MARC details
| 000 -LEADER |
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| fixed length control field |
02595nam a22004817a 4500 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION |
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| fixed length control field |
180730s20182018 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/ocy088 [doi] |
| 024 ## - OTHER STANDARD IDENTIFIER |
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| Standard number or code |
5047907 [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 |
29982549 |
| 245 ## - TITLE STATEMENT |
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| Title |
A usability and safety analysis of electronic health records: a multi-center study. |
| 251 ## - Source |
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| Source |
Journal of the American Medical Informatics Association. 25(9):1197-1201, 2018 09 01. |
| 252 ## - Abbreviated Source |
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| Abbreviated source |
J Am Med Inform Assoc. 25(9):1197-1201, 2018 09 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 |
FY2019 |
| 265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE] |
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| Publication status |
ppublish |
| 266 ## - Date added to catalog |
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| Date added to catalog |
2018-07-30 |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
To characterize the variability in usability and safety of EHRs from two vendors across four healthcare systems (2 Epic and 2 Cerner). Twelve to 15 emergency medicine physicians participated from each site and completed six clinical scenarios. Keystroke, mouse click, and video data were collected. From the six scenarios, two diagnostic imaging, laboratory, and medication tasks were analyzed. There was wide variability in task completion time, clicks, and error rates. For certain tasks, there were an average of a nine-fold difference in time and eight-fold difference in clicks. Error rates varied by task (X-ray 16.7% to 25%, MRI: 0 to 10%, Lactate: 0% to 14.3%, Tylenol: 0 to 30%; Taper: 16.7% to 50%). The variability in time, clicks, and error rates highlights the need for improved implementation optimization. EHR implementation, in addition to vendor design and development, is critical to usable and safe products. |
| 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 |
*Medical Errors |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
*Medical Records Systems, Computerized |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
*Task Performance and Analysis |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
Diagnostic Imaging |
| 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 |
Humans |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
Medical Order Entry Systems |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
User-Computer Interface |
| 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 |
| 656 ## - INDEX TERM--OCCUPATION |
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| Department |
Emergency Medicine |
| 657 ## - INDEX TERM--FUNCTION |
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| Medline publication type |
Journal Article |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Fairbanks, Rollin JT |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Hettinger, Aaron Z |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Miller, Kristen |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Ratwani, Raj M |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Savage, Erica |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Will, Amy |
| 790 ## - Authors |
|---|
| All authors |
Arnold R, Fairbanks RJ, Hettinger AZ, Hodgkins M, Khairat S, Miller K, Ratwani RM, Savage E, Will A |
| 856 ## - ELECTRONIC LOCATION AND ACCESS |
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| DOI |
<a href="https://dx.doi.org/10.1093/jamia/ocy088">https://dx.doi.org/10.1093/jamia/ocy088</a> |
| Public note |
https://dx.doi.org/10.1093/jamia/ocy088 |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) |
|---|
| Koha item type |
Journal Article |
| Item type description |
Article |
