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:6/25/2016)... ... June 25, 2016 , ... Experts ... applications at AcademyHealth’s Annual Research Meeting June 26-28, 2016, at the Hynes Convention ... health care topics including advance care planning, healthcare costs and patient and family ...
(Date:6/25/2016)... ... June 25, 2016 , ... "With 30 hand-drawn hand gesture ... said Christina Austin - CEO of Pixel Film Studios. , ProHand Cartoon’s package ... Final Cut Pro X . Simply select a ProHand generator and drag it ...
(Date:6/25/2016)... (PRWEB) , ... June 25, 2016 , ... ... athletes and non-athletes recover from injury. Recently, he has implemented orthobiologic procedures as ... City area —Johnson is one of the first doctors to perform the treatment. ...
(Date:6/24/2016)... , ... June 24, 2016 , ... A recent ... most people are unfamiliar with. The article goes on to state that individuals are ... many of these less common operations such as calf and cheek reduction. The Los ...
(Date:6/24/2016)... ... , ... Marcy was in a crisis. Her son James, eight, was out of control. Prone ... physically. , “When something upset him, he couldn’t control his emotions,” remembers Marcy. “If ... at my other children and say he was going to kill them. If we ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... 23, 2016  MedSource announced today that it ... software solution of choice.  This latest decision demonstrates ... to their clients by offering a state-of-the-art electronic ... establishes nowEDC as the EDC platform of choice ... clients.  "nowEDC has long been a preferred EDC ...
(Date:6/23/2016)... June 23, 2016 Research and ... Excipients Market by Type (Organic Chemical (Sugar, Petrochemical, Glycerin), ... Topical, Coating, Parenteral) - Global Forecast to 2021" ... The global pharmaceutical excipients market is projected ... CAGR of 6.1% in the forecast period 2016 to ...
(Date:6/23/2016)... Research and Markets has announced the addition of ... Forecast to 2022" report to their offering. ... date financial data derived from varied research sources to present ... impact on the market during the next five years, including ... sub markets, regional and country level analysis. The report provides ...
Breaking Medicine Technology: