… experts have raised patient safety concerns . Based on a literature review and expert feedback, this article … IT implementation and high quality, safe patient care. … Kutza JO, Hübner U, Holmgren AJ, et al. Patient safety informatics: criteria …

… Evaluation Tool , which measures medication safety, had a mean score of 59.3% at baseline. Hospitals that received … the utility of public reporting in improving quality. … Holmgren AJ,  Bates DW. Association of hospital public …

Medication errors occur frequently in ambulatory care settings. This article describes the development and testing of an ambulatory medication safety evaluation tool, which is based on an inpatient version administered by The Leapfrog Group. Pilot testing at seven clinics around the US indicates that clinics struggled in areas of advanced decision support such as drug age and drug monitoring, and that most clinics lacked EHR-based medication reconciliation functions.

… some cases may be contributing to alert fatigue . … Co Z, Holmgren AJ, Classen DC, et al. The tradeoffs between safety and alert fatigue: data from a national evaluation of hospital medication-related clinical …

Researchers measured the safety performance of electronic health record (EHR) systems using simulated medication orders that can lead to adverse events or death in order to evaluate how well the systems identified these errors, and the mitigating effect of computerized physician order entry and clinical decision support (CDS) tools. Safety performance increased moderately over the 10-year study period but there was considerable variation in performance based on the level of decision support (basic or more complex) and EHR vendor; safety risks persist despite EHR implementation.

… BMJ quality & safety … BMJ Qual Saf … A key safety feature of electronic health records is …

Barriers to interoperability across health information systems may compromise patient safety by preventing sharing of clinical information necessary for optimal patient care. Researchers found that hospitals' engagement in sharing of patient information across four domains of interoperability increased only modestly from 24.5% of hospitals in 2014 to 29.7% of hospitals in 2015.