Electronic health records: which practices have them, and how are clinicians using them?

Simon, Steven R.; McCarthy, Madeline L.; Kaushal, Rainu; Jenter, Chelsea A.; Volk, Lynn A.; Poon, Eric G.; Yee, Kevin C.; Orav, E. John; Williams, Deborah H.; Bates, David W.

doi:10.1111/j.1365-2753.2007.00787.x

Cited by 70 publications

(45 citation statements)

References 4 publications

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“…19 However, many clinicians using EMRs often fail to utilize safety improvement functionalities, and EMR implementations can have unintended consequences, adversely impacting quality and safety. [20][21][22][23] To promote use of such functionalities, the United States government has implemented standards for "meaningful use." 24 In 2007, our organization implemented an integrated EMR as part of ongoing safety and quality improvement efforts.…”

mentioning

confidence: 99%

Patient Safety Perceptions of Primary Care Providers after Implementation of an Electronic Medical Record System

et al. 2012

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BACKGROUND: Increasing the use of electronic medical records (EMR) has been suggested as an important strategy for improving healthcare safety. OBJECTIVE: To sequentially measure, evaluate, and respond to safety culture and practice safety concerns following EMR implementation. DESIGN: Safety culture was assessed using a validated tool (Safety Attitudes Questionnaire; SAQ), immediately following EMR implementation (T1) and at 1.5 (T2) and 2.5 (T3) years post-implementation. The SAQ was supplemented with a practice-specific assessment tool to identify safety needs and barriers. PARTICIPANTS: A large medical group practice with a primary care core of 17-18 practices, staffed by clinicians in family medicine, pediatrics, internal medicine. INTERVENTIONS: Survey results were used to define and respond to areas of need between assessments with system changes and educational programs. MAIN MEASURES: Change in safety culture over time; perceived impact of EMR on practice. KEY RESULTS: Responses were received from 103 of 123 primary care providers in T1 (83.7 % response rate), 122 of 143 in T2 (85.3 %) and 142 of 181 in T3 (78.5 %). Safety culture improved over this period, with statistically significant improvement in all domains except for stress recognition. Time constraints, communications and patient adherence were perceived to be the most important safety issues. The majority of respondents in both T2 (77.9 %) and T3 (85.4 %) surveys agreed that the EMR improved their ability to provide care more safely. CONCLUSIONS: Implementation of an EMR in a large primary care practice required redesign of many organizational processes, and was associated with improvements in safety culture. Most primary care providers agreed that the EMR allowed them to provide care more safely.

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confidence: 99%

Patient Safety Perceptions of Primary Care Providers after Implementation of an Electronic Medical Record System

et al. 2012

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“…Two factors motivate the ongoing usage: (1) The improved efficiency in providing patient care, and (2) the actual competency with computers and the EMR System (Amanda et al, 2012). Computer skills have been counted as lack from the previous studies Gans et al, 2005;Boonstra et al, 2010;Simon et al, 2008). The struggle has done by the previous study was struggling to implement the EMR (Terry et al, 2009).…”

Section: Many Barriers To and Facilitators Of Emr Implementation Havementioning

confidence: 99%

“…When all these factors are combined it clearly depicts that the public sector healthcare is of lower level. Also, the Ministry of Health shows rising number of negligence cases reported between and 2008(Annual report, 2009. Therefore, Hospital Information System (HIS) is believed to enhance the quality of healthcare services.…”

Section: Introductionmentioning

confidence: 99%

A Conceptual Study on Hospital Information System in Public Hospital of Bangladesh: Electronic Medical Record and Clinical Information System Perspective

Haque¹,

Kayadibi²,

Rafsanjani³

et al. 2013

ASS

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The empirical data is used in organizations all over the world which require the integration of some informational systems like Electronic Medical Record (EMR) and Clinical Information System (CIS); these concepts will discover with new form of Bangladeshi public hospital's improvement in Information Technology (IT) sector. The objective of this conceptual paper is to review critically and identify the gaps in current literature aligning with Hospital Information System (HIS) and Electronic Medical Record (EMR), building relationship between EMR and CIS in terms of Bangladeshi public hospital; towards hospital's effectiveness of service operator when public hospital plays an important role to keep the patients data. The proposed conceptual framework assists HIS providers to understand how EMR and CIS can contribute to improve the hospitals patient database. More over the paper presents an analysis in various aspects of EMR and CIS complying with a conceptual framework which can attract the researchers in Hospital information System field and public hospital management field for the better presences of information technology for the patients. Hospital Information System (HIS) is essential in hospitals especially which deals with high-quality healthcare treatments. HIS helps to improve patients care services. Thus, the Bangladesh Government has not introduced any kind of HIS for public hospitals of Bangladesh. Moreover, there is no study on HIS implementation in Bangladeshi public hospital.

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“…Despite many efforts across public and private sectors to increase the adoption of health IT systems, adoption of sophisticated IT systems in health care remains much lower than in industries such as banking and manufacturing. When surveyed, physicians often report that costs and complexity are barriers to greater adoption and use of IT systems [3,4]. However, another major barrier is the lack of a clear linkage between the use of IT systems and improved health care outcomes [5].…”

Section: Introductionmentioning

confidence: 99%

Linking health information technology to patient safety and quality outcomes: a bibliometric analysis and review

Whipple

Dixon

McGowan

2012

Informatics for Health and Social Care

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Objective: To assess the scholarly output of grants funded by the Agency for HealthcareResearch and Quality (AHRQ) that published knowledge relevant to the impact of health information technologies on patient safety and quality of care outcomes. Study design:We performed a bibliometric analysis of the identified scholarly articles, their journals, and citations. In addition, we performed a qualitative review of the full-text articles and grant documents. Conclusions: This set of AHRQ-funded research projects addressed the goals and priorities of AHRQ, indicating notable contributions to the scientific knowledge base on the impact of information system use in health care.

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Electronic health records: which practices have them, and how are clinicians using them?

Cited by 70 publications

References 4 publications

Patient Safety Perceptions of Primary Care Providers after Implementation of an Electronic Medical Record System

Patient Safety Perceptions of Primary Care Providers after Implementation of an Electronic Medical Record System

A Conceptual Study on Hospital Information System in Public Hospital of Bangladesh: Electronic Medical Record and Clinical Information System Perspective

Linking health information technology to patient safety and quality outcomes: a bibliometric analysis and review

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