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Updated: May 29, 2026

Implementation of a Real-Time Psychosis Risk Detection and Alerting System Based on Electronic Health Records using CogStack

Implementation of a Real-Time Psychosis Risk Detection and Alerting System Based on Electronic Health Records using CogStack

Published on: May 15, 2020

Healthcare professionals' experiences with EHR-system access control mechanisms.

Arild Faxvaag¹, Trond S Johansen, Vigdis Heimly

¹Norwegian EHR Research Centre, Faculty of Medicine, University of Science and Technology, Trondheim, Norway. arild.faxvaag@ntnu.no

Studies in Health Technology and Informatics

|September 7, 2011

Summary

Access controls in electronic health record (EHR) systems can delay clinician documentation and affect how they view patient information. Some users do not log out, potentially impacting patient safety.

Related Experiment Videos

Last Updated: May 29, 2026

Implementation of a Real-Time Psychosis Risk Detection and Alerting System Based on Electronic Health Records using CogStack

Implementation of a Real-Time Psychosis Risk Detection and Alerting System Based on Electronic Health Records using CogStack

Published on: May 15, 2020

Area of Science:

Health Informatics
Clinical Documentation
Patient Safety

Background:

Access control mechanisms are integral to Electronic Health Record (EHR) systems.
Understanding their impact on clinical workflows is crucial for system optimization and patient safety.

Purpose of the Study:

To investigate how access control mechanisms in EHR systems influence the information-seeking and documentation behaviors of healthcare professionals.
To identify potential implications for patient safety arising from these behaviors.

Main Methods:

A survey was conducted among healthcare professionals in nursing homes and hospitals.
Participants were asked about their attitudes and experiences with EHR access control mechanisms.

Main Results:

Access controls sometimes led clinicians to postpone documentation tasks.
The ability to review others' documented information was also affected.
Not all clinicians consistently logged out of the EHR system.
Some clinicians admitted to documenting in the name of others.

Conclusions:

EHR access control mechanisms can inadvertently disrupt clinical documentation and information access.
Practices such as not logging out or documenting under another's credentials pose risks to patient safety.
Further research and system adjustments are needed to mitigate these risks.