Narrow Results Clear All
- Communication between Providers 9
- Culture of Safety 4
- Education and Training 4
- Error Reporting and Analysis 6
- Human Factors Engineering 7
- Legal and Policy Approaches 5
- Logistical Approaches 3
- Quality Improvement Strategies 5
- Teamwork 3
Clinical Information Systems
- Electronic Health Records
- Clinical Information Systems
- Transparency and Accountability 2
- Alert fatigue 1
- Device-related Complications 1
- Diagnostic Errors 2
- Discontinuities, Gaps, and Hand-Off Problems 8
- Identification Errors 3
- Medical Complications 1
- Medication Errors/Preventable Adverse Drug Events 9
- Psychological and Social Complications 3
- Surgical Complications 2
- Health Care Executives and Administrators 18
Health Care Providers
- Nurses 1
- Non-Health Care Professionals 26
- Patients 21
Search results for "Electronic Health Records"
- Newspaper/Magazine Article
- Electronic Health Records
Gawande A. New Yorker. November 12, 2018.
In this magazine article, Atul Gawande describes a range of frustrations physicians experience as digitization becomes more widespread in health care. He elaborates upon several elements of electronic health record use that can degrade care processes and create conditions for errors, such as burnout, lack of patient-centeredness, and alert fatigue.
Porter S. HealthLeaders Media. April 26, 2018.
Overreliance on technology can result in harmful medication mistakes. Reporting on a 10-fold medication overdose that led to the death of a patient with dementia, this news article describes how the hospital changed their processes to improve medication safety, which included restructuring medication safety leadership, modifying the electronic health record to address alert overrides, and enhancing information sharing to support learning and transparency.
Wachter R, Goldsmith J. Harv Bus Rev. March 30, 2018.
Increased workload associated with electronic health record (EHR) documentation contributes to physician burnout. Describing challenges associated with poor user interface of EHRs, this magazine article recommends use of artificial intelligence, redesigning workflow, and enhancing alert systems to improve the usefulness of EHRs.
Lamas D. New York Times. March 27, 2018.
Advance care planning can affect patient safety if the information is unheeded, unavailable, or unread. Reporting on a physician's experience with a patient who nearly received an unwanted intubation due to poor electronic health record data quality and design, this newspaper article describes problems associated with lack of standards for advance care planning documentation and the inability to access advance directives.
Boodman SG. Washington Post. March 26, 2018.
Although providing patients with access to physician notes and test results supports transparency and patient engagement, it can also introduce certain challenges. This newspaper article reports on unintended psychological stresses associated with direct patient access to test results without appropriate contextual information. Improvement strategies include use of graphics, timely patient-centered communication, and scheduling appointments to discuss results. A PSNet perspective explored how patient-facing technologies can empower patients and improve safety.
Landro L. Wall Street Journal. September 12, 2017.
Misdiagnosis has gained recognition as an important patient safety problem. This newspaper article reports on several areas of research and improvement efforts that seek to better understand the roots of diagnostic error and design solutions. Strategies discussed include artificial intelligence, lessons learned initiatives, and data-tracking mechanisms.
Landi H. Healthcare Informatics. June 1, 2017.
The use of copy and paste is a popular time-saving mechanism to update electronic medical documentation, but this practice can introduce risks. This news article reports on various resources that explore problems associated with the copying and pasting in electronic health records, including a recent study that highlighted how this practice can perpetuate incomplete or wrong information into patient records.
Xu R. The Atlantic. May 11, 2018.
Clinician burnout is a growing concern in health care. This magazine article illustrates how ineffective electronic health record systems contribute to the problem and recommends aligning systems and regulatory influences more tightly with actual practice workflow as a strategy for improvement. A past Annual Perspective discussed the impact of clinician burnout on patient safety.
Luthra S. Kaiser Health News. March 1, 2016.
Many emergency departments have recently implemented electronic health records, which has introduced new safety hazards. This news article reports on challenges associated with the growing use of electronic health records in emergency care, including insufficient usability and increased risk of documentation errors.
Institute for Safe Medication Practices. Acute Care Edition. August 27, 2015;2;1-3,6.
How electronic medication-related information is communicated presents unique challenges to safe medication administration. This newsletter article discusses the field review of a set of evidence-based guidelines to provide direction and ensure safe transmission of information contained in electronic systems.
Dyell D. Patient Saf Qual Healthc. January/February 2012;9:34-37.
This magazine article describes problems with medical devices and recommends that device connectivity and integration can improve safety.
ISMP Medication Safety Alert! Acute Care Edition. May 5, 2011;16:1-3.
Page D. Hosp Health Netw. 2011 Mar;85:48, 50.
This piece describes the medication reconciliation process and discusses limitations of current information technology applications.
Freudenheim M. New York Times. December 13, 2010:3B.
This article reports on a committee created by the Institute of Medicine to analyze the potential impact of electronic medical records (EMR) on costs and quality of care.
Glabman M. Trustee. October 2005;58:29-32.
This article discusses several strategies implemented by hospitals to improve the legibility of physicians' medication orders.
Wherry R. Forbes Magazine. June 20, 2005.
This article uses examples from several hospitals to illustrate the behavioral and financial issues involved in implementing information technologies such as electronic health records and order entry systems.
Liberatore K. PA-PSRS Patient Saf Advis. 2018 March;15.
Latex products are widely available in hospitals and represent a persistent threat to patients with latex allergies. Drawing from 616 reported latex-related events, this investigation found that more than half of the incidents were associated with indwelling urinary catheter use. Tracking staff awareness of latex allergies, purchasing latex-safe alternatives, and improving handoff documentation of patient allergies are possible risk reduction strategies. A WebM&M commentary discussed allergy documentation in patient health records.
Butler M. J AHIMA. March 2015;86:18-23.
Although health information technology presents opportunities to improve patient safety, it can also introduce risks. This commentary discusses how insufficient interoperability, data integrity, training, and protection against copy-and-paste errors can hinder optimal use of electronic health record systems.
Rowland C. Boston Globe. July 20, 2014.
Government incentives have led to rapid development and adoption of electronic health records (EHRs). This newspaper article examines some of the unintended consequences of implementing electronic systems that have not been fully optimized for use in the health care environment, such as serious adverse events and medication errors. Moreover, failure to mandate reporting of EHR-related errors hinders developing strategies to improve them. Although clinicians want to avoid returning to paper records, they find current electronic systems inadequate, difficult to use, and nonintuitive.
Landro L. Wall Street Journal. June 9, 2014.
As they become more prevalent, electronic medical records (EMRs) are being used to improve safety in increasingly creative ways. This newspaper article reports on efforts to engage patients in reviewing their medication lists by providing them with access to EMR systems in order to detect and correct discrepancies in data.