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Strategies in Electronic Medical Record Downtime Planning: A Scoping Study
Joseph M Walsh1, Elizabeth M Borycki1, Andre W Kushniruk1
1School of Health Information Science, University of Victoria, Victoria, British Columbia Canada.
Purpose:
This review will identify dominant themes, common to published articles that discuss downtime planning in a clinical setting. These common themes will represent key considerations for healthcare organizations' comprehensive downtime plans.
Method:
A scoping study was performed using search results from PubMed, CINAHL and Medline. The 4 articles meeting the inclusion criteria were analyzed for common themes and findings.
Results:
Four common themes were found in the included articles: 1) Communications plans, 2) Procedure review and revision, 3) Managing system availability and 4) Preparing staff for handling incidents.
Conclusion:
Organizations must have comprehensive downtime plans available to ensure continuity of patient care during the periods of limited availability. A comprehensive downtime plan that includes these four strategies can become the framework for a set of organizational procedures that ensures the best possible access to vital patient information before, during, and after a downtime event.
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