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Philadelphia, PA: Pew Charitable Trusts, American Medical Association, and Medstar Health; 2018.
Electronic health records both contribute to and detract from safe care. This report recommends best practices, test case criteria, and sample test cases to help developers and health care organizations identify and address electronic health record weaknesses and prevent patient harm.
Electronic Health Records
Improving electronic health record usability and safety requires transparency.
Ratwani RM, Hodgkins M, Bates DW. JAMA. 2018 Nov 29; [Epub ahead of print].
Strategy on Reducing Regulatory and Administrative Burden Relating to the Use of Health IT and EHRs.
Washington, DC: Office of the National Coordinator for Health Information Technology; November 28, 2018.
An electronic health record–based real-time analytics program for patient safety surveillance and improvement.
Classen D, Li M, Miller S, Ladner D. Health Aff (Millwood). 2018;37:1805-1812.
Why doctors hate their computers.
Gawande A. New Yorker. November 12, 2018.
Medical overuse as a physician cognitive error: looking under the hood.
Korenstein D. JAMA Intern Med. 2018 Dec 3; [Epub ahead of print].
Assessment of patient medication adherence, medical record accuracy, and medication blood concentrations for prescription and over-the-counter medications.
Sutherland JJ, Morrison RD, McNaughton CD, et al. JAMA Netw Open. 2018;1:e184196.
Use of a novel, electronic health record–centered, interprofessional ICU rounding simulation to understand latent safety issues.
Bordley J, Sakata KK, Bierman J, et al. Crit Care Med. 2018;46:1570-1576.
Development and implementation of a subcutaneous insulin pen label bar code scanning protocol to prevent wrong-patient insulin pen errors.
MacMaster HW, Gonzalez S, Maruoka A, et al. Jt Comm J Qual Patient Saf. 2018 Sep 26; [Epub ahead of print].
Improving pediatric electronic health record usability and safety through certification: seize the day.
Ratwani RM, Moscovitch B, Rising JP. JAMA Pediatr. 2018;172:1007-1008.
Prevalence and predictors of delayed clinical diagnosis of Type 2 diabetes: a longitudinal cohort study.
Gopalan A, Mishra P, Alexeeff SE, et al. Diabet Med. 2018;35:1655-1662.
Resource-based view on safety culture's influence on hospital performance: the moderating role of electronic health record implementation.
Upadhyay S, Weech-Maldonado R, Lemak CH, Stephenson A, Mehta T, Smith DG. Health Care Manage Rev. 2018 Aug 28; [Epub ahead of print].
Potential biases in machine learning algorithms using electronic health record data.
Gianfrancesco MA, Tamang S, Yazdany J, Schmajuk G. JAMA Intern Med. 2018;178:1544-1547.
Analysis of medication therapy discontinuation orders in new electronic prescriptions and opportunities for implementing CancelRx.
Yang Y, Ward-Charlerie S, Kashyap N, DeMayo R, Agresta T, Green J. J Am Med Inform Assoc. 2018;25:1516-1523.
Adverse effects of computers during bedside rounds in a critical care unit.
Dhillon NK, Francis SE, Tatum JM, et al. JAMA Surg. 2018;153:1052-1053.
What can apologies in the electronic health record tell us about health care quality, processes, and safety?
Matulis JC III, North F. J Patient Saf. 2018 Jul 17; [Epub ahead of print].
Clinical and financial effects of smart pump–electronic medical record interoperability at a hospital in a regional health system.
Biltoft J, Finneman L. Am J Health Syst Pharm. 2018;75:1064-1068.
Mind the overlap: how system problems contribute to cognitive failure and diagnostic errors.
Gupta A, Harrod M, Quinn M, et al. Diagnosis (Berl). 2018;5:151-156.
A usability and safety analysis of electronic health records: a multi-center study.
Ratwani RM, Savage E, Will A, et al. J Am Med Inform Assoc. 2018;25:1197-1201.
Resolving the productivity paradox of health information technology: a time for optimism.
Wachter RM, Howell MD. JAMA. 2018;320:25-26.
Meaningful use's benefits and burdens for US family physicians.
Holman GT, Waldren SE, Beasley JW, et al. J Am Med Inform Assoc. 2018;25:694-701.
Reduced effectiveness of interruptive drug–drug interaction alerts after conversion to a commercial electronic health record.
Wright A, Aaron S, Seger DL, Samal L, Schiff GD, Bates DW. J Gen Intern Med. 2018;33:1868–1876.
Physician burnout in the electronic health record era: are we ignoring the real cause?
Downing NL, Bates DW, Longhurst CA. Ann Intern Med. 2018;169:50-51.
In Conversation With… David Blumenthal, MD, MPP
In Conversation With… John Halamka, MD, MS
PSNET: Patient Safety Network
PSNet is produced for the Agency for Healthcare Research and Quality by a team of editors at the University of California, San Francisco with guidance from a prominent Technical Expert/Advisory Panel. The AHRQ PSNet site was designed and implemented by Silverchair.
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