Making Electronic Health Records Safer and More Effective in Improving Health Care

Dean F. Sittiga, Farah Magrabib, Hardeep Singhc

a School of Biomedical Informatics, University of Texas Health Science Center, Houston, TX USA

b Australian Institute for Health Innovation, The University of New South Wales, Sydney, Australia

cHouston VA Health Services Research & Development Center of

Excellence, Michael E. DeBakey Veterans Affairs Medical Center and Section of Health Services

Research, Department of Medicine, Baylor College of Medicine, Houston, TX USA

 

Abstract

Electronic health records (EHRs) are essential to ensuring safe and effective health care. Unfortunately, evidence to date overwhelmingly suggests that such implementation efforts are difficult, costly, time consuming, and fraught with many unintended consequences. The tutorial will be organized according to a comprehensive EHR monitoring and evaluation framework consisting of 5 essential components: (1) ability for practitioners and organizations to report EHR-related patient safety events or potential hazards; (2) enhanced EHR certification that includes specific assurances that good software development procedures have been followed along with evidence that previously reported adverse events and hazards have been addressed; (3) self-assessment, attestation, testing, and reporting by both clinicians and health care organizations that all 8 dimensions of safe EHR use have been addressed ; (4) oversight in the form of an onsite, in-person accreditation of EHRs as implemented and used by clinicians; and (5) a national EHR-related adverse event investigation board that reviews and investigates incident reports. The tutorial will include: an overview of the EHR-related patient safety landscape and the 8-dimension socio-technical model; and in-depth discussion of the 5 components of the EHR monitoring and evaluation framework. We will then break up into small groups to work on development of solutions to real-world EHR-related patient safety risks from both the USA and Australia. This tutorial is for those involved in any portion of the EHR design, development, implementation, and evaluation process.

The tutorial will begin with an overview of the EHR-related patient safety landscape and the 8-dimension socio-technical model. We will then discuss in detail each of the 5 components of the EHR monitoring and evaluation framework. Following this didactic session, we will break up the audience into small groups where participants will work together to develop solutions to real-world EHR-related patient safety risks from both the USA and Australia including for example:

  1. Incorrect patient identification

  2. Major system upgrade

  3. High rate of interruptive alert overrides

  4. Test results communication

 

Learning objectives

Following this tutorial participants will be able to:

  1. Discuss the 3 phases of EHR-related patient safety

  2. Recount the 8-dimension socio-technical model of safe and effective EHR use

  3. List the 5 key components of a comprehensive EHR monitoring and evaluation framework

  4. Describe solutions to real-world EHR-related patient safety hazards

 

Expected Attendees

The tutorial is designed for all those involved in any portion of the EHR design, development, implementation, and evaluation process. Participants will be assumed to have at least a basic understanding of EHRs.

SiteLogin