Are informed policies in place to promote safe and usable EHRs? A cross-industry comparison. (Record no. 3175)

MARC details
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fixed length control field 03539nam a22005057a 4500
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fixed length control field 170428s20172017 xxu||||| |||| 00| 0 eng d
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER
International Standard Serial Number 1067-5027
040 ## - CATALOGING SOURCE
Original cataloging agency Ovid MEDLINE(R)
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC)
PMID 28339697
245 ## - TITLE STATEMENT
Title Are informed policies in place to promote safe and usable EHRs? A cross-industry comparison.
251 ## - Source
Source Journal of the American Medical Informatics Association. 24(4):769-775, 2017 Jul 01
252 ## - Abbreviated Source
Abbreviated source J Am Med Inform Assoc. 24(4):769-775, 2017 Jul 01
253 ## - Journal Name
Journal name Journal of the American Medical Informatics Association : JAMIA
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Year 2017
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Manufacturer FY2017
266 ## - Date added to catalog
Date added to catalog 2017-05-06
501 ## - WITH NOTE
Local holdings Available online through MWHC library: 2003 - present, Available in print through MWHC library: 1999 - present
520 ## - SUMMARY, ETC.
Abstract Conclusion: Our analysis highlights important areas of usability and safety policy from other industries that can better inform ONC policies on EHRs.
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Abstract Discussion: A comparison of usability policies across industries illustrates key differences between the ONC and other federal agencies. These differences could be contributing to the usability challenges associated with EHRs.
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Abstract Method: We performed a qualitative study using publicly available governing documents to examine similarities and differences in usability and safety policies across agencies.
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Abstract Objective: Despite federal policies put in place by the Office of the National Coordinator (ONC) to promote safe and usable electronic health record (EHR) products, the usability of EHRs continues to frustrate providers and have patient safety implications. This study sought to compare government policies on usability and safety, and methods of examining compliance to those policies, across 3 federal agencies: the ONC and EHRs, the Federal Aviation Administration (FAA) and avionics, and the Food and Drug Administration (FDA) and medical devices. Our goal was to identify whether differences in policies exist and, if they do exist, how policies and enforcement mechanisms from other industries might be applied to optimize EHR usability.
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Abstract Results: The policy review and analysis revealed several consistencies within each agency's usability policies. Critical differences emerged in the usability standards and policy enforcement mechanisms utilized by the 3 agencies. The FAA and FDA look at evidence of usability processes and are more prescriptive when it comes to testing final products as compared to the ONC, which relies on attestation and is less prescriptive.
546 ## - LANGUAGE NOTE
Language note English
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element *Ergonomics
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element *Government Agencies
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element *Government Regulation
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element *Medical Records Systems, Computerized/lj [Legislation & Jurisprudence]
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Topical term or geographic name entry element *Patient Safety
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Topical term or geographic name entry element *Public Policy
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Topical term or geographic name entry element Electronic Health Records/lj [Legislation & Jurisprudence]
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 Medical Records Systems, Computerized/og [Organization & Administration]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Qualitative Research
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element United States
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Topical term or geographic name entry element United States Food and Drug Administration
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Topical term or geographic name entry element User-Computer Interface
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Institution MedStar Institute for Innovation
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Medline publication type Journal Article
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Local Authors Fairbanks, Rollin JT
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Local Authors Ratwani, Raj M
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Local Authors Savage, Erica
790 ## - Authors
All authors Fairbanks RJ, Ratwani RM, Savage EL
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DOI <a href="https://dx.doi.org/10.1093/jamia/ocw185">https://dx.doi.org/10.1093/jamia/ocw185</a>
Public note https://dx.doi.org/10.1093/jamia/ocw185
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
Item type description Article
Holdings
Withdrawn status Lost status Damaged status Not for loan Collection Home library Current library Date acquired Total Checkouts Full call number Barcode Date last seen Price effective from Koha item type
          MedStar Authors Catalog MedStar Authors Catalog 05/06/2017   28339697 28339697 05/06/2017 05/06/2017 Journal Article

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