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The Future: EHR and Patient Safety
The Future:
EHR and Patient Safety
Agenda
Conclusion
Healthcare Information Technology (HIT) has the potencial to reuce errors by preventing errors and adverse events, facilitating rapid responses after any adverse events, and by providing feedback that is tracked pertaining to those adverse events (Bates & Gawande, 2003).
"More research is needed on such questions as how best to perform checks, how best to assist in monitoring, and especially, how to provide decision support most effectively in complex situations. In today's systems, many important warnings are ignored, and there are too many unimportant warnings" (Bates & Gawande, 2003).
Types of Errors
System Designs
Types of Errors
Impact
Simulation-based Education
Recommendations
Conclusion
References
User Interface/User Misuse
Bates, D. W., & Gawande, A. A. (2003, June). Improving Safety with Information
Technology. The new endgland journal of medicine, 348(25), 2526-2534.
Borycki, E., Joe, R. S., Armstrong, B., Bellwood, P., & Campbell, R. (2011). Educating
Health Professionals about the Electronic Health Record (EHR): Removing the Barriers to Adoption. Knowledge Management & E-Learning: An International Journal, 3(1), 51-62
Bowens, F. M., Frye, P. A., & Jones, W. A. (2010, Fall). Health Information Technology:
Integration of Clinical Workflow into Meaningful Use of Electronic Health Records. Perspectives in Health Information Management, (), 1-18.
Chaudhry, B., Wang, J., Wu, S., Maglione, M., Mojica, W., Roth, E., Morton, S., &
Shekelle, P. G., (2006). Systematic Review: Impact of Health Information Technology on Quality, Efficiency, and Cost of Medical Care. Annals of Internal Medicine, 144(), 742-752
Drill, C. (n.d.). Student Nurse Practitioner Communication Skills when using Electronic
Health Record (EHR) during Health History Taking. University of Vermont, (), 1-33
Gardner, C., & Jones, S. (2012, June). Utilization of academic electronic medical records
in undergraduate nursing education. Online Journal of Nursing Informatics (OJNI), 16(2), 1-9.
Kilbridge, P. M., & Classen, D. C. (2008, November). The Informatics Opportunities at the Intersection o Patient Safety and Clinical Informatics. Journal of the American Informatics Association, 15(4), 397-407
References (cont.)
Communication
Kushniruk, A., Beuscart-Zephir, M., Grzes, A., Borycki, E., Watbled, L.,
& Kannry, J. (2010, September). Increasing the Safety of Healthcare Information Systems through Improved Procurement: Toward a Framework for Selection of Safe Halthcare Systems. Healthcare Quarterly, 13(), 53-58.
March, C. A., Steiger, D., Scholl, G., Mohan, V., Hersh, W. R., & Gold, J. (2013, March). Use of simulation to assess electronic health record safety in the intensive care unit: pilot study. BMJ Open, 3(002549), 1-8.
Milano, C. E., Hardman, J. A., Plesiu, A., Rdesinski, R. E., & Biagioli, F.
E. (2014, May). Simulated Electronic Health Record (Sim-EHR) Curriculum: Teaching EHR Skills and Use of the EHR for Disease Management and Prevention. Academic Medicine, 89(3), 399-403.
Staggers, N., Weir, C., & Pjasnsalker, S. J. (n.d.). Chapter 47. Patient
Safety and Health Information Technology: Role of the Electronic Health Record. Patient Safety and Quality: An Evidence-Based Handbook for Nurses, 3(), 91-133.
Stephenson, L. S., Gorsuch, A., Hersh, W. R., Mohan, V., & Gold, J. A.
(2014). Participation in EHR based simulation improves recognition of patient safety issues. BMC Medical Education, 14(224), 1-8.
Wachter, R. M. (2012). Understanding Patient Safety (2nd ed.). : McGraw Hill.
Witzke, J., Huster, J., & Blochlinger, K. (n.d.) Promoting quality and safety education
in barcode medication administration using simulation. William Jewell College Department of Nursing, (), 1-2.
Medication Administration
Due to the complexity of EHR systems, the Institute of Medicine (IOM) and the National Institute of Standards and Technology (NIST) recommend using simulation-based education to aid and enhance EHR education for all health professionals and health education instituations (Stephenson et al., 2014).
"While EHRs can offer significant benefits, they can also foster errors in ways that paper documentation did not, a phenomenon that has been termed 'eiatrogenesis" (March, Steiger, and Scholl, 2013).