Featured Research

from universities, journals, and other organizations

Electronic health record patient safety issues persist long after 'go live' date

Date:
June 21, 2014
Source:
BMJ-British Medical Journal
Summary:
Patient safety issues related to electronic health records persist long after the 'go live' date, concludes research. EHRs can improve the quality of patient care, but recent evidence suggests that their use can also prompt new patient safety concerns, such as when computer glitches cause clinical decision support to suddenly stop working or when network outages occur. Sophisticated monitoring systems are needed to unearth the complex mix of human and technological causes behind these problems, say the authors.

Patient safety issues related to electronic health records (EHRs) persist long after the 'go live' date, concludes research published online in the Journal of the American Medical Informatics Association.

Sophisticated monitoring systems are needed to unearth the complex mix of human and technological causes behind these problems, say the authors.

EHRs can improve the quality of patient care, but recent evidence suggests that their use can also prompt new patient safety concerns, such as when computer glitches cause clinical decision support to suddenly stop working or when network outages occur.

Many of these problems are complex and multifaceted, and difficult to detect and prevent, say the authors.

In a bid to better understand the nature of these patient safety concerns, they reviewed 100 closed investigations involving 344 technology-related incidents arising between 2009 and 2013 at the Department of Veterans Affairs (VA).

The VA adopted EHRs in 1999 and is a leader in patient safety and the use of health information technology. It runs a voluntary reporting system for health information technology safety reporting and analysis.

The authors looked at safety concerns related to technology itself as well as human and operational factors such as user behaviours, clinical workflow demands, and organizational policies and procedures involving technology.

Three quarters of the investigations involved unsafe technology while the remainder involved unsafe use of technology. Most (70%) investigations identified a mix of two or more technical and/or non-technical underlying factors.

The most common types of safety concerns were related to the display of information in the EHR; software upgrades or modifications; and transmission of data between different components of the EHR system.

More often than not, the concerns arose as a result of the complex interaction between non-technical dimensions, such as workflow, and technical dimensions, such as software/hardware and the user interface.

"Safety concerns we identified had complex sociotechnical origins and would need multifaceted strategies for improvement," write the authors.

And they suggest that organizations with longstanding EHR systems as well as those just starting to implement them, should ensure they have good monitoring and risk assessment protocols in place to detect and mitigate these sorts of patient safety incidents.


Story Source:

The above story is based on materials provided by BMJ-British Medical Journal. Note: Materials may be edited for content and length.


Journal Reference:

  1. D. W. Meeks, M. W. Smith, L. Taylor, D. F. Sittig, J. M. Scott, H. Singh. An analysis of electronic health record-related patient safety concerns. Journal of the American Medical Informatics Association, 2014; DOI: 10.1136/amiajnl-2013-002578

Cite This Page:

BMJ-British Medical Journal. "Electronic health record patient safety issues persist long after 'go live' date." ScienceDaily. ScienceDaily, 21 June 2014. <www.sciencedaily.com/releases/2014/06/140621213106.htm>.
BMJ-British Medical Journal. (2014, June 21). Electronic health record patient safety issues persist long after 'go live' date. ScienceDaily. Retrieved August 23, 2014 from www.sciencedaily.com/releases/2014/06/140621213106.htm
BMJ-British Medical Journal. "Electronic health record patient safety issues persist long after 'go live' date." ScienceDaily. www.sciencedaily.com/releases/2014/06/140621213106.htm (accessed August 23, 2014).

Share This




More Health & Medicine News

Saturday, August 23, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Drug Used To Treat 'Ebola's Cousin' Shows Promise

Drug Used To Treat 'Ebola's Cousin' Shows Promise

Newsy (Aug. 21, 2014) An experimental drug used to treat Marburg virus in rhesus monkeys could give new insight into a similar treatment for Ebola. Video provided by Newsy
Powered by NewsLook.com
Two US Ebola Patients Leave Hospital Free of the Disease

Two US Ebola Patients Leave Hospital Free of the Disease

AFP (Aug. 21, 2014) Two American missionaries who were sickened with Ebola while working in Liberia and were treated with an experimental drug are doing better and have left the hospital, doctors say on August 21, 2014. Duration: 01:05 Video provided by AFP
Powered by NewsLook.com
Cadavers, a Teen, and a Medical School Dream

Cadavers, a Teen, and a Medical School Dream

AP (Aug. 21, 2014) Contains graphic content. He's only 17. But Johntrell Bowles has wanted to be a doctor from a young age, despite the odds against him. He was recently the youngest participant in a cadaver program at the Indiana University NW medical school. (Aug. 21) Video provided by AP
Powered by NewsLook.com
American Ebola Patients Released: What Cured Them?

American Ebola Patients Released: What Cured Them?

Newsy (Aug. 21, 2014) It's unclear whether the American Ebola patients' recoveries can be attributed to an experimental drug or early detection and good medical care. Video provided by Newsy
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins