Features | Partner Sites | Information | LinkXpress
Sign In
Ampronix
Ettin Group
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



ACEM
ECR
Cincinnati Sub-Zero

Channels

Critical Care

view channel
Image: The energy harvesting device sutured directly onto the myocardium (Photo courtesy of Adrian Zurbuchen / University of Bern).

Heart Motion Powers Novel Cardiac Pacemaker

A prototype batteryless pacemaker is based on an automatic wristwatch winding movement, with all unnecessary parts removed to reduce weight and size. Developed by Adrian Zurbuchen, a PhD candidate in... Read more

Women's Health

view channel

Aspirin Reduces Breast Cancer Recurrence in Overweight Women

The recurrence of hormone-related breast cancer was reduced by more than half in overweight and obese women who regularly used nonsteroidal anti-inflammatory drugs (NSAIDs), according to a new study. Researchers at the University of Texas (UT; Austin, USA) conducted a retrospective review of data from 440 women with... Read more

Business

view channel

Lloyds Bank Establishes Specialist Healthcare Teams

As part of a substantial restructure, Lloyds Bank Commercial Banking (London, United Kingdom) has launched two specialist healthcare relationship teams. Designated part of the small and medium enterprise (SME) commercial banking division, the two teams will offer industry-specific support for firms in London (United Kingdom).... Read more
 
Copyright © 2000-2014 Globetech Media. All rights reserved.