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

Hardeep Singh; David Classen; Dean F Sittig

Commentary

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

November 30, 2011

Singh H, Classen D, Sittig DF. J Patient Saf. 2011;7(4):169-74.

View more articles from the same authors.

This commentary describes an electronic health record (EHR) oversight program to monitor and identify EHR-related safety hazards.

PubMed citation

Available at

Related Resources From the Same Author(s)

Patient safety goals for the proposed Federal Health Information Technology Safety Center.

November 19, 2014

Safe electronic health record use requires a comprehensive monitoring and evaluation framework.

February 10, 2010

Policies to promote shared responsibility for safer electronic health records.

September 29, 2021

Toward more proactive approaches to safety in the electronic health record era.

September 13, 2017

Electronic health records and National Patient-Safety Goals.

November 21, 2012

Defining health information technology–related errors: new developments since To Err Is Human.

August 3, 2011

Advancing the science of measurement of diagnostic errors in healthcare: the Safer Dx framework.

January 28, 2015

Measuring and improving patient safety through health information technology: the Health IT Safety Framework.

October 14, 2015

Eight rights of safe electronic health record use.

September 23, 2009

A sociotechnical framework for safety-related electronic health record research reporting: the SAFER reporting framework.

June 24, 2020

Improving the safety of health information technology requires shared responsibility: it is time we all step up.

August 2, 2017

Contingency planning for electronic health record–based care continuity: a survey of recommended practices.

October 15, 2014

Applying requisite imagination to safeguard electronic health record transitions.

May 18, 2022

Guidelines for US hospitals and clinicians on assessment of electronic health record safety using SAFER Guides.

February 16, 2022

Fighting a common enemy: a catalyst to close intractable safety gaps.

August 5, 2020

Ebola US Patient Zero: lessons on misdiagnosis and effective use of electronic health records.

November 5, 2014

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

June 30, 2021

Assessment of health information technology-related outpatient diagnostic delays in the US Veterans Affairs health care system: a qualitative study of aggregated root cause analysis data.

July 22, 2020

Challenges in patient safety improvement research in the era of electronic health records.

August 17, 2016

Essential activities for electronic health record safety: a qualitative study.

March 20, 2019

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

October 16, 2013

Patient perceptions of receiving test results via online portals: a mixed-methods study.

January 17, 2018

An electronic trigger based on care escalation to identify preventable adverse events in hospitalised patients.

October 11, 2017

Information overload and missed test results in electronic health record–based settings.

March 13, 2013

Electronic health record–related safety concerns: a cross-sectional survey.

August 20, 2014

Validation of an electronic trigger to measure missed diagnosis of stroke in emergency departments.

August 25, 2021

Workarounds and test results follow-up in electronic health record–based primary care.

August 3, 2016

Ten strategies to improve management of abnormal test result alerts in the electronic health record.

June 16, 2010

Current challenges in health information technology–related patient safety.

January 16, 2019

Defining and measuring diagnostic uncertainty in medicine: a systematic review.

October 18, 2017

Graphical display of diagnostic test results in electronic health records: a comparison of 8 systems.

April 8, 2015

An analysis of electronic health record–related patient safety concerns.

July 2, 2014

Improving follow-up of abnormal cancer screens using electronic health records: trust but verify test result communication.

January 20, 2010

Application of electronic trigger tools to identify targets for improving diagnostic safety.

October 17, 2018

Electronic health record reviews to measure diagnostic uncertainty in primary care.

May 2, 2018

Notification of abnormal lab test results in an electronic medical record: do any safety concerns remain?

March 17, 2010

Safety huddles to proactively identify and address electronic health record safety.

January 25, 2017

Electronic detection of delayed test result follow-up in patients with hypothyroidism.

February 15, 2017

Timely follow-up of abnormal diagnostic imaging test results in an outpatient setting: are electronic medical records achieving their potential?

October 7, 2009

Computerized triggers of big data to detect delays in follow-up of chest imaging results.

September 28, 2016

Electronic triggers to identify delays in follow-up of mammography: harnessing the power of big data in health care.

November 29, 2017

How context affects electronic health record–based test result follow-up: a mixed-methods evaluation.

December 3, 2014

Application of human factors methods to understand missed follow-up of abnormal test results.

November 11, 2020

Developing electronic clinical quality measures to assess the cancer diagnostic process.

June 21, 2023

Application of electronic health records to The Joint Commission's 2011 National Patient Safety Goals.

July 13, 2011

Adherence to recommended electronic health record safety practices across eight health care organizations.

May 16, 2018

Orders on file but no labs drawn: investigation of machine and human errors caused by an interface idiosyncrasy.

March 22, 2017

Standard practices for computerized clinical decision support in community hospitals: a national survey.

July 11, 2012

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

August 16, 2006

A survey of factors affecting clinician acceptance of clinical decision support.

February 22, 2006

Two decades since To Err Is Human: an assessment of progress and emerging priorities in patient safety.

November 7, 2018

Computerized provider order entry adoption: implications for clinical workflow.

December 10, 2008

The unintended consequences of computerized provider order entry: findings from a mixed methods exploration.

October 15, 2008

Assessing the anticipated consequences of computer-based provider order entry at three community hospitals using an open-ended, semi-structured survey instrument.

July 16, 2008

Types of unintended consequences related to computerized provider order entry.

September 20, 2006

Medication safety: moving from illusion to reality.

March 6, 2005

Matching identifiers in electronic health records: implications for duplicate records and patient safety.

March 13, 2013

The impact of prescribing safety alerts for elderly persons in an electronic medical record: an interrupted time series evaluation.

May 31, 2006

Understanding differences in electronic health record (EHR) use: linking individual physicians' perceptions of uncertainty and EHR use patterns in ambulatory care.

June 19, 2013

The extent and importance of unintended consequences related to computerized provider order entry.

May 16, 2007

Factors contributing to medication errors made when using computerized order entry in pediatrics: a systematic review.

November 22, 2017

A comparative review of patient safety initiatives for national health information technology.

February 6, 2013

Reducing warfarin medication interactions: an interrupted time series evaluation.

June 14, 2006

Getting moving on patient safety—harnessing electronic data for safer care.

November 23, 2011

Patient safety: let's measure what matters.

May 21, 2014

Informatics opportunities: the intersection of patient safety and clinical informatics.

May 14, 2008

A roadmap to advance patient safety in ambulatory care.

January 20, 2021

Payment innovations to improve diagnostic accuracy and reduce diagnostic error.

November 7, 2018

Inpatient notes: reducing diagnostic error—a new horizon of opportunities for hospital medicine.

October 26, 2016

The challenges in defining and measuring diagnostic error.

June 24, 2015

A systematic review of the types and causes of prescribing errors generated from using computerized provider order entry systems in primary and secondary care.

September 21, 2016

Evaluation and certification of computerized physician order entry systems.

November 22, 2006

Medical errors involving trainees: a study of closed malpractice claims from 5 insurers.

October 24, 2007

Assigning responsibility to close the loop on radiology test results.

July 12, 2017

General internists in pursuit of diagnostic excellence in primary care: a #ProudtobeGIM thread that unites us all.

April 18, 2018

Should patients get direct access to their laboratory test results?: An answer with many questions.

January 30, 2005

Improving diagnosis in health care—the next imperative for patient safety.

November 18, 2015

Reducing diagnostic error through medical home-based primary care reform.

August 11, 2010

Eight recommendations for policies for communicating abnormal test results.

May 5, 2010

Artificial intelligence in clinical diagnosis: opportunities, challenges, and hype.

July 19, 2023

Reducing the risk of diagnostic error in the COVID-19 era.

May 27, 2020

New unintended adverse consequences of electronic health records.

July 19, 2017

Analysis of clinical decision support system malfunctions: a case series and survey.

April 13, 2016

Adverse drug events among hospitalized Medicare patients: epidemiology and national estimates from a new approach to surveillance.

January 13, 2010

Clinical data sharing improves quality measurement and patient safety.

March 24, 2021

Diagnostic errors in the neonatal intensive care unit: state of the science and new directions.

October 23, 2019

The path to diagnostic excellence includes feedback to calibrate how clinicians think.

February 20, 2019

Using fault trees to advance understanding of diagnostic errors.

November 1, 2017

Advancing the research agenda for diagnostic error reduction.

August 28, 2013

Measure Dx: implementing pathways to discover and learn from diagnostic errors.

September 28, 2022

Recommendations for the safe, effective use of adaptive CDS in the US healthcare system: an AMIA position paper.

April 21, 2021

An electronic health record–based real-time analytics program for patient safety surveillance and improvement.

December 5, 2018

Problem list completeness in electronic health records: a multi-site study and assessment of success factors.

August 26, 2015

Operational measurement of diagnostic safety: state of the science.

October 7, 2020

Developing health care organizations that pursue learning and exploration of diagnostic excellence: an action plan.

December 4, 2019

A decade of health information technology usability challenges and the path forward.

February 13, 2019

Tracking progress in improving diagnosis: a framework for defining undesirable diagnostic events.

February 14, 2018

Electronic health record alert–related workload as a predictor of burnout in primary care providers.

August 30, 2017

Five strategies for clinicians to advance diagnostic excellence.

March 2, 2022

Mixed results in the safety performance of computerized physician order entry.

April 21, 2010

Related Resources

Making electronic health records both SAFER and SMARTER.

July 27, 2022

Hidden health IT hazards: a qualitative analysis of clinically meaningful documentation discrepancies at transfer out of the pediatric intensive care unit.

August 28, 2019

Using near-miss events to improve MRI safety in a large academic centre.

May 15, 2019

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

May 8, 2019

Performing an inadvertent procedure.

January 30, 2019

A QI initiative: implementing a patient handoff checklist for pediatric hospitalist attendings.

February 8, 2017

Adverse inpatient outcomes during the transition to a new electronic health record system: observational study.

August 10, 2016

Two-year longitudinal assessment of physicians' perceptions after replacement of a longstanding homegrown electronic health record: does a J-curve of satisfaction really exist?

August 3, 2016

Applied use of safety event occurrence control charts of harm and non-harm events: a case study.

July 20, 2016

Adverse events and near misses relating to information management in a hospital.

June 22, 2016

An observational study to evaluate the usability and intent to adopt an artificial intelligence–powered medication reconciliation tool.

June 8, 2016

Chemotherapy errors: a call for a standardized approach to measurement and reporting.

June 1, 2016

Transitional chaos or enduring harm? The EHR and the disruption of medicine.

October 28, 2015

Interview

In Conversation With… Vineet Arora, MD, MAPP

September 1, 2015

The rise of the medical scribe industry: implications for the advancement of electronic health records.

April 15, 2015

Development of an instrument to measure the unintended consequences of EHRs.

April 8, 2015

Graphical display of diagnostic test results in electronic health records: a comparison of 8 systems.

April 8, 2015

Evaluating inpatient mortality: a new electronic review process that gathers information from front-line providers.

November 5, 2014

Impact of a reengineered electronic error-reporting system on medication event reporting and care process improvements at an urban medical center.

September 3, 2014

We need to talk: an observational study of the impact of electronic medical record implementation on hospital communication.

March 19, 2014

Electronic Health Record Programs: Participation Has Increased, but Action Needed to Achieve Goals, Including Improved Quality of Care.

March 19, 2014

The next organizational challenge: finding and addressing diagnostic error.

March 5, 2014

Patient safety climate (PSC) perceptions of frontline staff in acute care hospitals: examining the role of ease of reporting, unit norms of openness, and participative leadership.

February 26, 2014

National Patient Safety Alerting System.

February 19, 2014

What to do with healthcare incident reporting systems.

January 29, 2014

Medication event huddles: a tool for reducing adverse drug events.

January 15, 2014

Texting while doctoring: a patient safety hazard.

December 18, 2013

Motivational antecedents of incident reporting: evidence from a survey of nurses and physicians.

November 27, 2013

Talking with patients about other clinicians' errors.

November 6, 2013

The cost of disruptive and unprofessional behaviors in health care.

October 16, 2013

See More About The Topic

Hospitals

Health Care Executives and Administrators

Information Professionals

General Internal Medicine

Hospital Medicine

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

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

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

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

PSNet Log in

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