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Safety Assurance Factors for Electronic Health Record Resilience (SAFER): study protocol

BACKGROUND: Implementation and use of electronic health records (EHRs) could lead to potential improvements in quality of care. However, the use of EHRs also introduces unique and often unexpected patient safety risks. Proactive assessment of risks and vulnerabilities can help address potential EHR-...

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Autores principales: Singh, Hardeep, Ash, Joan S, Sittig, Dean F
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3639028/
https://www.ncbi.nlm.nih.gov/pubmed/23587208
http://dx.doi.org/10.1186/1472-6947-13-46
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author Singh, Hardeep
Ash, Joan S
Sittig, Dean F
author_facet Singh, Hardeep
Ash, Joan S
Sittig, Dean F
author_sort Singh, Hardeep
collection PubMed
description BACKGROUND: Implementation and use of electronic health records (EHRs) could lead to potential improvements in quality of care. However, the use of EHRs also introduces unique and often unexpected patient safety risks. Proactive assessment of risks and vulnerabilities can help address potential EHR-related safety hazards before harm occurs; however, current risk assessment methods are underdeveloped. The overall objective of this project is to develop and validate proactive assessment tools to ensure that EHR-enabled clinical work systems are safe and effective. METHODS/DESIGN: This work is conceptually grounded in an 8-dimension model of safe and effective health information technology use. Our first aim is to develop self-assessment guides that can be used by health care institutions to evaluate certain high-risk components of their EHR-enabled clinical work systems. We will solicit input from subject matter experts and relevant stakeholders to develop guides focused on 9 specific risk areas and will subsequently pilot test the guides with individuals representative of likely users. The second aim will be to examine the utility of the self-assessment guides by beta testing the guides at selected facilities and conducting on-site evaluations. Our multidisciplinary team will use a variety of methods to assess the content validity and perceived usefulness of the guides, including interviews, naturalistic observations, and document analysis. The anticipated output of this work will be a series of self-administered EHR safety assessment guides with clear, actionable, checklist-type items. DISCUSSION: Proactive assessment of patient safety risks increases the resiliency of health care organizations to unanticipated hazards of EHR use. The resulting products and lessons learned from the development of the assessment guides are expected to be helpful to organizations that are beginning the EHR selection and implementation process as well as those that have already implemented EHRs. Findings from our project, currently underway, will inform future efforts to validate and implement tools that can be used by health care organizations to improve the safety of EHR-enabled clinical work systems.
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spelling pubmed-36390282013-04-30 Safety Assurance Factors for Electronic Health Record Resilience (SAFER): study protocol Singh, Hardeep Ash, Joan S Sittig, Dean F BMC Med Inform Decis Mak Study Protocol BACKGROUND: Implementation and use of electronic health records (EHRs) could lead to potential improvements in quality of care. However, the use of EHRs also introduces unique and often unexpected patient safety risks. Proactive assessment of risks and vulnerabilities can help address potential EHR-related safety hazards before harm occurs; however, current risk assessment methods are underdeveloped. The overall objective of this project is to develop and validate proactive assessment tools to ensure that EHR-enabled clinical work systems are safe and effective. METHODS/DESIGN: This work is conceptually grounded in an 8-dimension model of safe and effective health information technology use. Our first aim is to develop self-assessment guides that can be used by health care institutions to evaluate certain high-risk components of their EHR-enabled clinical work systems. We will solicit input from subject matter experts and relevant stakeholders to develop guides focused on 9 specific risk areas and will subsequently pilot test the guides with individuals representative of likely users. The second aim will be to examine the utility of the self-assessment guides by beta testing the guides at selected facilities and conducting on-site evaluations. Our multidisciplinary team will use a variety of methods to assess the content validity and perceived usefulness of the guides, including interviews, naturalistic observations, and document analysis. The anticipated output of this work will be a series of self-administered EHR safety assessment guides with clear, actionable, checklist-type items. DISCUSSION: Proactive assessment of patient safety risks increases the resiliency of health care organizations to unanticipated hazards of EHR use. The resulting products and lessons learned from the development of the assessment guides are expected to be helpful to organizations that are beginning the EHR selection and implementation process as well as those that have already implemented EHRs. Findings from our project, currently underway, will inform future efforts to validate and implement tools that can be used by health care organizations to improve the safety of EHR-enabled clinical work systems. BioMed Central 2013-04-12 /pmc/articles/PMC3639028/ /pubmed/23587208 http://dx.doi.org/10.1186/1472-6947-13-46 Text en Copyright © 2013 Singh et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Study Protocol
Singh, Hardeep
Ash, Joan S
Sittig, Dean F
Safety Assurance Factors for Electronic Health Record Resilience (SAFER): study protocol
title Safety Assurance Factors for Electronic Health Record Resilience (SAFER): study protocol
title_full Safety Assurance Factors for Electronic Health Record Resilience (SAFER): study protocol
title_fullStr Safety Assurance Factors for Electronic Health Record Resilience (SAFER): study protocol
title_full_unstemmed Safety Assurance Factors for Electronic Health Record Resilience (SAFER): study protocol
title_short Safety Assurance Factors for Electronic Health Record Resilience (SAFER): study protocol
title_sort safety assurance factors for electronic health record resilience (safer): study protocol
topic Study Protocol
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3639028/
https://www.ncbi.nlm.nih.gov/pubmed/23587208
http://dx.doi.org/10.1186/1472-6947-13-46
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