Hospital clinicians’ EHR 'workarounds' pose risk to patient safety and quality, study finds

FierceHealthcare | March 11, 2019

Hospital clinicians’ EHR 'workarounds' pose risk to patient safety and quality, study finds
Frustrated with the design and usability of inpatient electronic health record (EHR) systems, hospital care teams frequently use handwritten notes and verbal comments to communicate patient information, posing a threat to patient safety and the quality of care, a study finds. In a recent study published in PLOS, researchers found widespread frustration and concerns among hospital clinicians about the design and usability of EHRs, particularly with the handoff process. Care teams also voiced frustration with how information is accessed and presented in EHRs. The study, which focused on the use of an Epic EHR system at a major teaching hospital, also found a high degree of variance in how clinicians use EHRs during morning rounds—most used the EHR before entering the patients’ room but only sometimes in the room. Only about half of attending clinicians, residents, interns and physician assistants use the EHR after leaving the patients’ room, the study found.

Spotlight

ECRI Institute is providing this abridged version of its 2018 Top 10 list of health technology hazards as a free public service to inform healthcare facilities about important safety issues involving the use of medical devices and systems. The full report—including detailed problem descriptions and ECRI Institute’s step-by-step recommendations for addressing the hazards—is available to members of certain ECRI Institute programs through their membership web pages.


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FUTURE OF HEALTHCARE

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Spotlight

ECRI Institute is providing this abridged version of its 2018 Top 10 list of health technology hazards as a free public service to inform healthcare facilities about important safety issues involving the use of medical devices and systems. The full report—including detailed problem descriptions and ECRI Institute’s step-by-step recommendations for addressing the hazards—is available to members of certain ECRI Institute programs through their membership web pages.

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