Safety Issues Related to the Electronic Medical Record (EMR): Synthesis of the Literature from the Last Decade, 2000-2009

Harrington, Linda; Kennerly, Donald A.; Johnson, Constance

doi:10.1097/00115514-201101000-00006

Cited by 74 publications

(53 citation statements)

References 30 publications

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“…This finding reflects what others have found: While EMRs can reduce errors, they can also cause errors. [27][28][29] Additional study of this important finding is needed to redesign EMRs to reduce error rates.…”

Section: Discussionmentioning

confidence: 99%

Reporting and Using Near-miss Events to Improve Patient Safety in Diverse Primary Care Practices: A Collaborative Approach to Learning from Our Mistakes

Crane

Sloane

Elder

et al. 2015

The Journal of the American Board of Family Medicine

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Purpose: Near-miss events represent an opportunity to identify and correct errors that jeopardize patient safety. This study was undertaken to assess the feasibility of a near-miss reporting system in primary care practices and to describe initial reports and practice responses to them.Methods: We implemented a web-based, anonymous near-miss reporting system into 7 diverse practices, collecting and categorizing all reports. At the end of the study period, we interviewed practice leaders to determine how the near-miss reports were used for quality improvement (QI) in each practice.Results: All 7 practices successfully implemented the system, reporting 632 near-miss events in 9 months and initiating 32 QI projects based on the reports. The most frequent events reported were breakdowns in office processes (47.3%); of these, filing errors were most common, with 38% of these errors judged by external coders to be high risk for an adverse event. Electronic medical records were the primary or secondary cause of the error in 7.8% and 14.4% of reported cases, respectively. The pattern of near-miss events across these diverse practices was similar.Conclusions: Anonymous near-miss reporting can be successfully implemented in primary care practices. Near-miss events occur frequently in office practice, primarily involve administrative and communication problems, and can pose a serious threat to patient safety; they can, however, be used by practice leaders to implement QI changes. (J Am Board Fam Med 2015;28:452-460.)

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Section: Discussionmentioning

confidence: 99%

Reporting and Using Near-miss Events to Improve Patient Safety in Diverse Primary Care Practices: A Collaborative Approach to Learning from Our Mistakes

Crane

Sloane

Elder

et al. 2015

The Journal of the American Board of Family Medicine

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“…15,16 Discussions are also widespread in the scientific literature on different issues regarding EMR's contribution to safety and quality of medical care. Several previous studies have reported on positive EMR impacts on patient safety and quality of clinical care, [5][6][7] whereas others yield opposing opinions 17 or propose new scientific pathways to move this field forward. 18 Highly sophisticated study designs are required to provide evidence-based information to such important questions.…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3][4] Nevertheless, some physicians question the utility of electronic health record systems in contributing to the improvement of safety and quality and express concerns regarding their widespread use. 5,6 Some also believe that the information technology industry lacks sophisticated standards in this particular field and has not reached the technological advances required to move medical care to a higher, standardized quality level. 7 Nevertheless, regardless of the issues mentioned previously, the US Congress enacted in 2009 the American Recovery and Reinvestment Act appropriating specific funds as cumulative incentives for physicians and health care facilities to adopt EMR systems in their clinical practice.…”

mentioning

confidence: 99%

Electronic Medical Record Use Among US Occupational Medicine Physicians

Soteriades

Talias²,

Harmon³

et al. 2013

Journal of Occupational &Amp; Environmental Medicine

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“…199 However, and not without irony, "[w]hile hospital electronic medical records (EMR) are intended to reduce medical errors, several aspects of the EMR may actually increase the incidence of certain types of errors or produce new safety risks that result in harm." 200 Medical errors caused by the increased use of technological innovations are an issue of growing importance. 201 In 2010, the Food and Drug Administration (FDA) disclosed that even without any formal reporting system, it had recorded 260 "HIT-related malfunctions" in the preceding two years.…”

Section: B Technological Iatrogenesismentioning

confidence: 99%

Meaningful Adoption: What We Know or Think We Know About the Financing, Effectiveness, Quality, and Safety of Electronic Medical Records

Terry

2013

Journal of Legal Medicine

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Safety Issues Related to the Electronic Medical Record (EMR): Synthesis of the Literature from the Last Decade, 2000-2009

Cited by 74 publications

References 30 publications

Reporting and Using Near-miss Events to Improve Patient Safety in Diverse Primary Care Practices: A Collaborative Approach to Learning from Our Mistakes

Reporting and Using Near-miss Events to Improve Patient Safety in Diverse Primary Care Practices: A Collaborative Approach to Learning from Our Mistakes

Electronic Medical Record Use Among US Occupational Medicine Physicians

Meaningful Adoption: What We Know or Think We Know About the Financing, Effectiveness, Quality, and Safety of Electronic Medical Records

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