Electronic Health Record Usability Issues and Potential Contribution to Patient Harm

doi:10.1001/jama.2018.1171

. 2018 Mar 27;319(12):1276-1278.

doi: 10.1001/jama.2018.1171.

Electronic Health Record Usability Issues and Potential Contribution to Patient Harm

Jessica L Howe¹, Katharine T Adams¹, A Zachary Hettinger¹, Raj M Ratwani¹

Affiliations

PMID: 29584833
PMCID: PMC5885839
DOI: 10.1001/jama.2018.1171

Electronic Health Record Usability Issues and Potential Contribution to Patient Harm

Jessica L Howe et al. JAMA. 2018.

. 2018 Mar 27;319(12):1276-1278.

doi: 10.1001/jama.2018.1171.

Authors

Jessica L Howe¹, Katharine T Adams¹, A Zachary Hettinger¹, Raj M Ratwani¹

Affiliation

¹ National Center for Human Factors in Healthcare, MedStar Health, Washington, DC.

PMID: 29584833
PMCID: PMC5885839
DOI: 10.1001/jama.2018.1171

Abstract

This study analyzed patient safety reports in and near Pennsylvania from 2013 through 2016 to identify those that contained explicit language associating possible patient harm with an electronic health record usability issue.

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Conflict of interest statement

Conflict of Interest Disclosures: All authors have completed and submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest and none were reported.

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References

1. Institute of Medicine Health IT and patient safety building safer systems for better care. https://www.nap.edu/catalog/13269/health-it-and-patient-safety-building-.... Accessed February 19, 2018. - PubMed
1. International Organization for Standardization ISO/IEC 25010:2011—Systems and software engineering—Systems and Software Quality Requirements and Evaluation (SQUARE). https://www.iso.org/obp/ui/#iso:std:iso-iec:25010:ed-1:v1:en. Accessed February 19, 2018.
1. Ellsworth MA, Dziadzko M, O’Horo JC, Farrell AM, Zhang J, Herasevich V. An appraisal of published usability evaluations of electronic health records via systematic review. J Am Med Inform Assoc. 2016;24(1):218-226. - PMC - PubMed
1. Office of the National Coordinator for Health Information Technology Certified health IT developers and editions reported by hospitals participating in the Medicare EHR incentive program. https://dashboard.healthit.gov/quickstats/pages/FIG-Vendors-of-EHRs-to-P.... Accessed April 7, 2016.
1. Cullen DJ, Bates DW, Small SD, Cooper JB, Nemeskal AR, Leape LL. The incident reporting system does not detect adverse drug events: a problem for quality improvement. Jt Comm J Qual Improv. 1995;21(10):541-548. - PubMed

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[1] Institute of Medicine Health IT and patient safety building safer systems for better care. https://www.nap.edu/catalog/13269/health-it-and-patient-safety-building-.... Accessed February 19, 2018. - PubMed

[2] Institute of Medicine Health IT and patient safety building safer systems for better care. https://www.nap.edu/catalog/13269/health-it-and-patient-safety-building-.... Accessed February 19, 2018. - PubMed

[3] International Organization for Standardization ISO/IEC 25010:2011—Systems and software engineering—Systems and Software Quality Requirements and Evaluation (SQUARE). https://www.iso.org/obp/ui/#iso:std:iso-iec:25010:ed-1:v1:en. Accessed February 19, 2018.

[4] International Organization for Standardization ISO/IEC 25010:2011—Systems and software engineering—Systems and Software Quality Requirements and Evaluation (SQUARE). https://www.iso.org/obp/ui/#iso:std:iso-iec:25010:ed-1:v1:en. Accessed February 19, 2018.

[5] Ellsworth MA, Dziadzko M, O’Horo JC, Farrell AM, Zhang J, Herasevich V. An appraisal of published usability evaluations of electronic health records via systematic review. J Am Med Inform Assoc. 2016;24(1):218-226. - PMC - PubMed

[6] Ellsworth MA, Dziadzko M, O’Horo JC, Farrell AM, Zhang J, Herasevich V. An appraisal of published usability evaluations of electronic health records via systematic review. J Am Med Inform Assoc. 2016;24(1):218-226. - PMC - PubMed

[7] Office of the National Coordinator for Health Information Technology Certified health IT developers and editions reported by hospitals participating in the Medicare EHR incentive program. https://dashboard.healthit.gov/quickstats/pages/FIG-Vendors-of-EHRs-to-P.... Accessed April 7, 2016.

[8] Office of the National Coordinator for Health Information Technology Certified health IT developers and editions reported by hospitals participating in the Medicare EHR incentive program. https://dashboard.healthit.gov/quickstats/pages/FIG-Vendors-of-EHRs-to-P.... Accessed April 7, 2016.

[9] Cullen DJ, Bates DW, Small SD, Cooper JB, Nemeskal AR, Leape LL. The incident reporting system does not detect adverse drug events: a problem for quality improvement. Jt Comm J Qual Improv. 1995;21(10):541-548. - PubMed

[10] Cullen DJ, Bates DW, Small SD, Cooper JB, Nemeskal AR, Leape LL. The incident reporting system does not detect adverse drug events: a problem for quality improvement. Jt Comm J Qual Improv. 1995;21(10):541-548. - PubMed

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Electronic Health Record Usability Issues and Potential Contribution to Patient Harm

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Electronic Health Record Usability Issues and Potential Contribution to Patient Harm

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