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:5/24/2017)... ... ... Dr. Manju R. Kejriwal, a leading Ohio dentist, is now welcoming new ... Dr. Kejriwal understands the emotional and financial toll traditional orthodontics can take on patients’ ... longer need to feel the esthetic effects of wires and brackets when they can ...
(Date:5/24/2017)... ... May 24, 2017 , ... ... female reproductive tract in which the endometrial lining of the uterus spreads ... and pain. Patients experiencing painful intercourse, painful periods, pelvic pain, or irregular ...
(Date:5/24/2017)... , ... May 24, 2017 , ... Rob Lowe is ... “Informed,” developed for Public Television. “Informed” brings the public important topics from all aspects ... treatment of the feet and issues surrounding feet and ankles. , Podiatry is essential ...
(Date:5/23/2017)... ... May 23, 2017 , ... MDLand International (MDLand), a leading ... that its iClinic V12.2 solution has achieved approval from National Center for Quality ... 2017 standards which emphasize team-based care with a significant focus on the care ...
(Date:5/23/2017)... ... , ... New England Journal Of Medicine Confirms Viability of Rory’s Regulations and ... Staunton Foundation Calls on Health & Human Services, Tom Price to Adopt Rory’s Regulations ... today reported on a new study released on May 21, 2017 in the New ...
Breaking Medicine News(10 mins):
(Date:5/22/2017)... MAITLAND, Fla. , May 22, 2017 /PRNewswire/ ... industry as a whole continue to make the ... evidence becomes increasingly important for ensuring positive patient ... Key industry stakeholders are shifting focus away from ... results and effects of long-term specialty drug therapy ...
(Date:5/15/2017)... May 15, 2017  Amy Baxter MD, chief executive ... in noninvasive pain relief, was awarded a 2017 Top ... Baxter was recognized at the MM&M Top 40 Healthcare ... City on May 10, 2017. The dinner ... industry go "beyond the pill."  "Innovation goes ...
(Date:5/11/2017)... , May 11, 2017  Thornhill Research Inc. ... been awarded an $8,049,024 USD five-year, firm-fixed-priced, indefinite-quantity/indefinite-delivery ... the Canadian Commercial Corporation (CCC) ( Ottawa, ... Systems to administer general anesthesia to patients requiring ... "The US Marine Corps have been a ...
Breaking Medicine Technology: