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81. Electronic Health Record Programs: Participation Has Increased, but Action Needed to Achieve Goals, Including Improved Quality of Care. | PSNet
    psnet.ahrq.gov/issue/electronic-health-record-programs-participation-has-increased-action-needed-achieve-goals
    September 07, 2016 - This investigation found that although use of electronic health records (EHRs) in Medicare and Medicaid … Strategy on Reducing Regulatory and Administrative Burden Relating to the Use of Health IT and EHRs

82. A piece of my mind. Copy-and-paste. | PSNet
    psnet.ahrq.gov/issue/piece-my-mind-copy-and-paste
    July 01, 2012 - and quality of ambulatory care has raised questions about the utility of electronic health records (EHRs … June 28, 2023 Opportunities to mine EHRs for malpractice risk management and patient

83. Electronic health records in ambulatory care- a national survey of physicians. | PSNet
    psnet.ahrq.gov/issue/electronic-health-records-ambulatory-care-national-survey-physicians
    February 17, 2011 - Implementation of electronic health records (EHRs) is considered a high priority in order to improve … While users generally viewed EHRs as beneficial for patient care, implementation costs were identified

84. Impact of providing patients access to electronic health records on quality and safety of care: a systematic review and meta-analysis. | PSNet
    psnet.ahrq.gov/issue/impact-providing-patients-access-electronic-health-records-quality-and-safety-care-systematic
    July 27, 2022 - Meta-analysis found that sharing EHRs with patients is effective in reducing HbA1c levels; the included … that more methodologically robust studies are necessary to quantitatively assess the impact of sharing EHRs

85. Orders on file but no labs drawn: investigation of machine and human errors caused by an interface idiosyncrasy. | PSNet
    psnet.ahrq.gov/issue/orders-file-no-labs-drawn-investigation-machine-and-human-errors-caused-interface
    April 29, 2018 - interoperabilty and user errors are safety concerns associated with the use of electronic health records (EHRs … This case report provides two examples of problems with order cancellations in EHRs due to ineffective

86. The evolving role of medical scribe: variation and implications for organizational effectiveness and safety. | PSNet
    psnet.ahrq.gov/issue/evolving-role-medical-scribe-variation-and-implications-organizational-effectiveness-and
    October 24, 2018 - scribes, nonclinical staff who aid clinicians by entering information into electronic health records (EHRs … scribes represent a workaround that may inhibit the development of more advanced and user-friendly EHRs

87. Adverse inpatient outcomes during the transition to a new electronic health record system: observational study. | PSNet
    psnet.ahrq.gov/issue/adverse-inpatient-outcomes-during-transition-new-electronic-health-record-system
    September 29, 2017 - Electronic health records (EHRs) offer safety benefits , but the disruption associated with EHR implementation … authors suggest that these results should allay safety concerns for institutions planning to implement EHRs

88. Understanding differences in electronic health record (EHR) use: linking individual physicians' perceptions of uncertainty and EHR use patterns in ambulatory care. | PSNet
    psnet.ahrq.gov/issue/understanding-differences-electronic-health-record-ehr-use-linking-individual-physicians
    November 17, 2015 - for Economic and Clinical Health Act recently catalyzed the adoption of electronic health records (EHRs … Overall, EHRs have positively affected patient safety, but this effect has been inconsistent .

89. The management of test results in primary care: does an electronic medical record make a difference? | PSNet
    psnet.ahrq.gov/issue/management-test-results-primary-care-does-electronic-medical-record-make-difference
    April 12, 2011 - Electronic health records (EHRs) hold great promise for improving patient safety, but remain underutilized … However, even in clinics using EHRs, more than one-third of abnormal results had no follow-up plan documented

90. Electronic health record–related safety concerns: a cross-sectional survey. | PSNet
    psnet.ahrq.gov/issue/electronic-health-record-related-safety-concerns-cross-sectional-survey
    August 03, 2016 - Although electronic health records (EHRs) have led to many improvements in care, they have also created … respondents reported that their health care facilities had at least one serious safety event related to EHRs

91. EHR Copy and Paste and Patient Safety | PSNet
    psnet.ahrq.gov/perspective/ehr-copy-and-paste-and-patient-safety
    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

92. One Dose, Two Errors | PSNet
    psnet.ahrq.gov/web-mm/one-dose-two-errors
    September 29, 2017 - EHRs can be used to identify cases in which potential pathogens are identified and yet antimicrobial … or is not likely to be effective ("bug–drug mismatches").( 5,14 ) Evidence regarding the impact of EHRs … on patient outcomes through improved antimicrobial use is lacking, although EHRs with integrated CDSSs … Most EHRs do not have decision support for antimicrobial use in the basic package. … Standalone EHRs are available, but extensive time and expense are necessary for interface development

93. Don’t Wait to Collect an Accurate Weight: A Case of Subtherapeutic Insulin Therapy | PSNet
    psnet.ahrq.gov/web-mm/dont-wait-collect-accurate-weight-case-subtherapeutic-insulin-therapy
    July 01, 2008 - A common reason for supporting dual EHRs within an organization is the ability to tailor the display … displays used in the other setting. 7 There is a paucity of literature on the implications of dual EHRs … Address Limitations Associated with Dual EHRs  The primary challenge of utilizing more than one EHR is … In this case, dual EHRs may have played a role in facilitating this weight-based dosing error when the … Lastly, some dual EHR institutions have policies requiring that providers consult both EHRs for patient

94. Health IT Safety Center Roadmap. | PSNet
    psnet.ahrq.gov/issue/health-it-safety-center-roadmap
    June 29, 2016 - Strategy on Reducing Regulatory and Administrative Burden Relating to the Use of Health IT and EHRs … Strategy on Reducing Regulatory and Administrative Burden Relating to the Use of Health IT and EHRs

95. Failure to follow-up test results for ambulatory patients: a systematic review. | PSNet
    psnet.ahrq.gov/issue/failure-follow-test-results-ambulatory-patients-systematic-review
    March 23, 2012 - Electronic health records (EHRs) did appear to improve test follow-up rates, although a substantial … proportion of abnormal results were not followed up even with EHRs.

96. Problem list completeness in electronic health records: a multi-site study and assessment of success factors. | PSNet
    psnet.ahrq.gov/issue/problem-list-completeness-electronic-health-records-multi-site-study-and-assessment-success
    April 29, 2018 - Problem lists in electronic health records (EHRs) can play important roles for patient care and help … This international study examined 10 health care organizations that use different EHRs in the United

97. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33816/psn-pdf
    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

98. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33790/psn-pdf
    August 01, 2015 - new-insights-safety-and-health-it Perspective Despite the widespread adoption of electronic health records (EHRs … health care workers often describe near misses and hazardous conditions related to the usability of EHRs … numerous permutations of workflows, clinical specialties, and physical environments in which their EHRs … From our experience in studying EHRs and their implementations, we believe that health care systems and

99. Health IT Patient Safety Action and Surveillance Plan. | PSNet
    psnet.ahrq.gov/issue/health-it-patient-safety-action-and-surveillance-plan
    December 18, 2013 - Strategy on Reducing Regulatory and Administrative Burden Relating to the Use of Health IT and EHRs … Strategy on Reducing Regulatory and Administrative Burden Relating to the Use of Health IT and EHRs

100. Physician EHR adoption and potentially preventable hospital admissions among Medicare beneficiaries: panel data evidence, 2010–2013. | PSNet
     psnet.ahrq.gov/issue/physician-ehr-adoption-and-potentially-preventable-hospital-admissions-among-medicare
     February 14, 2024 - They suggest that improving interoperability between hospital and clinic EHRs is an important next