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181. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49751/psn-pdf
     January 01, 2016 - published nine SAFER Guides designed to help health care organizations optimize the safety of their EHRs … published the SAFER Guides designed to help health care organizations optimize the safety of their EHRs … ONC issues guides for SAFER EHRs. J AHIMA. 2014;85:50-52. [go to PubMed] 9.

182. 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

183. Transition to a new electronic health record and pediatric medication safety: lessons learned in pediatrics within a large academic health system. | PSNet
     psnet.ahrq.gov/issue/transition-new-electronic-health-record-and-pediatric-medication-safety-lessons-learned
     April 12, 2011 - A past WebM&M commentary discussed systemic issues related to EHRs such as absence of standard definitions

184. Paper- and computer-based workarounds to electronic health record use at three benchmark institutions. | PSNet
     psnet.ahrq.gov/issue/paper-and-computer-based-workarounds-electronic-health-record-use-three-benchmark
     June 06, 2012 - regarded as representing EHR design failures, but the authors argue that it is unrealistic to expect EHRs

185. 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

186. 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

187. 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

188. 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.

189. Spotlight (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.443_slideshow.ppt
     May 01, 2018 - Ann Intern Med. 2006;145:488-496. https://www.ncbi.nlm.nih.gov/pubmed/17015866 9 EHRs Facilitate Test … Available at https://dashboard.healthit.gov/quickstats/quickstats.php 10 EHRs Facilitate Test Result … Available at https://dashboard.healthit.gov/quickstats/quickstats.php 11 EHRs Create Additional Work

190. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49762/psn-pdf
     June 01, 2016 - Indeed, several EHRs, including Epic, already have the functionality to store and disseminate advance … EHRs are ubiquitous in the hospital setting and rapidly expanding into primary care clinics and other … More importantly, EHRs can provide a critical link between documentation and action, allowing physicians … Because of the ubiquity and unique properties of EHRs, institutions are well advised to make their EHR

191. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46956/psn-pdf
     January 23, 2019 - impact-national-qi-programme-reducing-electronic-health-record-notifications- clinicians Alert fatigue associated with electronic health records (EHRs

192. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44958/psn-pdf
     March 09, 2016 - The authors noted challenges given that participating institutions used different EHRs, but they were

193. Hazards tied to medical records rush. | PSNet
     psnet.ahrq.gov/issue/hazards-tied-medical-records-rush
     July 26, 2011 - Government incentives have led to rapid development and adoption of electronic health records (EHRs

194. Adoption factors associated with electronic health record among long-term care facilities: a systematic review. | PSNet
     psnet.ahrq.gov/issue/adoption-factors-associated-electronic-health-record-among-long-term-care-facilities
     March 17, 2021 - Potential advantages to EHRs in this setting include information sharing and error reduction .

195. New Patient Mistakenly Checked in as Another | PSNet
     psnet.ahrq.gov/web-mm/new-patient-mistakenly-checked-another
     October 01, 2013 - published nine SAFER Guides designed to help health care organizations optimize the safety of their EHRs … published the SAFER Guides designed to help health care organizations optimize the safety of their EHRs … ONC issues guides for SAFER EHRs. J AHIMA. 2014;85:50-52. [go to PubMed] 9.

196. Making electronic health records both SAFER and SMARTER. | PSNet
     psnet.ahrq.gov/issue/making-electronic-health-records-both-safer-and-smarter
     September 02, 2020 - in the sociotechnical design of interfaces and involvement of the myriad of individuals that use EHRs

197. Electronic health record use and the quality of ambulatory care in the United States. | PSNet
     psnet.ahrq.gov/issue/electronic-health-record-use-and-quality-ambulatory-care-united-states
     May 31, 2023 - The authors posit several reasons for this finding, including the possibility that EHRs were not implemented

198. Improving inpatient mental health medication safety through the process of obtaining HIMSS Stage 7: a case report. | PSNet
     psnet.ahrq.gov/issue/improving-inpatient-mental-health-medication-safety-through-process-obtaining-himss-stage-7
     July 17, 2019 - Electronic health records (EHRs) have been widely adopted as a strategy to improve patient safety.

199. Inaccurate penicillin allergy labeling, the electronic health record, and adverse outcomes of care. | PSNet
     psnet.ahrq.gov/issue/inaccurate-penicillin-allergy-labeling-electronic-health-record-and-adverse-outcomes-care
     December 09, 2020 - contributing to penicillin allergy documentation errors within electronic heath record systems (EHRs

200. Identifying electronic health record contributions to diagnostic error in ambulatory settings through legal claims analysis. | PSNet
     psnet.ahrq.gov/issue/identifying-electronic-health-record-contributions-diagnostic-error-ambulatory-settings
     January 25, 2023 - October 5, 2022 Opportunities to mine EHRs for malpractice risk management and patient