Adherence to recommended electronic health record safety practices across eight health care organizations
| العنوان: | Adherence to recommended electronic health record safety practices across eight health care organizations |
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| المؤلفون: | Ashutosh Goel, Christopher A. Longhurst, Brian Clay, Mandana Salimi, Robert Hines, Tyler Satterly, Kathryn A. Gibson, Hardeep Singh, Vimal Mishra, Ranjit Aiyagari, Colin Banas, Anwar Mohammad Sirajuddin, Dean F. Sittig |
| المصدر: | J Am Med Inform Assoc |
| بيانات النشر: | Oxford University Press (OUP), 2018. |
| سنة النشر: | 2018 |
| مصطلحات موضوعية: | Quality Assurance, Health Care, 020205 medical informatics, Best practice, MEDLINE, Guidelines as Topic, Health Informatics, 02 engineering and technology, Brief Communication, Risk Assessment, 03 medical and health sciences, Patient safety, 0302 clinical medicine, Nursing, SAFER, Health care, 0202 electrical engineering, electronic engineering, information engineering, Electronic Health Records, Humans, Medicine, 030212 general & internal medicine, business.industry, Organizational Policy, United States, Resilience (organizational), Safety assurance, Guideline Adherence, Patient Safety, Health Facility Administration, Risk assessment, business |
| الوصف: | ObjectiveThe Safety Assurance Factors for EHR Resilience (SAFER) guides were released in 2014 to help health systems conduct proactive risk assessment of electronic health record (EHR)- safety related policies, processes, procedures, and configurations. The extent to which SAFER recommendations are followed is unknown.MethodsWe conducted risk assessments of 8 organizations of varying size, complexity, EHR, and EHR adoption maturity. Each organization self-assessed adherence to all 140 unique SAFER recommendations contained within 9 guides (range 10–29 recommendations per guide). In each guide, recommendations were organized into 3 broad domains: “safe health IT” (total 45 recommendations); “using health IT safely” (total 80 recommendations); and “monitoring health IT” (total 15 recommendations).ResultsThe 8 sites fully implemented 25 of 140 (18%) SAFER recommendations. Mean number of “fully implemented” recommendations per guide ranged from 94% (System Interfaces—18 recommendations) to 63% (Clinical Communication—12 recommendations). Adherence was higher for “safe health IT” domain (82.1%) vs “using health IT safely” (72.5%) and “monitoring health IT” (67.3%).ConclusionsDespite availability of recommendations on how to improve use of EHRs, most recommendations were not fully implemented. New national policy initiatives are needed to stimulate implementation of these best practices. |
| تدمد: | 1527-974X 1067-5027 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::a888d9fdaf680514e7608cdf1b9a9c7f https://doi.org/10.1093/jamia/ocy033 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....a888d9fdaf680514e7608cdf1b9a9c7f |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 1527974X 10675027 |
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