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

Srinivas Emani; Jorge A Rodriguez; David W Bates

Commentary

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

April 12, 2023

Emani S, Rodriguez JA, Bates DW. J Am Med Inform Assoc. 2023;30(5):995-999.

View more articles from the same authors.

Electronic health records (EHR) are essential for recording patients' clinical data but may also perpetuate stigma, particularly for people of color. This article describes how the EHR can perpetuate individual, organizational, and structural racism and ways organizations, researchers, practitioners, and vendors can address racism.

PubMed citation

Available at

Related Resources From the Same Author(s)

Ambulatory safety nets to reduce missed and delayed diagnoses of cancer.

August 14, 2019

John M. Eisenberg Patient Safety Awards. Research: David W. Bates, MD, MSc, Brigham and Women's Hospital.

March 6, 2005

Unexpected hypoglycemia in a critically ill patient.

March 15, 2006

Computerized physician order entry and medication errors: finding a balance.

July 6, 2005

Health information exchange and patient safety.

November 7, 2007

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

November 7, 2018

Medication administration errors by nurses: adherence to guidelines.

January 30, 2013

Can electronic clinical documentation help prevent diagnostic errors?

March 31, 2010

Evaluation and certification of computerized physician order entry systems.

November 22, 2006

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

March 29, 2023

Improving safety with information technology.

March 6, 2005

Association of hospital public quality reporting with electronic health record medication safety performance.

October 6, 2021

Health apps and health policy: what is needed?

October 24, 2018

Critical drug–drug interactions for use in electronic health records systems with computerized physician order entry: review of leading approaches.

June 15, 2011

The use of computers for clinical care: a case series of advanced US sites.

March 6, 2005

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

June 22, 2016

Incidence of adverse drug events and medication errors in Japan: the JADE Study.

November 3, 2010

Preventable adverse drug events and their causes and contributing factors: the analysis of register data.

February 16, 2011

Pediatric medication safety and the media: what does the public see?

June 21, 2006

Improving electronic health record usability and safety requires transparency.

December 12, 2018

Physician burnout in the electronic health record era: are we ignoring the real cause?

May 9, 2018

Why do we still page each other? Examining the frequency, types and senders of pages in academic medical services.

February 3, 2016

Effects of computerized physician order entry and clinical decision support systems on medication safety: a systematic review.

July 18, 2007

What practices will most improve safety? Evidence-based medicine meets patient safety.

April 12, 2006

The National Quality Forum safe practice standard for computerized physician order entry: updating a critical patient safety practice.

January 10, 2007

Digital health and patient safety.

April 27, 2016

Safety of patients isolated for infection control.

March 27, 2005

Using a machine learning system to identify and prevent medication prescribing errors: a clinical and cost analysis evaluation.

December 18, 2019

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

April 21, 2010

Communicating critical test results: safe practice recommendations.

April 3, 2005

Design of a safety dashboard for patients.

December 18, 2019

Comparative accuracy of diagnosis by collective intelligence of multiple physicians vs individual physicians.

March 13, 2019

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

October 22, 2014

Patient perceptions of hospital experiences: implications for innovations in patient safety.

March 16, 2022

Conflict of interest, Dr Charles Denham and the Journal of Patient Safety.

December 3, 2014

Can surveillance systems identify and avert adverse drug events? A prospective evaluation of a commercial application.

September 17, 2008

Improving safety and eliminating redundant tests: cutting costs in U.S. hospitals.

September 30, 2009

Assessing the safety of electronic health records: a national longitudinal study of medication-related decision support.

August 7, 2019

Exploring the roots of unintended safety threats associated with the introduction of hospital ePrescribing systems and candidate avoidance and/or mitigation strategies: a qualitative study.

February 22, 2017

Overcoming barriers to adopting and implementing computerized physician order entry systems in U.S. hospitals.

March 6, 2005

Clinical decision support systems could be modified to reduce 'alert fatigue' while still minimizing the risk of litigation.

January 4, 2012

Evaluating the impact of radio frequency identification retained surgical instruments tracking on patient safety: literature review.

August 18, 2021

Intravenous medication safety and smart infusion systems: lessons learned and future opportunities.

October 19, 2005

Safe use of electronic health records and health information technology systems: trust but verify.

December 18, 2013

Preventable adverse drug events in hospitalized patients: a comparative study of intensive care and general care units.

March 6, 2005

High-priority drug-drug interaction clinical decision support overrides in a newly implemented commercial computerized provider order-entry system: override appropriateness and adverse drug events.

May 20, 2020

The national cost of adverse drug events resulting from inappropriate medication-related alert overrides in the United States.

August 1, 2018

Understanding the nature of medication errors in an ICU with a computerized physician order entry system.

February 11, 2015

Evaluation of perioperative medication errors and adverse drug events.

November 4, 2015

The relationship between perceived practice quality and quality improvement activities and physician practice dissatisfaction, professional isolation, and work-life stress.

August 5, 2009

Single-parameter early warning criteria to predict life-threatening adverse events.

June 23, 2010

Adverse drug events and medication errors in psychiatry: methodological issues regarding identification and classification.

March 26, 2008

Costs of adverse events in intensive care units.

September 26, 2007

Electronic health record use and the quality of ambulatory care in the United States.

July 25, 2007

Selecting indicators for patient safety at the health system level in OECD countries.

September 20, 2006

Improving medication-related clinical decision support.

March 7, 2018

The costs of adverse drug events in community hospitals.

March 7, 2012

National efforts to improve health information system safety in Canada, the United States of America and England.

January 30, 2013

The relationship between electronic health records and malpractice claims.

July 11, 2012

Association of note quality and quality of care: a cross-sectional study.

April 23, 2014

Unit-based clinical pharmacists' prevention of serious medication errors in pediatric inpatients.

July 23, 2008

Computerised prescribing for safer medication ordering: still a work in progress.

November 18, 2015

Renal medication-related clinical decision support (CDS) alerts and overrides in the inpatient setting following implementation of a commercial electronic health record: implications for designing more effective alerts.

February 17, 2021

Impact of non-interruptive medication laboratory monitoring alerts in ambulatory care.

January 7, 2009

The incidence and severity of adverse events affecting patients after discharge from the hospital.

March 6, 2005

Reduced effectiveness of interruptive drug–drug interaction alerts after conversion to a commercial electronic health record.

May 30, 2018

The role of advice in medication administration errors in the pediatric ambulatory setting.

September 9, 2009

In situ simulation: a strategy to restore patient safety in intensive care units after the COVID-19 pandemic?

February 8, 2023

The tradeoffs between safety and alert fatigue: data from a national evaluation of hospital medication-related clinical decision support.

July 29, 2020

Testing the technology acceptance model for evaluating healthcare professionals' intention to use an adverse event reporting system.

February 20, 2008

Incorporating medication indications into the prescribing process.

May 9, 2018

Guided prescription of psychotropic medications for geriatric inpatients.

May 18, 2005

Policy and the future of adverse event detection using information technology.

March 6, 2005

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

June 17, 2020

Electronic health record legal settlements in the US since the 2009 Health Information Technology for Economic and Clinical Health Act.

December 21, 2022

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

July 11, 2012

Risk factors in preventable adverse drug events in pediatric outpatients.

February 6, 2008

The costs associated with adverse drug events among older adults in the ambulatory setting.

December 7, 2005

Reliability evaluation of the adapted National Coordinating Council Medication Error Reporting and Prevention (NCC MERP) index.

June 13, 2007

Systems engineering and human factors support of a system of novel EHR-integrated tools to prevent harm in the hospital.

April 17, 2019

What evidence supports the use of computerized alerts and prompts to improve clinicians' prescribing behavior?

July 15, 2009

November 22, 2006

"I wish I had seen this test result earlier!": dissatisfaction with test result management systems in primary care.

April 3, 2005

Acceptability and feasibility of the Leapfrog computerized physician order entry evaluation tool for hospitals outside the United States.

July 22, 2015

An analysis of the structure and content of dashboards used to monitor patient safety in the inpatient setting.

December 8, 2021

Organization and representation of patient safety data: current status and issues around generalizability and scalability.

March 6, 2005

Clinical reasoning in the context of active decision support during medication prescribing.

April 5, 2017

The global burden of unsafe medical care: analytic modelling of observational studies.

October 2, 2013

Current challenges in health information technology–related patient safety.

January 16, 2019

The potential of artificial intelligence to improve patient safety: a scoping review.

March 31, 2021

Addition of electronic prescription transmission to computerized prescriber order entry: effect on dispensing errors in community pharmacies.

February 2, 2011

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

August 14, 2013

Impact of incorporating pharmacy claims data into electronic medication reconciliation.

March 4, 2015

Surgery is in itself a risk factor for the patient.

June 1, 2022

Ambulatory computerized prescribing and preventable adverse drug events.

June 8, 2016

Are we heeding the warning signs? Examining providers' overrides of computerized drug–drug interaction alerts in primary care.

January 22, 2014

Electronic results management in pediatric ambulatory care: qualitative assessment.

January 28, 2009

High-priority drug–drug interactions for use in electronic health records.

September 19, 2012

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

Prescribers' responses to alerts during medication ordering in the long term care setting.

August 30, 2006

Related Resources

Patient Safety Innovations

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

May 31, 2023

Clinical Investigation Booking Systems Failures: Written Communications in Community Languages.

May 31, 2023

Roadmap to Health Care Safety for Massachusetts.

May 3, 2023

Identifying electronic health record contributions to diagnostic error in ambulatory settings through legal claims analysis.

May 3, 2023

VA pauses $16B Oracle Cerner EHR deployments indefinitely to address error-ridden early rollout.

May 3, 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

Imagining the future of diagnostic performance feedback.

April 12, 2023

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

March 29, 2023

Now is the time to routinely ask patients about safety.

March 15, 2023

An infrastructure to provide safer, higher quality, and more equitable telehealth.

March 1, 2023

An evidence and consensus-based definition of second victim: a strategic topic in healthcare quality, patient safety, person-centeredness and human resource management.

February 15, 2023

Assessment of the use of patient vital sign data for preventing misidentification and medical errors.

January 25, 2023

Confronting racism in pediatric care.

January 11, 2023

Unintended consequences of patient online access to health records: a qualitative study in UK primary care.

November 16, 2022

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

November 9, 2022

Prevalence and sources of duplicate information in the electronic medical record.

October 12, 2022

Social risk, health inequity, and patient safety.

October 5, 2022

Embedded bias: how medical records sow discrimination.

October 5, 2022

When medical error becomes personal, activism becomes painful.

September 28, 2022

Opportunities to mine EHRs for malpractice risk management and patient safety.

September 7, 2022

Moving beyond implicit bias in antiracist academic medicine initiatives.

September 7, 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

An evolution of reporting: identifying the missing link.

August 10, 2022

Criminal liability for nursing and medical harm.

August 3, 2022

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

June 29, 2022

WebM&M Cases

A Case of Mistaken Capacity: Why A Thorough Psychosocial History Can Improve Care.

March 31, 2022

Is electronic health record safety a paradox?

February 23, 2022

See More About The Topic

Hospitals

Ambulatory Clinic or Office

Health Care Providers

Facility and Group Administrators

Information Professionals

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

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

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

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

PSNet Log in

Submit Your Case

Continue as a Guest

Continue Logged In

Submit Your Case

Continue as a Guest

Already have a PSNet

Account?

New Users

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