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Essential activities for electronic health record safety: A qualitative study
Joan S Ash1, Hardeep Singh2, Adam Wright3
1Oregon Health & Science University, USA.
Health Informatics Journal
|March 9, 2019
Summary
Electronic health record (EHR) safety requires essential activities in decision-making, organizational learning, and user engagement. Implementing these tasks minimizes patient safety risks associated with EHR systems.
Area of Science:
- Health Informatics
- Patient Safety
- Healthcare Management
Background:
- Electronic health records (EHRs) can introduce unintended patient safety risks.
- Effective management and use of EHRs are crucial for healthcare quality.
- Previous research has not fully detailed the essential activities for EHR safety.
Purpose of the Study:
- To identify key activities necessary for the safe management and use of EHRs.
- To provide a framework for healthcare organizations to enhance EHR safety.
- To understand best practices in EHR safety across different healthcare settings.
Main Methods:
- Utilized the Rapid Assessment Process, a qualitative methodology.
- Conducted multidisciplinary site visits to five diverse healthcare organizations.
- Employed qualitative data collection and analysis to identify common themes and essential tasks.
Main Results:
- Identified 10 groups of essential activities across three major areas: decision-making, organizational learning, and user-related activities.
- Decision-making activities include oversight, planning, and review for EHR safety.
- Organizational learning involves monitoring, testing, analysis, and reporting; user-related activities encompass training, communication, and clinical decision support.
- Found remarkable similarity in essential tasks across sites despite varied roles and titles.
Conclusions:
- Healthcare leaders must ensure the performance of identified essential activities to mitigate EHR-related patient safety risks.
- A systematic approach to EHR management, encompassing decision-making, learning, and user engagement, is vital.
- Implementing these structured activities can significantly improve the safety and effectiveness of EHR systems.
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