Graphical Display of Diagnostic Test Results in EHRs: A Comparison of 8 Systems
Many current commercial EHRs have significant limitations in graphing capabilities of laboratory test results and often display results in nonstandardized fashion.
dean sittig
Timothy Kelley writes in “Managed Care” re: Can Computers ‘Do No Harm’?
Health information technology is improving patient safety. It can also help to create new kinds of errors, which may potentially harm patients in a phenomenon some are calling “e-iatrogenesis.” These known incidents may be just the tip of a large iceberg. Lawsuits, real or worried about, mean some reports may […]
Avoiding EHR-Related Unintended Consequences
Video presentation on “Avoiding EHR-Related Unintended Consequences” at the Children’s Hospital of Pennsylvania in 2012. Click to see the video: Avoiding EHR-Related Unintended Consequences
The SAFER guides: empowering organizations to improve the safety and effectiveness of electronic health records
With support from the Office of the National Coordinator for Health Information Technology (ONC), we used a rigorous, iterative process to develop a set of 9 self-assessment tools to optimize the safety and safe use of EHRs. These tools, referred to as the Safety Assurance Factors for EHR Resilience (SAFER) guides, could be used to self-assess safety and effectiveness of EHR implementations, identify specific areas of vulnerability, and create solutions and culture change to mitigate risks.
SAFER Electronic Health Records: Safety Assurance Factors for EHR Resilience
SAFER Electronic Health Records: Safety Assurance Factors for EHR Resilience Electronic health records (EHRs) have the potential to improve the quality and safety of health care. Since the enactment of the Health Information Technology for Economic and Clinical Health Act (HITECH), organizations are adopting EHRs at an unprecedented rate. While […]
Better EHR: Usability, workflow and cognitive support in electronic health records
“Better EHR: Usability, Workflow and Cognitive Support in Electronic Health Records” — a book published by the National Center for Cognitive Informatics & Decision Making in Healthcare. One of the biggest complaints we hear from healthcare providers is that the EHR is clunky, difficult to use, and sometimes gets in […]
Development of a Clinician Reputation Metric to Identify Appropriate Problem-Medication Pairs in a Crowdsourced Knowledge Base
BACKGROUND: Correlation of data within electronic health records is necessary for implementation of various clinical decision support functions, including patient summarization. A key type of correlation is linking medications to clinical problems; while some databases of problem-medication links are available, they are not robust and depend on problems and medications […]
Clinical Decision Support Alert Appropriateness: A Review and Proposal for Improvement
BACKGROUND: Many healthcare providers are adopting clinical decision support (CDS) systems to improve patient safety and meet meaningful use requirements. Computerized alerts that prompt clinicians about drug-allergy, drug-drug, and drug-disease warnings or provide dosing guidance are most commonly implemented. Alert overrides, which occur when clinicians do not follow the guidance […]
The Medicare Electronic Health Record Incentive Program: Provider Performance on Core and Menu Measures
OBJECTIVE: To measure performance by eligible health care providers on CMS’s meaningful use measures. DATA SOURCE: Medicare Electronic Health Record Incentive Program Eligible Professionals Public Use File (PUF), which contains data on meaningful use attestations by 237,267 eligible providers through May 31, 2013. STUDY DESIGN: Cross-sectional analysis of the 15 […]
Clinical Decision Support for Colon and Rectal Surgery: An Overview
Clinical decision support (CDS) has been shown to improve clinical processes, promote patient safety, and reduce costs in healthcare settings, and it is now a requirement for clinicians as part of the Meaningful Use Regulation. However, most evidence for CDS has been evaluated primarily in internal medicine care settings, and […]