and emergency department transfers to improve medication safety in older adults.

September 2, 2015

Narrativizing nursing students' experiences with medical errors during clinicals.

December 2, 2015

Sepsis quality in safety-net hospitals: an analysis of Medicare's SEP-1 performance measure.

October 2, 2019

Proceed with reasonable care: when legal principles inform training to prevent harm during the childbirth.

February 9, 2022

Improving patient safety by taking systems seriously.

February 13, 2008

"It's not our ass": medical resident sense-making regarding lawsuits.

July 19, 2006

Relationship between tort claims and patient incident reports in the Veterans Health Administration.

April 21, 2005

Video capture of clinical care to enhance patient safety.

March 1, 2006

Time of day effects on the incidence of anesthetic adverse events.

August 23, 2006

Physician satisfaction with transition from CPOE to paper-based prescription.

July 12, 2017

Training situational awareness to reduce surgical errors in the operating room.

February 25, 2015

Time to listen: a review of methods to solicit patient reports of adverse events.

April 14, 2010

5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: protocol, methods, and analysis of data.

September 24, 2014

The 5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: patient experiences, human factors, sedation, consent and medicolegal issues.

November 12, 2014

How doctors think: common diagnostic errors in clinical judgment--lessons from an undiagnosed and rare disease program.

March 15, 2017

Medication error prevention by pharmacists.

March 6, 2005

The impact of a tele-ICU on provider attitudes about teamwork and safety climate.

May 26, 2010

Development and measurement of perioperative patient safety indicators.

March 18, 2015

A theoretical framework and competency-based approach to improving handoffs.

May 28, 2008

Anaesthetists' management of oxygen pipeline failure: room for improvement.

January 31, 2007

Medication administration discrepancies persist despite electronic ordering.

November 28, 2007

Relationship between complaints and quality of care in New Zealand: a descriptive analysis of complainants and non-complainants following adverse events.

February 15, 2006

A retrospective audit of postoperative days alive and out of hospital, including before and after implementation of the WHO surgical safety checklist.

February 2, 2022

Patient risk factors for medical injury: a case–control study.

January 26, 2011

Nature, causes and consequences of unintended events in surgical units.

December 1, 2010

Development and validation of the SURgical PAtient Safety System (SURPASS) checklist.

April 22, 2009

The incidence and nature of in-hospital adverse events: a systematic review.

June 18, 2008

Readiness for organisational change among general practice staff.

April 28, 2010

Developing and deploying a patient safety program in a large health care delivery system: you can't fix what you don't know about.

October 21, 2015

Patterns of nurse–physician communication and agreement on the plan of care.

June 9, 2010

Simulation based teamwork training for emergency department staff: does it improve clinical team performance when added to an existing didactic teamwork curriculum?

April 5, 2006

Incidence and types of adverse events and negligent care in Utah and Colorado.

March 27, 2005

How are medication errors defined? A systematic literature review of definitions and characteristics.

November 3, 2010

Evolution of a rapid response system from voluntary to mandatory activation.

June 9, 2010

The PRONE score: an algorithm for predicting doctors' risks of formal patient complaints using routinely collected administrative data.

May 27, 2015

Use of nondisclosure agreements in medical malpractice settlements by a large academic health care system.

May 27, 2015

Professionalism in the era of duty hours: time for a shift change?

December 12, 2012

Management-changing errors in the recall of radiologic results—a pilot study.

July 25, 2012

Preventable errors in organ transplantation: an emerging patient safety issue?

July 11, 2012

A systematic review of the effectiveness of interruptive medication prescribing alerts in hospital CPOE systems to change prescriber behavior and improve patient safety.

September 27, 2017

Overcoming diagnostic errors in medical practice.

May 24, 2017

Misdiagnosis and missed diagnoses in foster and adopted children with prenatal alcohol exposure.

January 28, 2015

Clinical reasoning as a core competency.

October 30, 2019

Levels of agreement on the grading, analysis and reporting of significant events by general practitioners: a cross-sectional study.

October 29, 2008

Morbidity and mortality conference, grand rounds, and the ACGME's core competencies.

October 25, 2006

An observational study of practice during transfer of patients from anaesthetic room to operating theatre.

October 25, 2006

Automated dispensing cabinets.

August 15, 2007

Registration-associated patient misidentification in an academic medical center: causes and corrections.

January 10, 2007

A qualitative study of why general practitioners may participate in significant event analysis and educational peer assessment.

June 29, 2005

The heart of darkness: the impact of perceived mistakes on physicians.

March 6, 2005

Defining and classifying medical error: lessons for patient safety reporting systems.

March 6, 2005

Prevalence and characteristics of physicians prone to malpractice claims.

February 3, 2016

Adequacy of information transferred at resident sign-out (in-hospital handover of care): a prospective survey.

February 20, 2008

Problems after discharge and understanding of communication with their primary care physicians (PCPs) among hospitalized seniors: a mixed methods study.

September 22, 2010

Recognizing quality improvement and patient safety activities in academic promotion in departments of medicine: innovative language in promotion criteria.

July 13, 2016

Medication safety at the interface: evaluating risks associated with discharge prescriptions from mental health hospitals.

January 20, 2016

Pharmacist participation on physician rounds and adverse drug events in the intensive care unit.

March 27, 2005

The culture of safety: results of an organization-wide survey in 15 California hospitals.

March 6, 2005

Remedies sought and obtained in healthcare complaints.

September 7, 2011

Patient safety incidents associated with obesity: a review of reports to the National Patient Safety Agency and recommendations for hospital practice.

August 17, 2011

The impact of trained assistance on error rates in anaesthesia: a simulation-based randomised controlled trial.

February 25, 2009

Analysis of 23,364 patient-generated, physician-reviewed malpractice claims from a non-tort, blame-free, national patient insurance system: lessons learned from Sweden.

August 27, 2008

Communication failures in patient sign-out and suggestions for improvement: a critical incident analysis.

December 21, 2005

Effective interventions and implementation strategies to reduce adverse drug events in the Veterans Affairs (VA) system.

February 20, 2008

A simulation design for research evaluating safety innovations in anaesthesia.

January 28, 2009

Organisational culture: variation across hospitals and connection to patient safety climate.

January 5, 2011

Novel analysis of clinically relevant diagnostic errors in point-of-care devices.

October 19, 2011

Related Resources

Improving medication safety in a paediatric hospital: a mixed-methods evaluation of a newly implemented computerised provider order entry system.

April 12, 2023

Perspectives on Safety

Annual Perspective

Technology as a Tool for Improving Patient Safety

March 29, 2023

Duplicate medication order errors: safety gaps and recommendations for improvement.

October 12, 2022

Free-text computerized provider order entry orders used as workaround for communicating medication information.

August 31, 2022

The impact of an electronic alert to reduce the risk of co-prescription of low molecular weight heparins and direct oral anticoagulants.

July 6, 2022

The electronic prescribing of subcutaneous infusions: a before-and-after study assessing the impact upon patient safety and service efficiency.

June 15, 2022

Indication alerts to improve problem list documentation.

January 26, 2022

Association between limiting the number of open records in a tele-critical care setting and retract-reorder errors.

July 21, 2021

A qualitative study of prescribing errors among multi-professional prescribers within an e-prescribing system.

December 23, 2020

Impact of interoperability of smart infusion pumps and an electronic medical record in critical care.

September 23, 2020

National trends in the safety performance of electronic health record systems from 2009 to 2018.

June 17, 2020

Evaluating the impact of auto-calculation settings on opioid prescribing at an academic medical center.

May 8, 2019

February 8, 2017

Pharmacist–physician communications in a highly computerised hospital: sign-off and action of electronic review messages.

August 24, 2016

Evaluation of medium-term consequences of implementing commercial computerized physician order entry and clinical decision support prescribing systems in two 'early adopter' hospitals.

February 19, 2014

Computerized physician order entry: promise, perils, and experience.

February 12, 2014

Exploring the sociotechnical intersection of patient safety and electronic health record implementation.

October 16, 2013

Lessons learned from implementation of computerized provider order entry in 5 community hospitals: a qualitative study.

August 14, 2013

Office-based physicians are responding to incentives and assistance by adopting and using electronic health records.

July 24, 2013

Adoption of electronic health records grows rapidly, but fewer than half of US hospitals had at least a basic system in 2012.

July 24, 2013

Return on investment for vendor computerized physician order entry in four community hospitals: the importance of decision support.

July 10, 2013

The safety of electronic prescribing: manifestations, mechanisms, and rates of system-related errors associated with two commercial systems in hospitals.

June 12, 2013

Relationship between medication event rates and the Leapfrog computerized physician order entry evaluation tool.

May 15, 2013

Reported medication errors after introducing an electronic medication management system.

April 24, 2013

ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2011.

May 9, 2012

Parenteral nutrition prescribing processes using computerized prescriber order entry: opportunities to improve safety.

March 21, 2012

Safety in numbers? Try connectivity.

February 22, 2012

Effects of two commercial electronic prescribing systems on prescribing error rates in hospital in-patients: a before and after study.

February 15, 2012

Workarounds in the use of IS in healthcare: a case study of an electronic medication administration system.

February 1, 2012

Creating an oversight infrastructure for electronic health record–related patient safety hazards.

November 30, 2011

See More About The Topic

General Hospitals

Health Care Executives and Administrators

Information Professionals

General Internal Medicine

Hospital Medicine

Early cost and safety benefits of an inpatient electronic health record.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Early cost and safety benefits of an inpatient electronic health record.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site