Contingency planning for electronic health record-based care continuity: a survey of recommended practices
Unexpected downtimes related to EHRs appear to be fairly common among institutions in our survey.
Unintended Consequences
Challenges in patient safety improvement research in the era of electronic health records
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.
New Unintended Adverse Consequences of Electronic Health Records
Although the health information technology industry has made considerable progress in the design, development, implementation, and use of electronic health records (EHRs), the lofty expectations of the early pioneers have not been met.
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
