Identifying Electronic Health Record Usability And Safety Challenges In Pediatric Settings.

MedStar author(s):
Citation: Health Affairs. 37(11):1752-1759, 2018 Nov.PMID: 30395517Institution: MedStar Institute for InnovationDepartment: National Center for Human Factors in HealthcareForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *Electronic Health Records/st [Standards] | *Medication Errors/sn [Statistics & Numerical Data] | *Patient Safety | *Pediatrics | *User-Computer Interface | Child | Health Information Interoperability | Humans | Medication Errors/ae [Adverse Effects]Year: 2018Local holdings: Available online from MWHC library: Nov 1981 - presentISSN:
  • 0278-2715
Name of journal: Health affairs (Project Hope)Abstract: Pediatric populations are uniquely vulnerable to the usability and safety challenges of electronic health records (EHRs), particularly those related to medication, yet little is known about the specific issues contributing to hazards. To understand specific usability issues and medication errors in the care of children, we analyzed 9,000 patient safety reports, made in the period 2012-17, from three different health care institutions that were likely related to EHR use. Of the 9,000 reports, 3,243 (36 percent) had a usability issue that contributed to the medication event, and 609 (18.8 percent) of the 3,243 might have resulted in patient harm. The general pattern of usability challenges and medication errors were the same across the three sites. The most common usability challenges were associated with system feedback and the visual display. The most common medication error was improper dosing.All authors: Asmonga D, Fong A, Gibson C, Grundmeier R, Karavite D, Moscovitch B, Muthu N, Ratwani RM, Rising J, Rivera AJ, Savage E, Will AFiscal year: FY2019Digital Object Identifier: Date added to catalog: 2018-11-09
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Item type Current library Collection Call number Status Date due Barcode
Journal Article MedStar Authors Catalog Article 30395517 Available 30395517

Available online from MWHC library: Nov 1981 - present

Pediatric populations are uniquely vulnerable to the usability and safety challenges of electronic health records (EHRs), particularly those related to medication, yet little is known about the specific issues contributing to hazards. To understand specific usability issues and medication errors in the care of children, we analyzed 9,000 patient safety reports, made in the period 2012-17, from three different health care institutions that were likely related to EHR use. Of the 9,000 reports, 3,243 (36 percent) had a usability issue that contributed to the medication event, and 609 (18.8 percent) of the 3,243 might have resulted in patient harm. The general pattern of usability challenges and medication errors were the same across the three sites. The most common usability challenges were associated with system feedback and the visual display. The most common medication error was improper dosing.

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