Int J Med Inform - Contingency planning for electronic health record-based care continuity: a survey of recommended practices.

Tópicos

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Resumo

CKGROUND: Reliable health information technology (HIT) in general, and electronic health record systems (EHRs) in particular are essential to a high-performing healthcare system. When the availability of EHRs are disrupted, alternative methods must be used to maintain the continuity of healthcare.METHODS: We developed a survey to assess institutional practices to handle situations when EHRs were unavailable for use (downtime preparedness). We used literature reviews and expert opinion to develop items that assessed the implementation of potentially useful practices. We administered the survey to U.S.-based healthcare institutions that were members of a professional organization that focused on collaboration and sharing of HIT-related best practices among its members. All members were large integrated health systems.RESULTS: We received responses from 50 of the 59 (84%) member institutions. Nearly all (96%) institutions reported at least one unplanned downtime (of any length) in the last 3 years and 70% had at least one unplanned downtime greater than 8h in the last 3 years. Three institutions reported that one or more patients were injured as a result of either a planned or unplanned downtime. The majority of institutions (70-85%) had implemented a portion of the useful practices we identified, but very few practices were followed by all organizations.CONCLUSIONS: Unexpected downtimes related to EHRs appear to be fairly common among institutions in our survey. Most institutions had only partially implemented comprehensive contingency plans to maintain safe and effective healthcare during unexpected EHRs downtimes.

Resumo Limpo

ckground reliabl health inform technolog hit general electron health record system ehr particular essenti highperform healthcar system avail ehr disrupt altern method must use maintain continu healthcaremethod develop survey assess institut practic handl situat ehr unavail use downtim prepared use literatur review expert opinion develop item assess implement potenti use practic administ survey usbas healthcar institut member profession organ focus collabor share hitrel best practic among member member larg integr health systemsresult receiv respons member institut near institut report least one unplan downtim length last year least one unplan downtim greater h last year three institut report one patient injur result either plan unplan downtim major institut implement portion use practic identifi practic follow organizationsconclus unexpect downtim relat ehr appear fair common among institut survey institut partial implement comprehens conting plan maintain safe effect healthcar unexpect ehr downtim

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