Enhancing electronic health record usability in pediatric patient care: a scenario-based approach.

Emily S. Patterson; Jiajie Zhang; Patricia Abbott; Michael C. Gibbons; Svetlana Z. Lowry; Matthew T. Quinn; Mala Ramaiah; David Brick

Commentary

Enhancing electronic health record usability in pediatric patient care: a scenario-based approach.

March 13, 2013

Patterson ES, Zhang J, Abbott P, et al. Jt Comm J Qual Patient Saf. 2013;39(3):129-135.

View more articles from the same authors.

This commentary describes human factors, usability, and informatics recommendations for electronic health records in pediatrics to improve their usefulness and reduce the risk of errors.

Pubmed citation

Available at

Related Resources From the Same Author(s)

Workarounds to intended use of health information technology: a narrative review of the human factors engineering literature.

May 2, 2018

Lessons from "unexpected increased mortality after implementation of a commercially sold computerized physician order entry system."

August 16, 2006

Unintended adverse consequences of introducing electronic health records in residential aged care homes.

October 2, 2013

The epidemiology of malpractice claims in primary care: a systematic review.

July 31, 2013

Patient handoffs: standardized and reliable measurement tools remain elusive.

February 10, 2010

Applying human factors engineering to address the telemetry alarm problem in a large medical center.

August 11, 2021

Improving patient safety by identifying side effects from introducing bar coding in medication administration.

October 19, 2005

Strategies for improving communication in the emergency department: mediums and messages in a noisy environment.

July 24, 2013

Variation in emergency medical services workplace safety culture.

November 10, 2010

Evaluation of a physician informatics tool to improve patient handoffs.

July 29, 2009

Collaborating—or "selling" patients? A conceptual framework for emergency department-to-inpatient handoff negotiations.

March 18, 2015

Implementation science for ambulatory care safety: a novel method to develop context-sensitive interventions to reduce quality gaps in monitoring high-risk patients.

July 12, 2017

The impact of the 80-hour resident workweek on surgical residents and attending surgeons.

July 12, 2006

Changes in practice among physicians with malpractice claims.

April 3, 2019

A qualitative analysis of outpatient medication use in community settings: observed safety vulnerabilities and recommendations for improved patient safety.

April 17, 2019

Interruptions in a level one trauma center: a case study.

July 4, 2007

Power and conflict: the effect of a superior's interpersonal behaviour on trainees' ability to challenge authority during a simulated airway emergency.

December 2, 2015

The nature and occurrence of registration errors in the emergency department.

July 4, 2007

Interactive questioning in critical care during handovers: a transcript analysis of communication behaviours by physicians, nurses and nurse practitioners.

May 28, 2014

The Emergency Medical Services Safety Attitudes Questionnaire.

February 24, 2010

The benefits of health information technology: a review of the recent literature shows predominantly positive results.

March 23, 2011

Using smart IV infusion pumps outside of patient rooms.

February 2, 2022

Sleep quality and fatigue among prehospital providers.

April 7, 2010

The multitasking clinician: decision-making and cognitive demand during and after team handoffs in emergency care.

November 8, 2006

Incident and long-term opioid therapy among patients with psychiatric conditions and medications: a national study of commercial health care claims.

January 25, 2017

Contraindicated medication use in dialysis patients undergoing percutaneous coronary intervention.

December 16, 2009

Patient safety: latex allergy.

January 4, 2006

Critical events in the lives of interns.

November 19, 2008

Identification of doctors at risk of recurrent complaints: a national study of healthcare complaints in Australia.

May 1, 2013

Evidence review conducted for the Agency for Healthcare Research and Quality Safety Program for Improving Surgical Care and Recovery: focus on anesthesiology for colorectal surgery.

May 9, 2018

Identifying barriers to the effective use of clinical reminders: bootstrapping multiple methods.

June 1, 2005

Exploring barriers and facilitators to the use of computerized clinical reminders.

April 21, 2005

Bias and racism teaching rounds at an academic medical center.

December 23, 2020

Safety-I, Safety-II and resilience engineering.

November 6, 2015

Challenging authority and speaking up in the operating room environment: a narrative synthesis.

February 27, 2019

Aligning patient safety and stewardship: a harm reduction strategy for children.

December 22, 2021

Registered nurses' judgments of the classification and risk level of patient care errors.

October 19, 2011

A leadership initiative to improve communication and enhance safety.

January 26, 2011

Attitudes toward medical device use errors and the prevention of adverse events.

November 14, 2007

The use of report cards and outcome measurements to improve the safety of surgical care: the American College of Surgeons National Surgical Quality Improvement Program.

May 7, 2014

Potentially inappropriate medication use and healthcare expenditures in the US community-dwelling elderly.

May 16, 2007

The association between EMS workplace safety culture and safety outcomes.

October 19, 2011

Impact of a relocation to a new critical care building on pediatric safety events.

April 3, 2024

Underdiagnosis of hypertension in children and adolescents.

September 5, 2007

Changing dynamics of the drug overdose epidemic in the United States from 1979 through 2016.

October 10, 2018

Safe practice recommendations for the use of copy-forward with nursing flow sheets in hospital settings.

July 12, 2017

Risk factors and outcomes for foreign body left during a procedure: analysis of 413 incidents after 1,946,831 operations in children.

November 24, 2010

Using a modified A3 lean framework to identify ways to increase students' reporting of mistreatment behaviors.

May 9, 2018

The surgical safety checklist and patient outcomes after surgery: a prospective observational cohort study, systematic review and meta-analysis.

March 7, 2018

State-mandated hospital infection reporting is not associated with decreased pediatric health care–associated infections.

September 9, 2015

12 h shifts and rates of error among nurses: a systematic review.

August 5, 2015

Patient safety perspectives of providers and nurses: the experience of a rural ambulatory care practice using an EHR with e-prescribing.

November 13, 2013

The evolution of patient safety procedures in an oral surgery department

December 11, 2019

Preventing complications of central venous catheterization.

March 6, 2005

Protecting patients from an unsafe system: the etiology and recovery of intraoperative deviations in care.

July 25, 2012

Challenging authority during a life-threatening crisis: the effect of operating theatre hierarchy.

December 19, 2012

Evidence-based guidelines for fatigue risk management in EMS: formulating research questions and selecting outcomes.

December 7, 2016

Embedding quality improvement and patient safety - the UCLA value analysis experience.

April 18, 2007

Intraoperative sentinel events in the era of surgical safety checklists: results of a national survey.

March 3, 2021

Benefits and risks of using smart pumps to reduce medication error rates: a systematic review.

October 22, 2014

Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicator for Postoperative Respiratory Failure (PSI 11) does not identify accurately patients who received unsafe care.

November 16, 2016

Leadership behavior associations with domains of safety culture, engagement, and healthcare worker well-being.

February 1, 2023

Healthcare system-wide implementation of opioid-safety guideline recommendations: the case of urine drug screening and opioid-patient suicide- and overdose-related events in the Veterans Health Administration.

April 5, 2017

Cost of inpatient falls and cost-benefit analysis of implementation of an evidence-based fall prevention program.

February 1, 2023

"No-go considerations" for in situ simulation safety.

June 13, 2018

Chemotherapy medication errors.

April 11, 2018

Assessing the value of electronic prescribing in ambulatory care: A focus group study.

May 20, 2009

Momentary interruptions can derail the train of thought.

January 30, 2013

Associations between perceived crisis mode work climate and poor information exchange within hospitals.

February 4, 2015

Implementing AORN recommended practices for transfer of patient care information.

November 14, 2012

Label design affects medication safety in an operating room crisis: a controlled simulation study.

April 1, 2015

Medical professional liability insurance and its relation to medical error and healthcare risk management for the practicing physician.

January 11, 2006

Evaluation of a patient-centered fall-prevention tool kit to reduce falls and injuries: a nonrandomized controlled trial.

December 2, 2020

Overrides of medication alerts in ambulatory care.

February 18, 2009

Missed diagnosis of cancer in primary care: insights from malpractice claims data.

August 7, 2019

Enhancing patient safety and quality of care by improving the usability of electronic health record systems: recommendations from AMIA.

February 13, 2013

A reduction in cardiac arrests and duration of clinical instability after implementation of a paediatric rapid response system.

December 16, 2009

Application of human factors to improve usability of clinical decision support for diagnostic decision-making: a scenario-based simulation study.

January 8, 2020

The relationship between safety culture and patient outcomes: results from pilot meta-analyses.

July 24, 2013

Severe staffing and personal protective equipment shortages faced by nursing homes during the COVID-19 pandemic.

September 16, 2020

The relationship between physician practice characteristics and physician adoption of electronic health records.

January 13, 2010

When staff speak up on safety, do managers listen—and act?

August 24, 2011

Handoff strategies in settings with high consequences for failure: lessons for health care operations.

March 6, 2005

Improving resident education and patient safety: a method to balance initial caseloads at academic year-end transfer.

September 8, 2010

Prospective study of the multisite spread of a medication safety intervention: factors common to hospitals with improved outcomes.

February 7, 2024

Rating the raters: the inconsistent quality of health care performance measurement.

March 2, 2016

Adoption of health information technology for medication safety in US hospitals, 2006.

May 28, 2008

What causes adverse events in prehospital care? A human-factors approach.

September 19, 2012

The effect of documenting patient weight in kilograms on pediatric medication dosing errors in emergency medical services.

May 3, 2023

A fatal case of iatrogenic hypercalcemia after calcium channel blocker overdose.

April 2, 2008

Improving handoffs in the emergency department.

October 28, 2009

Ten ways to improve medication safety in community pharmacies.

August 7, 2019

Avoidable iatrogenic complications of urethral catheterization and inadequate intern training in a tertiary-care teaching hospital.

May 13, 2009

Role of pharmacist counseling in preventing adverse drug events after hospitalization.

March 22, 2006

Teamwork, communication and safety climate: a systematic review of interventions to improve surgical culture.

June 10, 2015

Improving ambulatory patient safety: learning from the last decade, moving ahead in the next.

December 21, 2011

Sleep deprivation and error in nurses who work the night shift.

February 19, 2014

A cross-sectional observational study of high override rates of drug allergy alerts in inpatient and outpatient settings, and opportunities for improvement.

May 25, 2016

Medication error reporting in nursing homes: identifying targets for patient safety improvement.

February 17, 2010

Improved prophylaxis and decreased rates of preventable harm with the use of a mandatory computerized clinical decision support tool for prophylaxis for venous thromboembolism in trauma.

February 20, 2013

Related Resources

Patient Safety Innovations

Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

July 31, 2023

Patient safety of perioperative medication through the lens of digital health and artificial intelligence.

June 28, 2023

Annual Perspective

Improving Diagnostic Safety and Quality

April 26, 2023

Interview

In Conversation with... Susan McGrath, PhD and George Blike, MD about Surveillance Monitoring

April 26, 2023

Perspective

Surveillance Monitoring to Improve Patient Safety in Acute Hospital Care Units

April 26, 2023

Racism and electronic health records (EHRs): perspectives for research and practice.

April 12, 2023

Quality and safety: learning from the past and (re)imagining the future.

March 29, 2023

"Are we there yet?" Ten persistent hazards and inefficiencies with the use of medication administration technology from the perspective of practicing nurses.

March 22, 2023

Perspective

Using Human Factors Engineering and the SEIPS Model to Advance Patient Safety in Care Transitions

November 16, 2022

Interview

In Conversation With... Pascale Carayon, PhD and Nicole Werner, PhD

November 16, 2022

Professional behavior and value erosion: a qualitative study of physicians and the electronic health record.

November 9, 2022

Toolkit To Improve Antibiotic Use in Ambulatory Care.

October 26, 2022

Emergency preparedness: be ready for unanticipated electronic health record (EHR) downtime.

September 7, 2022

Inaccurate penicillin allergy labeling, the electronic health record, and adverse outcomes of care.

August 24, 2022

Development and pilot evaluation of an electronic health record usability and safety self-assessment tool.

August 24, 2022

An evolution of reporting: identifying the missing link.

August 10, 2022

Making electronic health records both SAFER and SMARTER.

July 27, 2022

Experiences of transgender people reviewing their electronic health records, a qualitative study.

June 29, 2022

Evaluation and comparison of errors on nursing notes created by online and offline speech recognition technology and handwritten: an interventional study.

June 15, 2022

Applying requisite imagination to safeguard electronic health record transitions.

May 18, 2022

Improving shared situation awareness for high-risk therapies in hospitalized children.

January 19, 2022

CancelRx: a health IT tool to reduce medication discrepancies in the outpatient setting.

September 1, 2021

Diagnostic errors, health disparities, and artificial intelligence: a combination for health or harm.

September 1, 2021

Bridging the feedback gap: a sociotechnical approach to informing clinicians of patients' subsequent clinical course and outcomes.

June 30, 2021

Impact of technological and departmental changes on incident rates in radiation oncology over a seventeen-year period.

June 30, 2021

A qualitative study of what care workers do to provide patient safety at home through telecare.

June 23, 2021

Emergency physician perceptions of electronic health record usability and safety.

May 12, 2021

The Anesthesia Patient Safety Foundation Stoelting Conference 2019: perioperative deterioration--early recognition, rapid intervention, and the end of failure-to-rescue.

November 11, 2020

How common mental shortcuts can cause major physician errors.

March 4, 2020

Electronic Health Record (EHR) Safety and Usability: See What We Mean.

January 15, 2020

See More About The Topic

Children's Hospitals

Ambulatory Clinic or Office

Physicians

Health Care Executives and Administrators

Information Professionals

Enhancing electronic health record usability in pediatric patient care: a scenario-based approach.

Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Enhancing electronic health record usability in pediatric patient care: a scenario-based approach.

Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

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