Features | Partner Sites | Information | LinkXpress
Sign In
Advantech Europe
KOREA E & EX
Schiller

Common Pitfalls Plague Electronic Medical Record Use

By HospiMedica International staff writers
Posted on 16 Jul 2013
A new study assesses the potential harm lurking in the emergency department information system (EDIS), and make recommendations on how to improve patient safety.

Researchers collaborating in a joint effort of the Quality Improvement and Patient Safety Section (QIPSS) and the Informatics Section (IS) of the American College of Emergency Physicians (Irving, TX, USA) conducted a study to examine the benefits and potential threats to quality and patient safety that could result from the choice of a particular EDIS, its implementation and optimization, and the hospital's or physician group's approach to continuous improvement of the EDIS.

The researchers examined potential EDIS safety concerns regarding communication failure, wrong order-wrong patient errors, poor data display, and alert fatigue, and presented case studies illustrating the potential harm that could befall patients from an inferior EDIS product or suboptimal execution of products in the clinical environment. Following the review, the researchers developed seven recommendations to improve patient safety with respect to the deployment of an EDIS.

These include ensuring that emergency providers actively participate in selection of the EDIS product, as well as in the design of processes related to EDIS implementation and optimization, and in the monitoring of the system's ongoing success or failure. The recommendations apply to emergency departments using any type of EDIS - custom-developed systems, best-of-breed vendor systems, or enterprise systems. The study was published online on June 14, 2013, in Annals of Emergency Medicine.

“The rush to capitalize on the huge federal investment of USD 30 billion for the adoption of electronic medical records led to some unfortunate and unintended consequences, particularly in the unique emergency department environment,” said lead author Heather Farley, MD, of the Department of Emergency Medicine at Christiana Care Health System (Newark, DE, USA). “Some relate to product design, others to user behavior. We offer seven recommendations on how to improve the safety of emergency department information systems, and through their use, patient care.”

The US Health Information Technology for Economic and Clinical Health Act of 2009 and the US Centers for Medicare & Medicaid Services (CMS; Baltimore, MD, USA) "meaningful use" incentive programs, in tandem with the boundless additional requirements for detailed reporting of quality metrics, have galvanized hospital efforts to implement hospital-based electronic medical records (EMRs).

Related Links:

American College of Emergency Physicians
Christiana Care Health System
US Centers for Medicare & Medicaid Services



Channels

Critical Care

view channel

Transfusion Approach Reduces Death from Blood Loss

A new study shows that a blood transfusion with equal ratios of plasma, platelets, and red blood cells (RBCs) give patients a significantly better chance of survival. Researchers at the University of Maryland (College Park, USA), the University of Texas Health Science Center (Houston, USA), and other institutions conducted... Read more

Surgical Techniques

view channel

Duodenal Switch Imperative for Bariatric Surgery Success

The duodenal switch component of biliopancreatic diversion with duodenal switch (BPD/DS) is the key to persistent reductions in body weight and body fat, according to a new study. Researchers at the Institut universitaire de cardiologie et de pneumologie de Québec (IUCPQ; Canada) conducted a murine study to examine the... Read more

Women's Health

view channel

Nitrous Oxide for Labor Makes US Comeback

Long used for its anxiolytic properties during labor in European countries and Canada, nitrous oxide (N2O) use is resurging in the United States. While in countries such as Norway, New Zealand, Sweden, Australia, and England, usage rates of inhalational N2O during parturition reach 70%, it has only recently become an... Read more

Business

view channel

Pfizer to Buy Hospira to Bolster Hospital Products

Pfizer (New York, NY, USA) has entered into a definitive merger agreement with Hospira (Lake Forest, IL, USA), in a move designed to significantly enhance their global established pharmaceutical (GEP) business, for a total enterprise value of approximately USD 17 billion. The strategic complementary combination will... Read more
 
Copyright © 2000-2015 Globetech Media. All rights reserved.