BMC Med Inform Decis Mak - Safety Assurance Factors for Electronic Health Record Resilience (SAFER): study protocol.

Tópicos

{ ehr(2073) health(1662) electron(1139) }
{ implement(1333) system(1263) develop(1122) }
{ assess(1506) score(1403) qualiti(1306) }
{ care(1570) inform(1187) nurs(1089) }
{ research(1085) discuss(1038) issu(1018) }
{ use(1733) differ(960) four(931) }
{ medic(1828) order(1363) alert(1069) }
{ risk(3053) factor(974) diseas(938) }
{ state(1844) use(1261) util(961) }
{ can(981) present(881) function(850) }
{ perform(1367) use(1326) method(1137) }
{ health(3367) inform(1360) care(1135) }
{ drug(1928) target(777) effect(648) }
{ decis(3086) make(1611) patient(1517) }
{ model(3404) distribut(989) bayesian(671) }
{ can(774) often(719) complex(702) }
{ featur(3375) classif(2383) classifi(1994) }
{ patient(2315) diseas(1263) diabet(1191) }
{ studi(2440) review(1878) systemat(933) }
{ spatial(1525) area(1432) region(1030) }
{ cost(1906) reduc(1198) effect(832) }
{ activ(1138) subject(705) human(624) }
{ data(1737) use(1416) pattern(1282) }
{ inform(2794) health(2639) internet(1427) }
{ system(1976) rule(880) can(841) }
{ network(2748) neural(1063) input(814) }
{ take(945) account(800) differ(722) }
{ framework(1458) process(801) describ(734) }
{ learn(2355) train(1041) set(1003) }
{ search(2224) databas(1162) retriev(909) }
{ studi(1410) differ(1259) use(1210) }
{ perform(999) metric(946) measur(919) }
{ import(1318) role(1303) understand(862) }
{ compound(1573) activ(1297) structur(1058) }
{ blood(1257) pressur(1144) flow(957) }
{ record(1888) medic(1808) patient(1693) }
{ monitor(1329) mobil(1314) devic(1160) }
{ signal(2180) analysi(812) frequenc(800) }
{ first(2504) two(1366) second(1323) }
{ use(2086) technolog(871) perceiv(783) }
{ analysi(2126) use(1163) compon(1037) }
{ health(1844) social(1437) communiti(874) }
{ estim(2440) model(1874) function(577) }
{ detect(2391) sensit(1101) algorithm(908) }
{ imag(1947) propos(1133) code(1026) }
{ measur(2081) correl(1212) valu(896) }
{ imag(1057) registr(996) error(939) }
{ bind(1733) structur(1185) ligand(1036) }
{ sequenc(1873) structur(1644) protein(1328) }
{ method(1219) similar(1157) match(930) }
{ imag(2830) propos(1344) filter(1198) }
{ imag(2675) segment(2577) method(1081) }
{ motion(1329) object(1292) video(1091) }
{ treatment(1704) effect(941) patient(846) }
{ surgeri(1148) surgic(1085) robot(1054) }
{ problem(2511) optim(1539) algorithm(950) }
{ error(1145) method(1030) estim(1020) }
{ chang(1828) time(1643) increas(1301) }
{ concept(1167) ontolog(924) domain(897) }
{ clinic(1479) use(1117) guidelin(835) }
{ algorithm(1844) comput(1787) effici(935) }
{ extract(1171) text(1153) clinic(932) }
{ method(1557) propos(1049) approach(1037) }
{ data(1714) softwar(1251) tool(1186) }
{ design(1359) user(1324) use(1319) }
{ control(1307) perform(991) simul(935) }
{ model(2220) cell(1177) simul(1124) }
{ general(901) number(790) one(736) }
{ method(984) reconstruct(947) comput(926) }
{ featur(1941) imag(1645) propos(1176) }
{ case(1353) use(1143) diagnosi(1136) }
{ howev(809) still(633) remain(590) }
{ data(3963) clinic(1234) research(1004) }
{ system(1050) medic(1026) inform(1018) }
{ model(2341) predict(2261) use(1141) }
{ visual(1396) interact(850) tool(830) }
{ studi(1119) effect(1106) posit(819) }
{ model(3480) simul(1196) paramet(876) }
{ research(1218) medic(880) student(794) }
{ patient(2837) hospit(1953) medic(668) }
{ model(2656) set(1616) predict(1553) }
{ data(2317) use(1299) case(1017) }
{ age(1611) year(1155) adult(843) }
{ group(2977) signific(1463) compar(1072) }
{ sampl(1606) size(1419) use(1276) }
{ gene(2352) biolog(1181) express(1162) }
{ data(3008) multipl(1320) sourc(1022) }
{ intervent(3218) particip(2042) group(1664) }
{ time(1939) patient(1703) rate(768) }
{ patient(1821) servic(1111) care(1106) }
{ structur(1116) can(940) graph(676) }
{ high(1669) rate(1365) level(1280) }
{ cancer(2502) breast(956) screen(824) }
{ use(976) code(926) identifi(902) }
{ result(1111) use(1088) new(759) }
{ survey(1388) particip(1329) question(1065) }
{ process(1125) use(805) approach(778) }
{ activ(1452) weight(1219) physic(1104) }
{ method(1969) cluster(1462) data(1082) }
{ method(2212) result(1239) propos(1039) }

Resumo

CKGROUND: Implementation and use of electronic health records (EHRs) could lead to potential improvements in quality of care. However, the use of EHRs also introduces unique and often unexpected patient safety risks. Proactive assessment of risks and vulnerabilities can help address potential EHR-related safety hazards before harm occurs; however, current risk assessment methods are underdeveloped. The overall objective of this project is to develop and validate proactive assessment tools to ensure that EHR-enabled clinical work systems are safe and effective.METHODS/DESIGN: This work is conceptually grounded in an 8-dimension model of safe and effective health information technology use. Our first aim is to develop self-assessment guides that can be used by health care institutions to evaluate certain high-risk components of their EHR-enabled clinical work systems. We will solicit input from subject matter experts and relevant stakeholders to develop guides focused on 9 specific risk areas and will subsequently pilot test the guides with individuals representative of likely users. The second aim will be to examine the utility of the self-assessment guides by beta testing the guides at selected facilities and conducting on-site evaluations. Our multidisciplinary team will use a variety of methods to assess the content validity and perceived usefulness of the guides, including interviews, naturalistic observations, and document analysis. The anticipated output of this work will be a series of self-administered EHR safety assessment guides with clear, actionable, checklist-type items.DISCUSSION: Proactive assessment of patient safety risks increases the resiliency of health care organizations to unanticipated hazards of EHR use. The resulting products and lessons learned from the development of the assessment guides are expected to be helpful to organizations that are beginning the EHR selection and implementation process as well as those that have already implemented EHRs. Findings from our project, currently underway, will inform future efforts to validate and implement tools that can be used by health care organizations to improve the safety of EHR-enabled clinical work systems.

Resumo Limpo

ckground implement use electron health record ehr lead potenti improv qualiti care howev use ehr also introduc uniqu often unexpect patient safeti risk proactiv assess risk vulner can help address potenti ehrrel safeti hazard harm occur howev current risk assess method underdevelop overal object project develop valid proactiv assess tool ensur ehren clinic work system safe effectivemethodsdesign work conceptu ground dimens model safe effect health inform technolog use first aim develop selfassess guid can use health care institut evalu certain highrisk compon ehren clinic work system will solicit input subject matter expert relev stakehold develop guid focus specif risk area will subsequ pilot test guid individu repres like user second aim will examin util selfassess guid beta test guid select facil conduct onsit evalu multidisciplinari team will use varieti method assess content valid perceiv use guid includ interview naturalist observ document analysi anticip output work will seri selfadminist ehr safeti assess guid clear action checklisttyp itemsdiscuss proactiv assess patient safeti risk increas resili health care organ unanticip hazard ehr use result product lesson learn develop assess guid expect help organ begin ehr select implement process well alreadi implement ehr find project current underway will inform futur effort valid implement tool can use health care organ improv safeti ehren clinic work system

Resumos Similares

Appl Clin Inform - Lessons Learned from Implementation of Information and Communication Technologies in Spain's Healthcare Services: Issues and Opportunities. ( 0,792789509242135 )
BMC Med Inform Decis Mak - Integration of a nationally procured electronic health record system into user work practices. ( 0,780003059777968 )
AMIA Annu Symp Proc - Ethics of implementing Electronic Health Records in developing countries: points to consider. ( 0,773585545717213 )
Int J Med Inform - The implementation of electronic health records: a case study of bush computing the Ngaanyatjarra lands. ( 0,764564723757329 )
Int J Med Inform - Collaboration in electronic medical evidence development: a case study of the Social Security Administration's MEGAHIT System. ( 0,762031211482501 )
BMC Med Inform Decis Mak - A knowledge-based taxonomy of critical factors for adopting electronic health record systems by physicians: a systematic literature review. ( 0,754067316131558 )
J Med Syst - EHR systems in the Spanish Public Health National System: the lack of interoperability between primary and specialty care. ( 0,751791307375259 )
Appl Clin Inform - Predictors of success for electronic health record implementation in small physician practices. ( 0,744028864259153 )
Int J Med Inform - Critical areas of national electronic health record programs-is our focus correct? ( 0,734397560837313 )
Perspect Health Inf Manag - Annual survey on the level and extent of usage of electronic health records in government-related hospitals in Eastern Province, Saudi Arabia. ( 0,721813028755212 )
J Am Med Inform Assoc - A partnership model for implementing electronic health records in resource-limited primary care settings: experiences from two nurse-managed health centers. ( 0,720806384177237 )
J Biomed Inform - A case study of an EMR system at a large hospital in India: challenges and strategies for successful adoption. ( 0,711861339333278 )
BMC Med Inform Decis Mak - Motivating medical information system performance by system quality, service quality, and job satisfaction for evidence-based practice. ( 0,703229554820802 )
Int J Med Inform - Evidence-based management of ambulatory electronic health record system implementation: an assessment of conceptual support and qualitative evidence. ( 0,696246837172096 )
BMC Med Inform Decis Mak - Boundaries and e-health implementation in health and social care. ( 0,696046517396321 )
Int J Med Inform - Health information exchange in small-to-medium sized family medicine practices: motivators, barriers, and potential facilitators of adoption. ( 0,692180874767902 )
J Am Med Inform Assoc - The next-generation electronic health record: perspectives of key leaders from the US Department of Veterans Affairs. ( 0,677263219747602 )
Int J Med Inform - Giving patients granular control of personal health information: using an ethics 'Points to Consider' to inform informatics system designers. ( 0,674407740448349 )
Methods Inf Med - Why the hell do we need electronic health records?. EHR acceptance among physicians in private practice in Austria: a qualitative study. ( 0,673235956211384 )
Perspect Health Inf Manag - The impact of electronic health record usage on cancer registry systems in Alabama. ( 0,665627129761008 )
Healthc (Amst) - Use of patient ethnography to support quality improvement in benign prostatic hyperplasia. ( 0,664847974914518 )
AMIA Annu Symp Proc - The promise of the CCD: challenges and opportunity for quality improvement and population health. ( 0,658166740942302 )
Int J Med Inform - Adoption of a clinical decision support system to promote judicious use of antibiotics for acute respiratory infections in primary care. ( 0,654291488789635 )
Int J Med Inform - Perceived efficiency impacts following electronic health record implementation: an exploratory study of an urban community health center network. ( 0,653964462823013 )
AMIA Annu Symp Proc - Data Quality and Interoperability Challenges for eHealth Exchange Participants: Observations from the Department of Veterans Affairs' Virtual Lifetime Electronic Record Health Pilot Phase. ( 0,653126748899886 )
Int J Med Inform - Contingency planning for electronic health record-based care continuity: a survey of recommended practices. ( 0,651185692635184 )
J Am Med Inform Assoc - Electronic health record use and preventive counseling for US children and adolescents. ( 0,640431882404238 )
J Am Med Inform Assoc - Data standards to support health information exchange between poison control centers and emergency departments. ( 0,637751683506825 )
J Am Med Inform Assoc - Methods and dimensions of electronic health record data quality assessment: enabling reuse for clinical research. ( 0,637588516044465 )
BMC Med Inform Decis Mak - Meeting user needs in national healthcare systems: lessons from early adopter community pharmacists using the electronic prescriptions service. ( 0,637152611570282 )
J Med Syst - Benefits and challenges of electronic health record system on stakeholders: a qualitative study of outpatient physicians. ( 0,633398357745039 )
Int J Med Inform - Model development for EHR interdisciplinary information exchange of ICU common goals. ( 0,633166979341795 )
Int J Med Inform - The effect of electronic medical record-based clinical decision support on HIV care in resource-constrained settings: a systematic review. ( 0,632874915879228 )
Int J Med Inform - Evaluation of real-time location systems in their hospital contexts. ( 0,62676207869687 )
J Med Syst - Emergency healthcare process automation using mobile computing and cloud services. ( 0,62667170070065 )
Appl Clin Inform - Adoption of electronic health records: a qualitative study of academic and private physicians and health administrators. ( 0,624225572085444 )
Inform Health Soc Care - Nurses' use of an integrated electronic health record: results of a case site analysis. ( 0,624041836269198 )
J Am Med Inform Assoc - There is no neutral position on fraud! ( 0,622202908976137 )
J. Med. Internet Res. - Development of an interactive, Web-delivered system to increase provider-patient engagement in smoking cessation. ( 0,621650329568067 )
J Biomed Inform - Implementations of the HL7 Context-Aware Knowledge Retrieval (Infobutton) Standard: challenges, strengths, limitations, and uptake. ( 0,62099824150035 )
J Am Med Inform Assoc - Using EHRs to integrate research with patient care: promises and challenges. ( 0,618581346602701 )
Perspect Health Inf Manag - Use of health information technology among racial and ethnic underserved communities. ( 0,618534515271424 )
Int J Med Inform - Adoption of electronic health records in Korean tertiary teaching and general hospitals. ( 0,617735521254519 )
Appl Clin Inform - Electronic Health Record Adoption - Maybe It's not about the Money: Physician Super-Users, Electronic Health Records and Patient Care. ( 0,617545914799306 )
Appl Clin Inform - CAH to CAH: EHR implementation advice to critical access hospitals from peer experts and other key informants. ( 0,617391127988979 )
Int J Med Inform - Do integrated record systems lead to integrated services? An observational study of a multi-professional system in a diabetes service. ( 0,617343401619044 )
J Med Syst - Factors related to health information exchange participation and use. ( 0,617248377860003 )
Int J Med Inform - Do service innovations influence the adoption of electronic health records in long-term care organizations? Results from the U.S. National Survey of Residential Care Facilities. ( 0,615542928473286 )
Healthc (Amst) - Electronic health records and technical assistance to improve quality of primary care: Lessons for regional extension centers. ( 0,615042259391383 )
J Am Med Inform Assoc - Evaluating and classifying the readiness of technology specifications for national standardization. ( 0,608902875559318 )
Perspect Health Inf Manag - Health information technology: integration of clinical workflow into meaningful use of electronic health records. ( 0,608720266991124 )
Appl Clin Inform - An integrated EHR at Northern California Kaiser Permanente: pitfalls, challenges, and benefits experienced in transitioning. ( 0,607135374368946 )
J Am Med Inform Assoc - The Hub Population Health System: distributed ad hoc queries and alerts. ( 0,606528135783566 )
AMIA Annu Symp Proc - Bridging informatics and implementation science: evaluating a framework to assess electronic health record implementations in community settings. ( 0,604872735354577 )
AMIA Annu Symp Proc - Progress and challenge in meeting meaningful use at an integrated delivery network. ( 0,604527410321905 )
Appl Clin Inform - The impact of geography on hospital electronic health records implementation in alabama: implications for meaningful use. ( 0,604451089465583 )
AMIA Annu Symp Proc - Initial Steps toward Validating and Measuring the Quality of Computerized Provider Documentation. ( 0,60405865060127 )
J Am Med Inform Assoc - Validity of electronic health record-derived quality measurement for performance monitoring. ( 0,603490600703929 )
J Med Syst - Organization's quality maturity as a vehicle for EHR success. ( 0,602536112944602 )
Int J Med Inform - Physician experiences transitioning between an older versus newer electronic health record for electronic prescribing. ( 0,601009230074377 )
J Am Med Inform Assoc - Towards public health decision support: a systematic review of bidirectional communication approaches. ( 0,600165364242017 )
J Am Med Inform Assoc - Security practices and regulatory compliance in the healthcare industry. ( 0,60012242591462 )
Int J Med Inform - The Department of Veterans Affairs' (VA) implementation of the Virtual Lifetime Electronic Record (VLER): findings and lessons learned from Health Information Exchange at 12 sites. ( 0,598539627629628 )
J Am Med Inform Assoc - Measuring value for money: a scoping review on economic evaluation of health information systems. ( 0,596622519117682 )
Appl Clin Inform - Capturing information needs of care providers to support knowledge sharing and distributed decision making. ( 0,593608310564889 )
Health Informatics J - Evaluation of ISO EN 13606 as a result of its implementation in XML. ( 0,593550815272833 )
Health Info Libr J - EBLIP: bridging the language barrier. ( 0,592345788578272 )
J Am Med Inform Assoc - The use of open source electronic health records within the federal safety net. ( 0,59209622683093 )
J Med Syst - A proposed approach for safety management in medical software design. ( 0,590764175664092 )
Int J Med Inform - The IT productivity paradox in health: a stakeholder's perspective. ( 0,590035307681081 )
BMC Med Inform Decis Mak - Information technology systems in public sector health facilities in developing countries: the case of South Africa. ( 0,58984323653731 )
J Biomed Inform - Content overlap in nurse and physician handoff artifacts and the potential role of electronic health records: a systematic review. ( 0,589659229490847 )
J Biomed Inform - Translating standards into practice: experience and lessons learned at the Department of Veterans Affairs. ( 0,58923223183009 )
Int J Med Inform - The EHR-ARCHE project: satisfying clinical information needs in a Shared Electronic Health Record system based on IHE XDS and Archetypes. ( 0,588952355641856 )
J Telemed Telecare - The compatibility of telehealth with health-care delivery. ( 0,588721683258722 )
J Med Syst - A RFID specific participatory design approach to support design and implementation of real-time location systems in the operating room. ( 0,586603850231417 )
J Am Med Inform Assoc - Phased implementation of electronic health records through an office of clinical transformation. ( 0,586414926721098 )
BMC Med Inform Decis Mak - A qualitative evaluation of general practitioners' views on protocol-driven eReferral in Scotland. ( 0,586052591928916 )
J Am Med Inform Assoc - Barriers and facilitators to implementing electronic prescription: a systematic review of user groups' perceptions. ( 0,585962201132238 )
J Biomed Inform - Implementing standards for the interoperability among healthcare providers in the public regionalized Healthcare Information System of the Lombardy Region. ( 0,585861686524188 )
Appl Clin Inform - How could health information exchange better meet the needs of care practitioners? ( 0,585326909963439 )
J Am Med Inform Assoc - Health information exchange technology on the front lines of healthcare: workflow factors and patterns of use. ( 0,584855685058619 )
AMIA Annu Symp Proc - The EHR's roles in collaboration between providers: A qualitative study. ( 0,584791138459021 )
Perspect Health Inf Manag - Electronic health record adoption and use by Nebraska pharmacists. ( 0,584432723307678 )
J Biomed Inform - Technical desiderata for the integration of genomic data with clinical decision support. ( 0,584274510160817 )
J Am Med Inform Assoc - Re-examining health IT policy: what will it take to derive value from our investment? ( 0,583464812743903 )
J Am Med Inform Assoc - A typology of electronic health record workarounds in small-to-medium size primary care practices. ( 0,583237771153044 )
AMIA Annu Symp Proc - Adoption of clinical data exchange in community settings: a comparison of two approaches. ( 0,582579804025508 )
AMIA Annu Symp Proc - Implementing the IT infrastructure for health reform: adoption of health IT among patient-centered medical home practices. ( 0,582388738358215 )
J Am Med Inform Assoc - Electronic health record functionality needed to better support primary care. ( 0,581810540524611 )
Int J Med Inform - Rates, levels, and determinants of electronic health record system adoption: a study of hospitals in Riyadh, Saudi Arabia. ( 0,581649255905472 )
J Biomed Inform - Informing the design of clinical decision support services for evaluation of children with minor blunt head trauma in the emergency department: a sociotechnical analysis. ( 0,580962262202329 )
Int J Med Inform - Unintended adverse consequences of introducing electronic health records in residential aged care homes. ( 0,579770031916453 )
AMIA Annu Symp Proc - Time-motion analysis of clinical nursing documentation during implementation of an electronic operating room management system for ophthalmic surgery. ( 0,579519087590181 )
J Am Med Inform Assoc - Organizational complements to electronic health records in ambulatory physician performance: the role of support staff. ( 0,579479884132946 )
BMC Med Inform Decis Mak - Understanding managerial behaviour during initial steps of a clinical information system adoption. ( 0,578598753215496 )
J Am Med Inform Assoc - PEDSnet: a National Pediatric Learning Health System. ( 0,576670882415245 )
J Am Med Inform Assoc - Area-level factors associated with electronic health record adoption and meaningful use in the Regional Extension Center Program. ( 0,576396887478008 )
Healthc (Amst) - A novel community-based delivery model to combat cancer disparities. ( 0,576370878714833 )
Artif Intell Med - Automatic generation of natural language nursing shift summaries in neonatal intensive care: BT-Nurse. ( 0,576010236257568 )