Essential activities for electronic health record safety: A qualitative study

Joan Ash, Hardeep Singh, Adam Wright, Dian Chase, Dean F. Sittig

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

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.

Original languageEnglish (US)
JournalHealth Informatics Journal
DOIs
StatePublished - Jan 1 2019

Fingerprint

Electronic Health Records
Safety
Clinical Decision Support Systems
Delivery of Health Care
Process Assessment (Health Care)
Patient Safety
Practice Guidelines
Decision Making
Teaching
Communication
Learning

Keywords

  • electronic health records
  • governance
  • patient safety
  • qualitative research

ASJC Scopus subject areas

  • Health Informatics

Cite this

Essential activities for electronic health record safety : A qualitative study. / Ash, Joan; Singh, Hardeep; Wright, Adam; Chase, Dian; Sittig, Dean F.

In: Health Informatics Journal, 01.01.2019.

Research output: Contribution to journalArticle

Ash, Joan ; Singh, Hardeep ; Wright, Adam ; Chase, Dian ; Sittig, Dean F. / Essential activities for electronic health record safety : A qualitative study. In: Health Informatics Journal. 2019.
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