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Report of the AMIA EHR-2020 Task Force on the status and future direction of EHRs

Thomas H Payne, Sarah Corley, Theresa A Cullen, Tejal K Gandhi, Linda Harrington, Gilad J Kuperman, John E Mattison, David P McCallie, Clement J McDonald, Paul C Tang, William M Tierney, Charlotte Weaver (+2 others)
2015 JAMIA Journal of the American Medical Informatics Association  
However, there are many ways to optimize both safety and efficiency, and this is the goal of the recommendations of the American Medical Informatics Association (AMIA) EHR-2020 Task Force.  ...  Medication reconciliation is a good example -medication errors at transitions of care are a significant safety concern and support the idea of adding safeguards despite their impact on time and the care  ...  AREA THREE: INCREASE TRANSPARENCY AND STREAMLINE CERTIFICATION Recommendation 6: In order to improve the usability of EHRs and patient safety, to foster innovation, and to empower providers and EHR purchasers  ... 
doi:10.1093/jamia/ocv066 pmid:26024883 pmcid:PMC5009932 fatcat:6qnepvppajfyjprnfhkelxrghy

Standard electronic health record (EHR) framework for Indian healthcare system

Manohara M. M. Pai, Raghavendra Ganiga, Radhika M. Pai, Rajesh Kumar Sinha
2021 Health Services & Outcomes Research Methodology  
In the proposed work, a standard secure Electronic Health Record(EHR) framework is developed using standard medical terminology and coding standards.  ...  Medical Records (EMR) etc. to manage the patient data in electronic format.  ...  by the hospitals for longer period in order to provide patient care and follow-up.  ... 
doi:10.1007/s10742-020-00238-0 fatcat:f3nwbdwpk5g3vdw2v4z5poj5b4

Barriers for Adopting Electronic Health Records (EHRs) by Physicians

Sima Ajami, Tayyebe BagheriTadi
2013 Acta Informatica Medica  
medical sciences, isfahan, iran corresponding author: tayyebe Bagheri-tadi. school of medical management and information sciences, isfahan university of medical sciences, isfahan, iran. e-mail: bagheri774  ...  sima ajami, tayyebe Bagheri-tadi department of Health information technology, Health management & economics research center, school of medical management and information sciences, isfahan university of  ...  introduction The Institute of Medicine reported to Err is Human that building a Safer Health System cites one of the most extensive adverse drug event studies, the Harvard Medical Practice Study, and notes  ... 
doi:10.5455/aim.2013.21.129-134 pmid:24058254 pmcid:PMC3766548 fatcat:zbrmsh2c7jcv3prfarrc2e5bee

Factors and Forces Affecting EHR System Adoption: Report of a 2004 ACMI Discussion

J. S. Ash
2004 JAMIA Journal of the American Medical Informatics Association  
This report explores the gap between where we are now concerning adoption of the electronic health record (EHR), where American College of Medical Informatics (ACMI) members believe we should be, why the  ...  for discussion about the state of the art of EHR adoption.  ...  Medical and Nursing Education If students never learn to use a paper record, they will not build an attachment to it.  ... 
doi:10.1197/jamia.m1684 pmid:15492027 pmcid:PMC543830 fatcat:2iv6xqp6rfdxvbq5nqrfmcdhyq

Perceived Burden of EHRs on Physicians at Different Stages of Their Career

Gary Burke, Heather Archambault, Todd Schwartz, James Larson, Raj Ratwani, Saif Khairat
2018 Applied Clinical Informatics  
Among the factors causing high EHR frustrations are: (1) remembering menu and button names and commands use; (2) performing tasks that are not straightforward; (3) system speed; and (4) system reliability  ...  Physicians were asked to complete six patient scenarios in the EHR, and then participants filled two surveys to assess the perceived workload and satisfaction with the EHR interface.  ...  This study was sponsored by the American Medical Association (AMA).  ... 
doi:10.1055/s-0038-1648222 pmid:29768634 pmcid:PMC5955717 fatcat:p6wr5vpmx5hqpp4oywtit4foci

The Intra/Inter-Operability in Healthcare: The Implementation of Electronic Medical Record (EMR) with the Ultimate Goal of an Electronic Healthcare Record (EHR)?

Ellen Bennett
2015 Pharmacy & Pharmacology International Journal  
By defining the business processes that are the problem ACME Hospital Healthcare (AHH) can create a new business model that is in align with the new Healthcare Reform, e.g. the PPACA ,Payfor-Performance  ...  Today with the invent of the Patient Protection and Affordable Care Act (PPACA), congress has "called to action" that the providers start to use technology to reduce medical errors, minimize wasted Medicare  ...  orders daily and 130 highly skilled nurses with innovative medical equipment needs.  ... 
doi:10.15406/ppij.2015.02.00009 fatcat:6on725cfljchtdlecdjh2upcaa

Reasons (not) to Spend a Few Billions More on EHRs: How Human Factors Research Can Help

G. Declerck, X. Aimé
2014 IMIA Yearbook of Medical Informatics  
Objectives: To select best medical informatics research works published in 2013 on electronic health record (EHR) adoption, design, and impact, from the perspective of human factors and organizational  ...  Keywords Medical informatics, human factors, organizational issues, electronic health record, health information technology adoption Yearb Med Inform 2014:90-6 http://dx.  ...  physician performance and patient safety [15, 17] .  ... 
doi:10.15265/iy-2014-0033 pmid:25123727 pmcid:PMC4287089 fatcat:o6qlgmksgndojlxjt5sbdhycdu

The Role of Using EHR on Improving the Quality of Health Care in the Health Centers in Jordan

Mohammad Okour
2018 The International Annals of Medicine  
The results showed also that the time spent and complicated interface are the major challenges facing implementing the EHR system.  ...  This study aims at investigating the role of EHR (electronic health record) on improving the quality of health care in the health centers in Jordan.  ...  Moreover, EHRs have the ability to aid hospitals report, improve and monitor data on health care safety and quality.  ... 
doi:10.24087/iam.2018.2.2.412 fatcat:d75feosh6jgnrgbnrnds77f7ei

Users' perspectives of barriers and facilitators to implementing EHR in Canada: A study protocol

Marie-Pierre Gagnon, Nicola Shaw, Claude Sicotte, Luc Mathieu, Yvan Leduc, Julie Duplantie, James Maclean, France Légaré
2009 Implementation Science  
This synthesis will be the first to systematically summarize the barriers and facilitators to EHR adoption perceived by different groups and to consider the local contexts in order to ensure the applicability  ...  However, adoption of an interoperable EHR remains an important issue because many previous EHR projects have failed due to the lack of integration into practices and organizations.  ...  Infoway's program focuses on implementing a network of interoperable EHR solutions in Canada linking medical clinics, hospitals, pharmacies, and other points of care.  ... 
doi:10.1186/1748-5908-4-20 pmid:19358739 pmcid:PMC2673204 fatcat:llg7pnya4zgijhkhirugn2i7vy

Development and field testing of a self-assessment guide for computer-based provider order entry

Carl V Vartian, Hardeep Singh, Elise Russo, Dean F Sittig
2014 Journal of healthcare management  
We then conducted a field test of this guide with nine hospital chief medical informatics officers (CMIOs), who were identified through the Association of Medical Directors of Information Systems.  ...  Despite the benefits of computerized provider order entry (CPOE), numerous reports of unexpected CPOE-related safety concerns have surfaced.  ...  M A T E R I A L S A N D M E T H O D S CPOE Guide Development The rationale for the development of the SAFER guides was to enable proactive self-assessment to build system resilience around EHR safety.  ... 
pmid:25647953 fatcat:hlsmsm73kreipoet3dg5qkuw5u

Promoting Patient Safety Through Effective Health Information Technology Risk Management

Eric C Schneider, M Susan Ridgely, Daniella Meeker, Lauren E Hunter, Dmitry Khodyakov, Robert S Rudin
2014 Rand health quarterly  
However, health care organizations will require a better understanding of the safety risks posed by electronic health record (EHR) use to take full advantage of the SAFER Guides.  ...  The authors concluded that better tools like the recently released Safety Assurance Factors for EHR Resilience (SAFER) Guides are needed to help organizations optimize the safe use of health IT.  ...  practices in health IT safety risk identification and mitigation projects.  ... 
pmid:28560077 pmcid:PMC5396203 fatcat:tm2mbm3ndrbkvm25ofvnpq2ct4

Machine learning liver-injuring drug interactions with non-steroidal anti-inflammatory drugs (NSAIDs) from a retrospective electronic health record (EHR) cohort

Arghya Datta, Noah R. Flynn, Dustyn A. Barnette, Keith F. Woeltje, Grover P. Miller, S. Joshua Swamidass, Andrey Rzhetsky
2021 PLoS Computational Biology  
Increasing prevalence of electronic health records (EHRs) offers a unique opportunity to build machine learning algorithms to identify drug-drug interactions that drive adverse events.  ...  We propose a logistic regression based machine learning algorithm that unearths several known interactions from an EHR dataset of about 400,000 hospitalization.  ...  In order to capture drug interactions during a specific timeline, we performed hospitalization-based analyses rather than a patient-based analyses.  ... 
doi:10.1371/journal.pcbi.1009053 pmid:34228716 pmcid:PMC8284671 fatcat:x2rrm3wnb5bm7lxnpd3jnatsji

Analysis of Development in Patient Safety Over the Last 15 Years

Barbara Ehrnsperger
2016 Journal of US-China Public Administration  
The extensive research in 1999 on patient safety stated that preventable medical errors in US were killing as many as 99,000 people per year.  ...  Patient safety is a significant healthcare issue with substantial clinical and economic consequences.  ...  Patient safety improved for Pennsylvania hospitals that adopted EHRs: a 27% decline in overall patient safety events and a 30% decline in medication errors.  ... 
doi:10.17265/1548-6591/2016.08.003 fatcat:lkoe4k2wtvc2dn5a3bphaigeey

An Evidence-Based Tool for Safe Configuration of Electronic Health Records: The eSafety Checklist

Ruth McCorkle, Elizabeth Borycki, Pritma Dhillon-Chattha
2018 Applied Clinical Informatics  
safety and usability.  ...  However, in recent years, evidence suggests that specific features and functions of EHRs can introduce new, unanticipated patient safety concerns that can be mitigated by safe configuration practices.  ...  Acknowledgments We acknowledge the Chief Medical Information Office, the Chief Information Office, and the Human Factors Department at AHS for their collaboration on this work.  ... 
doi:10.1055/s-0038-1675210 fatcat:mesaskyjovavvfzpwjorjonexm

Electronic Health Record Usability Issues and Potential Contribution to Patient Harm

Jessica L. Howe, Katharine T. Adams, A. Zachary Hettinger, Raj M. Ratwani
2018 Journal of the American Medical Association (JAMA)  
, laboratory, referral, medication, procedure) A physician put his orders in the EHR (patient was in the recovery room postsurgery) 15 min after physician left the hospital; the orders should have been  ...  thyroid test was not performed because it was a confusing translation between the physician order and the EHR Clinical Process c Order placement Placing or relating to a clinical order (eg, admission  ...  Health IT and patient safety building safer systems for better care. https://www.nap.edu/catalog/13269/health-it-and-patient -safety-building-safer-systems-for-better. Accessed February 19, 2018.  ... 
doi:10.1001/jama.2018.1171 pmid:29584833 pmcid:PMC5885839 fatcat:xittaw5yuje6fbnqp235rt3s7y
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