MARC details
| 000 -LEADER |
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| fixed length control field |
03128nam a22004337a 4500 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION |
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| fixed length control field |
180220s20182018 xxu||||| |||| 00| 0 eng d |
| 022 ## - INTERNATIONAL STANDARD SERIAL NUMBER |
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| International Standard Serial Number |
1067-5027 |
| 024 ## - OTHER STANDARD IDENTIFIER |
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| Standard number or code |
10.1093/jamia/ocx057 [doi] |
| 024 ## - OTHER STANDARD IDENTIFIER |
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| Standard number or code |
3858892 [pii] |
| 040 ## - CATALOGING SOURCE |
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| Original cataloging agency |
Ovid MEDLINE(R) |
| 099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC) |
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| PMID |
28575417 |
| 245 ## - TITLE STATEMENT |
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| Title |
Implications of electronic health record downtime: an analysis of patient safety event reports. |
| 251 ## - Source |
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| Source |
Journal of the American Medical Informatics Association. 25(2):187-191, 2018 Feb 01 |
| 252 ## - Abbreviated Source |
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| Abbreviated source |
J Am Med Inform Assoc. 25(2):187-191, 2018 Feb 01 |
| 253 ## - Journal Name |
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| Journal name |
Journal of the American Medical Informatics Association : JAMIA |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
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| Year |
2018 |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
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| Manufacturer |
FY2018 |
| 266 ## - Date added to catalog |
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| Date added to catalog |
2018-02-20 |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
Conclusion: EHR downtime events pose patient safety hazards, and we highlight critical areas for downtime procedure improvement. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
Discussion: Patient safety report data offer a lens into EHR downtime-related safety hazards. Important areas of risk during EHR downtime periods were patient identification and communication of clinical information; these should be a focus of downtime procedure planning to reduce safety hazards. |
| 520 ## - SUMMARY, ETC. |
|---|
| Abstract |
Materials and Methods: From a database of 80381 event reports, 76 reports were identified as explicitly describing a safety event associated with an EHR downtime period. These reports were analyzed and categorized based on a developed code book to identify the clinical processes that were impacted by downtime. We also examined whether downtime procedures were in place and followed. |
| 520 ## - SUMMARY, ETC. |
|---|
| Abstract |
Objective: We sought to understand the types of clinical processes, such as image and medication ordering, that are disrupted during electronic health record (EHR) downtime periods by analyzing the narratives of patient safety event report data. |
| 520 ## - SUMMARY, ETC. |
|---|
| Abstract |
Results: The reports were coded into categories related to their reported clinical process: Laboratory, Medication, Imaging, Registration, Patient Handoff, Documentation, History Viewing, Delay of Procedure, and General. A majority of reports (48.7%, n=37) were associated with lab orders and results, followed by medication ordering and administration (14.5%, n=11). Incidents commonly involved patient identification and communication of clinical information. A majority of reports (46%, n=35) indicated that downtime procedures either were not followed or were not in place. Only 27.6% of incidents (n=21) indicated that downtime procedures were successfully executed. |
| 546 ## - LANGUAGE NOTE |
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| Language note |
English |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
*Electronic Health Records |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
*Medical Errors/sn [Statistics & Numerical Data] |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
*Patient Safety |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
Equipment Failure |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
Health Facilities |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
Humans |
| 651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME |
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| Institution |
MedStar Institute for Innovation |
| 651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME |
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| Institution |
MedStar Washington Hospital Center |
| 657 ## - INDEX TERM--FUNCTION |
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| Medline publication type |
Journal Article |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Fong, Allan |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Ratwani, Raj M |
| 790 ## - Authors |
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| All authors |
Fong A, Larsen E, Ratwani RM, Wernz C |
| 856 ## - ELECTRONIC LOCATION AND ACCESS |
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| DOI |
<a href="https://dx.doi.org/10.1093/jamia/ocx057">https://dx.doi.org/10.1093/jamia/ocx057</a> |
| Public note |
https://dx.doi.org/10.1093/jamia/ocx057 |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) |
|---|
| Koha item type |
Journal Article |
| Item type description |
Article |
