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161. Assessing the Safety of Electronic Health Records: What Have We Learned? | PSNet
     psnet.ahrq.gov/perspective/assessing-safety-electronic-health-records-what-have-we-learned
     September 01, 2017 - Perspective The percentage of physicians and hospitals using electronic health records (EHRs … roles of organizations and people responsible for designing, developing, implementing, and evaluating EHRs … with EHR implementations or invest enough in testing for problems while developing or implementing EHRs … We hope that the lessons above will help us take full advantage of the enormous potential of EHRs to … AG : Historically, the prior ONC leadership asked folks who had EHRs to start using them.

162. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44527/psn-pdf
     March 18, 2016 - health-it-and-patient-safety-building-safer-systems-better-care https://psnet.ahrq.gov/issue/development-instrument-measure-unintended-consequences-ehrs

163. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45488/psn-pdf
     April 24, 2018 - use of the tool led to improvement over time, which suggests the need for regular safety testing for EHRs

164. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49788/psn-pdf
     March 01, 2017 - between providers can be challenging and the deluge of details contained in electronic health records (EHRs … A 2007 survey showed that 91% of hospitals with EHRs provided pharmacists access to view parts of the … recommendations and progress notes in the EHR as part of the patients' permanent medical record.(7) EHRs

165. Getting the (Right) Doctor, Right Away | PSNet
     psnet.ahrq.gov/web-mm/getting-right-doctor-right-away
     July 01, 2011 - Commercially available electronic health records (EHRs) may not provide adequate mechanisms for real-time … Commercial EHRs may not provide out-of-the-box tools for real-time notification of a patient's care team … Commercial EHRs can be configured to deliver notifications to the patient's care team (if necessary via

166. Electronic health records and National Patient-Safety Goals. | PSNet
     psnet.ahrq.gov/issue/electronic-health-records-and-national-patient-safety-goals
     December 06, 2023 - View More Related Resources Racism and electronic health records (EHRs

167. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38741/psn-pdf
     June 24, 2009 - Interestingly, investigators found that partial electronic health records ( EHRs), with a mix of paper

168. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40052/psn-pdf
     December 08, 2010 - A commonly held belief is that electronic health records (EHRs) provide solutions to communicating health

169. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38245/psn-pdf
     February 18, 2011 - physicians-attitudes-towards-copy-and-pasting-electronic-note-writing Adoption and implementation of electronic health records (EHRs

170. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42154/psn-pdf
     January 07, 2015 - regarded as representing EHR design failures, but the authors argue that it is unrealistic to expect EHRs

171. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39365/psn-pdf
     May 25, 2010 - electronic-prescribing-improves-medication-safety-community-based-office- practices Few ambulatory practices use electronic health records (EHRs

172. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/843234/psn-pdf
     January 01, 2013 - In many EHRs, such alerts are turned off or made passive to avoid "alert fatigue." … Medication-related CDS in electronic health records (EHRs) is specifically intended to reduce prescribing … #22 https://psnet.ahrq.gov//#23 https://psnet.ahrq.gov/primer/clinical-decision-support-systems As EHRs … But now most EHRs are from commercial vendors and rely on medication and alert databases from separate … A recent study of one of these commercial EHRs at Brigham and Women’s Hospital evaluated the vendor-provided

173. In Conversation With… Richard Platt, MD, MSc | PSNet
     psnet.ahrq.gov/perspective/conversation-richard-platt-md-msc
     October 01, 2016 - It is straightforward to build this detection capability into EHRs. … One is the extensive customization of EHRs that leads to problematic nonstandardization. … A second is the difficulty of extracting information from EHRs or of making it available to third-party … A closely related need is to link information in EHRs to claims data. … We need that capability because EHRs only contain information provided by the host system and don't know

174. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33791/psn-pdf
     September 01, 2015 - A lot of our residents like that feature in electronic health records (EHRs). … VA: One of the major risks with technology and EHRs is "garbage in, garbage out," and automating a bad … So when EHRs were coming in, it was a recruitment issue. … When EHRs were implemented, it was a great example of reverse mentoring. … We're doing the same work with EHRs, going back to the basics.

175. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43308/psn-pdf
     May 01, 2015 - long after the EHR was implemented, highlighting the need for ongoing monitoring and optimization of EHRs

176. A Cognitive and Communication Blind Spot Contributes to Permanent Paralysis | PSNet
     psnet.ahrq.gov/web-mm/cognitive-and-communication-blind-spot-contributes-permanent-paralysis
     January 13, 2010 - Our understanding of the influence of electronic health records (EHRs) on clinicians’ processes is still … bloat,” and alarm fatigue suggest that we are far from ideal practices in efficiently capitalizing on EHRs … EHRs with poor user interfaces lead to provider fatigue 6 and probably detract from available time to … examine patients. 7 EHRs allow rapid access to large amounts of information critical for patient care … Furthermore, EHRs may propagate erroneous information.

177. Unexpected Drawbacks of Electronic Order Sets | PSNet
     psnet.ahrq.gov/web-mm/unexpected-drawbacks-electronic-order-sets
     December 01, 2017 - optimal way to organize and present electrolyte repletion orders within electronic health records (EHRs … As an example, some EHRs can proactively monitor patient data, such as lab results (e.g., potassium), … been reported in other settings that experience increasing automation as well.( 16,17 ) Well-designed EHRs … against them.( 16,18-20 ) Despite best efforts of developers to build sufficient decision supports within EHRs

178. Overdose of Gabapentin and Oxycodone in a Patient with End-Stage Renal Disease: A Case for Appropriate Interruptive Drug-Disease Alerts. | PSNet
     psnet.ahrq.gov/web-mm/overdose-gabapentin-and-oxycodone-patient-end-stage-renal-disease-case-appropriate
     October 31, 2023 - In many EHRs, such alerts are turned off or made passive to avoid "alert fatigue." … Medication-related CDS in electronic health records (EHRs) is specifically intended to reduce prescribing … But now most EHRs are from commercial vendors and rely on medication and alert databases from separate … A recent study of one of these commercial EHRs at Brigham and Women’s Hospital evaluated the vendor-provided … Configuring drug-disease alerts in EHRs is complex, as available software often leads to excessive unimportant

179. Five strategies for a safer EHR modernization journey. | PSNet
     psnet.ahrq.gov/issue/five-strategies-safer-ehr-modernization-journey
     November 11, 2020 - Commentary Five strategies for a safer EHR modernization journey. Citation Text: Sittig DF, Yackel EE, Singh H. Five strategies for a safer EHR modernization journey. J Gen Intern Med. 2023;38(S4):940-942. doi:10.1007/s11606-023-08331-z. Copy Citation Format: DOI Google Sch…

180. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33850/psn-pdf
     January 01, 2018 - to copy and paste text is a central benefit of computing in general, and electronic health records (EHRs … ) in particular, the widespread adoption of EHRs has led to concerns about how copy-and- paste functionality … acknowledgement by clinicians that the quality of documentation has declined since the introduction of EHRs