The Safety Assurance Factors for EHR Resilience (SAFER) guides were released in 2014 to help health systems conduct proactive risk assessment of electronic health record (EHR)- safety related policies, processes, procedures, and configurations. The extent to which SAFER recommendations are followed is unknown.
In this paper, we use a case study involving a project on missed/delayed follow-up of test results to discuss real-world challenges in using EHR data for patient safety research. We identify three types of challenges that pose as barriers to advance patient safety improvement research, and discuss the complexity of these challenges, all of which are unlikely to be unique to this project, and outline some key next steps that must be taken to support research that uses EHR data to improve safety.
R21 LM 012448 (PI – Allison B. McCoy, PhD 2016-2018) Billions of dollars have been spent on implementing health information technology (HIT), including electronic health records (EHRs) with the promise of improved patient safety and reduction of healthcare costs, but recent reports have highlighted potential challenges and unintended consequences of […]