TY - JOUR
T1 - Essential activities for electronic health record safety
T2 - A qualitative study
AU - Ash, Joan
AU - Singh, Hardeep
AU - Wright, Adam
AU - Chase, Dian
AU - Sittig, Dean F.
N1 - Publisher Copyright:
© The Author(s) 2019.
PY - 2020/12
Y1 - 2020/12
N2 - Electronic health record-caused safety risks are an unintended consequence of the implementation of clinical systems. To identify activities essential to assuring that the electronic health record is managed and used safely, we used the Rapid Assessment Process, a collection of qualitative methods. A multidisciplinary team conducted visits to five healthcare sites to learn about best practices. Although titles and roles were very different across sites, certain tasks considered necessary by our subjects were remarkably similar. We identified 10 groups of activities/tasks in three major areas. Area A, decision-making activities, included overseeing, planning, and reviewing to assure electronic health record safety. Area B, organizational learning activities, involved monitoring, testing, analyzing, and reporting. Finally, Area C, user-related activities, included training, communication, and building clinical decision support. To minimize electronic health record-related patient safety risks, leaders in healthcare organizations should ensure that these essential activities are performed.
AB - Electronic health record-caused safety risks are an unintended consequence of the implementation of clinical systems. To identify activities essential to assuring that the electronic health record is managed and used safely, we used the Rapid Assessment Process, a collection of qualitative methods. A multidisciplinary team conducted visits to five healthcare sites to learn about best practices. Although titles and roles were very different across sites, certain tasks considered necessary by our subjects were remarkably similar. We identified 10 groups of activities/tasks in three major areas. Area A, decision-making activities, included overseeing, planning, and reviewing to assure electronic health record safety. Area B, organizational learning activities, involved monitoring, testing, analyzing, and reporting. Finally, Area C, user-related activities, included training, communication, and building clinical decision support. To minimize electronic health record-related patient safety risks, leaders in healthcare organizations should ensure that these essential activities are performed.
KW - electronic health records
KW - governance
KW - patient safety
KW - qualitative research
UR - http://www.scopus.com/inward/record.url?scp=85062709971&partnerID=8YFLogxK
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U2 - 10.1177/1460458219833109
DO - 10.1177/1460458219833109
M3 - Article
C2 - 30848694
AN - SCOPUS:85062709971
SN - 1460-4582
VL - 26
SP - 3140
EP - 3151
JO - Health Informatics Journal
JF - Health Informatics Journal
IS - 4
ER -