MARC details
| 000 -LEADER |
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| fixed length control field |
03393nam a22004337a 4500 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION |
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| fixed length control field |
170411s20162016 xxu||||| |||| 00| 0 eng d |
| 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 |
27847961 |
| 245 ## - TITLE STATEMENT |
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| Title |
Mind the Gap. A systematic review to identify usability and safety challenges and practices during electronic health record implementation. |
| 251 ## - Source |
|---|
| Source |
Applied Clinical Informatics. 7(4):1069-1087, 2016 Nov 16 |
| 252 ## - Abbreviated Source |
|---|
| Abbreviated source |
Appl Clin Inform. 7(4):1069-1087, 2016 Nov 16 |
| 253 ## - Journal Name |
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| Journal name |
Applied clinical informatics |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
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| Year |
2016 |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
|---|
| Manufacturer |
FY2017 |
| 266 ## - Date added to catalog |
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| Date added to catalog |
2017-05-24 |
| 520 ## - SUMMARY, ETC. |
|---|
| Abstract |
CONCLUSION: Our analysis identified practices and challenges across six different emerging themes, illustrated important gaps, and results suggest critical areas for future research and dissemination to improve EHR implementation. |
| 520 ## - SUMMARY, ETC. |
|---|
| Abstract |
DISCUSSION: Major gaps identified from each of six emerging themes are discussed as critical areas for future research, opportunities for new stakeholder initiatives, and opportunities to better disseminate resources to improve the implementation of EHRs. |
| 520 ## - SUMMARY, ETC. |
|---|
| Abstract |
MATERIALS AND METHODS: Two approaches were used: a literature review and interviews with key stakeholders. We performed a systematic review of the literature to identify usability and safety challenges and best practices during implementation. A total of 55 articles were reviewed through searches of PubMed, Web of Science and Scopus. We used a qualitative approach to identify key stakeholders' perceptions; semi-structured interviews were conducted with a diverse set of health IT stakeholders to understand their current practices and challenges related to usability during implementation. We used a grounded theory approach: data were coded, sorted, and emerging themes were identified. Conclusions from both sources of data were compared to identify areas of misalignment. |
| 520 ## - SUMMARY, ETC. |
|---|
| Abstract |
OBJECTIVE: Decisions made during electronic health record (EHR) implementations profoundly affect usability and safety. This study aims to identify gaps between the current literature and key stakeholders' perceptions of usability and safety practices and the challenges encountered during the implementation of EHRs. |
| 520 ## - SUMMARY, ETC. |
|---|
| Abstract |
RESULTS: We identified six emerging themes from the literature and stakeholder interviews: cost and resources, risk assessment, governance and consensus building, customization, clinical workflow and usability testing, and training. Across these themes, there were misalignments between the literature and stakeholder perspectives, indicating major gaps. |
| 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/ut [Utilization] |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
*Safety |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
|---|
| Topical term or geographic name entry element |
Attitude to Computers |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
|---|
| Topical term or geographic name entry element |
Costs and Cost Analysis |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
|---|
| Topical term or geographic name entry element |
Electronic Health Records/ec [Economics] |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
|---|
| Topical term or geographic name entry element |
Humans |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
|---|
| Topical term or geographic name entry element |
Risk Assessment |
| 651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME |
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| Institution |
MedStar Institute for Innovation |
| 657 ## - INDEX TERM--FUNCTION |
|---|
| Medline publication type |
Journal Article |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Adams, Katie |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Fairbanks, Rollin JT |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
|---|
| Local Authors |
Hettinger, Aaron Z |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
|---|
| Local Authors |
Ratwani, Raj M |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
|---|
| Local Authors |
Savage, Erica |
| 790 ## - Authors |
|---|
| All authors |
Adams K, Barnes J, Boone E, Fairbanks T, Gettinger A, Hayden A, Hettinger Z, Ratwani R, Savage E, Wittie M |
| 856 ## - ELECTRONIC LOCATION AND ACCESS |
|---|
| DOI |
<a href="https://dx.doi.org/10.4338/ACI-2016-06-R-0105">https://dx.doi.org/10.4338/ACI-2016-06-R-0105</a> |
| Public note |
https://dx.doi.org/10.4338/ACI-2016-06-R-0105 |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) |
|---|
| Koha item type |
Journal Article |
| Item type description |
Article |
