Top ten challenges when interfacing a laboratory information system to an electronic health record: Experience at a large academic medical center

Petrides, Athena K.; Tanasijevic, Milenko J.; Goonan, Ellen M.; Landman, Adam B.; Kantartjis, Michalis; Bates, David W.; Melanson, Stacy E.F.

doi:10.1016/j.ijmedinf.2017.06.008

Cited by 14 publications

(3 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…An electronic medical record (EMR) is the infrastructure that spans across almost all CIS subsystems. EMRs are key components for ambulatory and inpatient clinical information systems 14 . In the U.S., the adoption rate of basic EMR systems among all providers has been increased from 9.4% in 2008 to 67% in 2017.…”

Section: Resultsmentioning

confidence: 99%

“…The integration of LISs with other systems is always challenging because of large hospital networks, technological complexity, interface design, and the multitude of clinical and laboratory workflows. The major challenges observed when implementing an interface between LISs and EHRs are the selection and harmonization of test codes, the communication with EHR providers, fluid orders and collection, problems with displaying laboratory results, the risk of missing abnormal flags, ordering specimens for anatomic pathology, and unanticipated changes to laboratory workflows 14 47 .…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Recent Advancement of Clinical Information Systems: Opportunities and Challenges

Islam

Poly

2018

Yearb Med Inform

View full text Add to dashboard Cite

We selected 23 papers out of 1,026 unique abstracts for full-text review using our selection criteria, and 20 out of these 23 studies met all of our inclusion criteria. We focused on three major areas: 1) Ambulatory and inpatients clinical information systems; 2) Specialty information systems; and 3) Ancillary information systems. As CIS can support evidence-based practices that, in turn, improve patient's safety, quality and efficacy of care, advancement, acceptability, and adaptability of CIS have increased worldwide. Although, the demand for CIS functionality is rising fast, current CISs still have data integration challenges and lack of functionality to exchange patient information from all or some parts of the healthcare system. These limitations can be attributed to technical, human, and organizational factors Conclusion: Clinical information systems provide tremendous opportunities to reduce clinical errors such as medication errors and diagnostic errors and to support healthcare professionals by offering up-to-date patient information. They promise to improve workflow and efficiency of care, thus boosting the overall quality of healthcare.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Recent Advancement of Clinical Information Systems: Opportunities and Challenges

Islam

Poly

2018

Yearb Med Inform

View full text Add to dashboard Cite

show abstract

“…However, these types of interfaces are resource intensive to build and maintain. 9 eMERGE III aims to help address these challenges by instantiating secure inter-institutional interfaces.…”

Section: Architecture To Transfer Results From Laboratories To Ehr Ecosystems and Shared Repositoriesmentioning

confidence: 99%

Empowering genomic medicine by establishing critical sequencing result data flows: the eMERGE example

Aronson

Babb

Ames

et al. 2018

Journal of the American Medical Informatics Association

View full text Add to dashboard Cite

The eMERGE Network is establishing methods for electronic transmittal of patient genetic test results from laboratories to healthcare providers across organizational boundaries. We surveyed the capabilities and needs of different network participants, established a common transfer format, and implemented transfer mechanisms based on this format. The interfaces we created are examples of the connectivity that must be instantiated before electronic genetic and genomic clinical decision support can be effectively built at the point of care. This work serves as a case example for both standards bodies and other organizations working to build the infrastructure required to provide better electronic clinical decision support for clinicians.

show abstract

Electronic Health Records and Their Implications and Opportunities for Laboratories

Bertholf

2024

Clinical Laboratory Management

View full text Add to dashboard Cite

Top ten challenges when interfacing a laboratory information system to an electronic health record: Experience at a large academic medical center

Cited by 14 publications

References 20 publications

Recent Advancement of Clinical Information Systems: Opportunities and Challenges

Recent Advancement of Clinical Information Systems: Opportunities and Challenges

Empowering genomic medicine by establishing critical sequencing result data flows: the eMERGE example

Electronic Health Records and Their Implications and Opportunities for Laboratories

Contact Info

Product

Resources

About