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Related Concept Videos

Continuing Care01:25

Continuing Care

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Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
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Interdisciplinary Care: The Health Care Team-I01:21

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An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care.
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Introduction To Health Care Delivery System01:18

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The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
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Purpose of Health Records I01:11

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The vital purpose of health records is to provide a complete and accurate account of a patient's medical history, including communication, diagnostic and therapeutic orders, care planning, research, and quality review.
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Updated: Jan 22, 2026

TBase - an Integrated Electronic Health Record and Research Database for Kidney Transplant Recipients
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Continuing Patient Care during Electronic Health Record Downtime.

Ethan Larsen1, Daniel Hoffman2, Carlos Rivera3

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Electronic health record (EHR) downtime significantly disrupts hospital operations, especially clinical laboratories, causing an average 62% delay in results. Improved data collection methods are crucial for better downtime contingency planning.

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Area of Science:

  • Health Informatics
  • Hospital Operations Management
  • Clinical Laboratory Science

Background:

  • Electronic health record (EHR) downtime, periods of system unavailability, are operationally disruptive and pose patient risks.
  • EHR downtime is understudied, with many hospitals inadequately prepared for these events.

Purpose of the Study:

  • To assess the operational impact of EHR downtime on clinical laboratories.
  • To develop recommendations for enhancing EHR downtime contingency planning.

Main Methods:

  • A hybrid qualitative-quantitative study was conducted at two hospitals.
  • Quantitative analysis involved comparing paper records from downtime events with normal operations.
  • Qualitative data were gathered through semistructured interviews with 17 hospital employees.

Main Results:

  • Laboratory testing results were delayed by an average of 62% during downtime.
  • Incomplete paper records hindered quantitative assessment of downtime impacts.
  • Interviews revealed significant delays due to procedural errors and documentation issues, highlighting the need for better planning.

Conclusions:

  • EHR downtime events are highly disruptive to hospital operations.
  • Assessing downtime implications is challenging due to data limitations.
  • Hospitals require improved methods for data collection during downtime to enhance contingency plans.