electronic health records


Webinar: ISQua on “Making Health Information Technology SAFER”

Here is a link to a webinar presented to the International Society for Quality in Healthcare (ISQua). The webinar provides an introduction and overview of the USA’s Office of the National Coordinator for Health Information Technology (ONC) sponsored SAFER Guides (Safety Assurance Factors for Electronic Health Record Resilience) project presented by Hardeep Singh, MD, MPH and Dean F. Sittig, PhD.

Click Here to view the webinar.


Arthur Allen in Politico Morning eHealth: Software Act Could Create Safety Problems

Research published in the Journal of the American Medical Informatics Association finds that the laboratory graphs displayed by many commercial electronic health records present information in potentially dangerous ways and could create serious safety problems. The authors urged ONC to stringently oversee testing of the software. Read the complete article: […]


Graphical Display of Diagnostic Test Results in EHRs: A Comparison of 8 Systems

Accurate display and interpretation of clinical laboratory test results is essential for safe and effective diagnosis and treatment. In an attempt to ascertain how well current electronic health records (EHRs) facilitated these processes, we evaluated the graphical displays of laboratory test results in eight EHRs using objective criteria for optimal […]


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


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 […]


Decision Making and Clinical Work of Test Result Follow-up in Health IT Settings

AHRQ R01HS022087 (PI – Hardeep Singh, MD, MPH 2013-2017) A significant number of patients with abnormal test results “fall through the cracks” of the health care system and experience delays in diagnosis and treatment. Although electronic health records enhance the communication of abnormal test results, they do not guarantee the prompt […]


State of the Art in Clinical Informatics: Evidence and Examples

OBJECTIVE: The field of clinical informatics has expanded substantially in the six decades since its inception. Early research focused on simple demonstrations that health information technology (HIT) such as electronic health records (EHRs), computerized provider order entry (CPOE), and clinical decision support (CDS) systems were feasible and potentially beneficial in […]