Navigation Links
Hello, electronic medical records? It's me, unintended consequences
Date:6/24/2013

WASHINGTON Emergency department information systems (EDIS), a significant focus of both federal legislation and U.S. health care reform, may ultimately improve the quality of medical care delivered in hospitals, but as currently configured present numerous threats to health care quality and patient safety. Two physician work groups in the American College of Emergency Physicians assessed the potential harm lurking in EDIS and make recommendations on how to improve patient safety as these systems are implemented across the country. Their findings were published online Friday in Annals of Emergency Medicine ("Quality and Safety Implications of Emergency Department Information Systems").

"The rush to capitalize on the huge federal investment of $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 L. Farley, MD, of the Department of Emergency Medicine at Christiana Care Health System in Newark, Del. "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."

Researchers created clinical scenarios related to four common pitfalls of EDIS use in emergency departments: communication failure, poor data display, wrong order/wrong patient errors and alert fatigue.

They then developed seven recommendations for emergency departments using any type of EDIS, with some recommendations directed at the EDIS vendor and others directed at the end user. These include:

  • appointment of an emergency department "clinician champion,"
  • creation of a multidisciplinary EDIS performance improvement group,
  • establishment of an ongoing review process,
  • timely attention to EDIS-related patient safety concerns raised by the review process,
  • public dissemination of lessons learned from performance improvement efforts,
  • timely distribution by EDIS vendors of product updates to all users, and
  • removal of "hold harmless" and "learned intermediary" clauses from all vendor software contracts.

"The recommendations developed by our work groups should be paired with those issued by the Institute of Medicine (IOM) in 2011 in its report 'Health IT and Patient Safety: Building Safer Systems for Better Care,'" said Dr. Farley. "The irreversible drive toward EDIS implementation should be accompanied by a constant focus on improvement and hazard prevention. Our paper and the IOM paper create a framework for doing just that."


'/>"/>

Contact: Julie Lloyd
jlloyd@acep.org
202-728-0610
American College of Emergency Physicians
Source:Eurekalert

Related medicine news :

1. New twist on ancient math problem could improve medicine, microelectronics
2. New American Chemical Society video: Behind the scenes tour of an electronic nose lab
3. Through The Use Of Twitter, EverSmoke, A Popular Electronic Cigarettes Company, Is Encouraging Fans to Finish the Hashtag #iPlanToBe With What They Plan to Be
4. Study examines use of a natural language processing tool for electronic health records in assessing colonoscopy quality
5. A Safe Cigarette? Yes, Electronic Cigarettes Are Carcinogen-Free
6. Electronic Cigarettes Proven as One of the Most Effective Ways to Quit Smoking
7. Electronic data methods research seeks to build a learning health care system
8. New Electronic Cigarette Free Trial Kit Adds More Years to Smokers Life by Making it Easy to Quit Smoking
9. Unique program bringing electronic medical record data to ambulances lauded
10. New Electronic Cigarette Cartridges From V2Cigs For The Summer
11. Electronic Cigarette Hub Offering Electronic Cigarette Kit with Risk Free Trial
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:12/6/2016)... ... December 06, 2016 , ... U.S. Security Associates (USA) ... 125 for their industry leading training methods that engage their associates and link ... the global elite in employer-sponsored training and development programs. , “The 2017 Training ...
(Date:12/5/2016)... (PRWEB) , ... December 06, 2016 , ... For many ... Lithuanian poetry , both thick and thin. The beauty of the Lithuanian language ... Trafford Publishing). , In this poetry book, Zubinas lyrically explores all aspects of a ...
(Date:12/5/2016)... ... 2016 , ... “Epilepsy Awareness,” which can be found at ... conversation about epilepsy, bearing down on the social stigma and lack of public ... epilepsy within their lifetime. With such a large percentage of people affected, it’s ...
(Date:12/5/2016)... ... ... BSI and Brenntag Canada have been appointed by Chr. Hansen as their ... fruits and beverage colorants effective November 1, 2016. , “The ... product portfolio,” said Steve Brauer, President of Brenntag Specialties, Inc. “Representing Chr. Hansen will ...
(Date:12/5/2016)... ... December 05, 2016 , ... ... ("GPP") portfolio company, today announced it has acquired the assets of Frankfurt, ... previously a subsidiary of Chiltern International and focuses on clinical trial drug ...
Breaking Medicine News(10 mins):
(Date:12/5/2016)... OSWEGO, Ore. , Dec. 5, 2016   ... the BioInsight clinical study. The study evaluates the safety ... insertion procedure in an office setting. BioMonitor ... ® technology that is placed underneath a patient,s ... fibrillation and syncope (fainting). Atrial fibrillation is a leading ...
(Date:12/5/2016)... --  TrainerMD , the first HIPAA compliant software collaboration platform for ... Styku . Styku, a California -based ... users world-class, real-time 3D body scanning and analysis. Together with its ... hear and feel their health like never before. ... , , ...
(Date:12/5/2016)... 5, 2016  Recently Zymo Research announced an ... known as Horvath,s Clock. Based on this technology, ... service to academic and biopharma scientific researchers to ... other than sperm. The service quantifies ... age versus chronological age following drug treatments and ...
Breaking Medicine Technology: