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E-grāmata: SAFER Electronic Health Records: Safety Assurance Factors for EHR Resilience [Taylor & Francis e-book]

Edited by (Baylor College of Medicine, Waco, Texas, USA), Edited by (University of Texas Health Science Center, Houston, USA)
  • Formāts: 506 pages, 16 Illustrations, black and white
  • Izdošanas datums: 14-Apr-2015
  • Izdevniecība: Apple Academic Press Inc.
  • ISBN-13: 9780429152559
  • Taylor & Francis e-book
  • Cena: 209,00 €*
  • * this price gives unlimited concurrent access for unlimited time
  • Standarta cena: 298,57 €
  • Ietaupiet 30%
  • Formāts: 506 pages, 16 Illustrations, black and white
  • Izdošanas datums: 14-Apr-2015
  • Izdevniecība: Apple Academic Press Inc.
  • ISBN-13: 9780429152559
This important volume provide a one-stop resource on the SAFER Guides along with the guides themselves and information on their use, development, and evaluation. The Safety Assurance Factors for EHR Resilience (SAFER) guides, developed by the editors of this book, identify recommended practices to optimize the safety and safe use of electronic health records (EHRs). These guides are designed to help organizations self-assess the safety and effectiveness of their EHR implementations, identify specific areas of vulnerability, and change their cultures and practices to mitigate risks.





This book provides EHR designers, developers, implementers, users, and policymakers with the requisite historical context, clinical informatics knowledge, and real-world, practical guidance to enable them to utilize the SAFER Guides to proactively assess the safety and effectiveness of their electronic health records EHR implementations.





The first five chapters are designed to provide readers with the conceptual knowledge required to understand why and how the guides were developed. The next nine chapters focus on the underlying informatics concepts, key research activities, and methods used to develop each of the guides. Each of these chapters concludes with a copy of the guide itself. The final chapter provides a vision for the future and the work required to ensure that future generations of EHRs are designed, developed, implemented, and used to improve the overall safety of the EHR-enabled healthcare system.





Taken together, the information provided in this book should help any organization, whether large or small, implement its EHR program and improve the safety and effectiveness of its existing EHR-enabled healthcare systems.





This volume will be extremely valuable to small, ambulatory physician practices and larger outpatient settings as well as for hospitals and professors and instructors charged with teaching safe and effective implementation and use of EHRs. It will also be highly useful for health information technology professionals responsible for maintaining a safe and effective EHR and for clinical and administrative staff working in EHR-enabled healthcare systems.
Acknowledgment and How to Cite xi
List of Contributors xiii
Introduction xvii
1 The Context of EHR Safety and the Need for Risk Assessment 1(32)
Defining Health Information Technology-related Errors: New Developments Since To Err Is Human
1(9)
Dean F. Sittig
Hardeep Singh
Eight Rights of Safe Electronic Health Record Use
10(7)
Dean F. Sittig
Hardeep Singh
Electronic Health Record—Related Safety Concerns: A Cross-Sectional Survey
17(16)
Shailaja Menon
Hardeep Singh
Ashley N.D. Meyer
Elisabeth Belmont
Dean F. Sittig
2 Analysis of EHR Safety 33(56)
Review of Reported Clinical Information System Adverse Events in US Food and Drug Administration Databases
33(18)
Risa B. Myers
Stephen L. Jones
Dean F. Sittig
Exploring the Sociotechnical Intersection of Patient Safety and Electronic Health Record Implementation
51(18)
Derek W. Meeks
Amirhossein Takian
Dean F. Sittig
Hardeep Singh
Nick Barber
An Analysis of Electronic Health Record-Related Patient Safety Concerns
69(20)
Derek W. Meeks
Michael W. Smith
Lesley Taylor
Dean F. Sittig
Jeanie Scott
Hardeep Singh
3 User Context of Safe and Effective EHR Use 89(16)
Rights and Responsibilities of Electronic Health Record Users
89(9)
Dean F. Sittig
Hardeep Singh
Rights and Responsibilities of ERR Users Caring for Children
98(7)
Dean F. Sittig
Hardeep Singh
Christopher A. Longhurst
4 Conceptual Foundation of SAFER Guides 105(32)
A New Socio-technical Model for Studying Health Information Technology in Complex Adaptive Healthcare Systems
105(19)
Dean F. Sittig
Hardeep Singh
Electronic Health Records and National Patient Safety Goals
124(13)
Dean F. Sittig
Hardeep Singh
5 SAFER Guide Development Methods 137(16)
Safety Assurance Factors for Electronic Health Record Resilience (SAFER): Study Protocol
137(16)
Hardeep Singh
Joan S. Ash
Dean F. Sittig
6 Overview of SAFER Guides 153(34)
The SAFER Guides: Empowering Organizations to Improve the Safety and Effectiveness of Electronic Health Records
153(9)
Dean F. Sittig
Joan S. Ash
Hardeep Singh
A Red-Flag Based Approach to Risk Management of EHR-Related Safety Concerns
162(12)
Dean F. Sittig
Hardeep Singh
High Priority Practices for EHR Safety
174(13)
SAFER Guides
7 Mitigating EHR Downtimes 187(22)
Contingency Planning for Electronic Health Record-based Care Continuity: A Survey of Recommended Practices
187(15)
Dean F. Sittig
Daniel Gonzalez
Hardeep Singh
Downtime
202(7)
SAFER Guides
8 Safely Configuring and Maintaining EHRs and System-to-System Interfaces 209(36)
Field Study of the System Interfaces SAFER Guide
209(15)
Rodney E. Howell
Hardeep Singh
Dean F. Sittig
System-System Interfaces
224(9)
SAFER Guides
Hardware/Software Configuration
233(12)
SAFER Guides
9 Assessment of Patient Identification Related Practices 245(22)
Matching Identifiers in Electronic Health Records: Implications for Duplicate Records and Patient Safety
245(11)
Allison B. McCoy
Adam Wright
Michael G. Kahn
Jason S. Shapiro
Elmer V. Bernstam
Dean F. Sittig
SAFER Self-Assessment: Patient Identification
256(11)
SAFER Guides
10 Assessment of Computer-based Provider Order Entry with Clinical Decision Support 267(34)
Development and Field Testing of a Self-Assessment Guide for Computer-Based Provider Order Entry
267(18)
Carl V. Vartian
Hardeep Singh
Elise Russo
Dean F. Sittig
Computerized Provider Order Entry with Clinical Decision Support
285(16)
SAFER Guides
11 Assessment of Diagnostic Test Result Reporting and Follow-Up 301(40)
Improving Follow-Up of Abnormal Cancer Screens Using Electronic Health Records: Trust but Verify Test Result Communication
301(18)
Hardeep Singh
Lindsey Wilson
Laura A. Petersen
Mona K. Sawhney
Brian Reis
Donna Espadas
Dean F. Sittig
Improving Test Result Follow-up through Electronic Health Records Requires More than Just an Alert
319(7)
Dean F. Sittig
Hardeep Singh
Ten Strategies to Improve Management of Abnormal Test Result Alerts in the Electronic Health Record
326(15)
Hardeep Singh
Lindsey Wilson
Brian Reis
Mona K. Sawhney
Donna Espadas
Dean F. Sittig
SAFER Self-Assessment Guide: Test Result Reporting and Follow-up
SAFER Guides
12 Assessment of Clinician-to-Clinician E-Communication 341(26)
Improving the Effectiveness of Electronic Health Record-Based Referral Processes
341(17)
Adol Esquivel
Dean F. Sittig
Daniel R. Murphy
Hardeep Singh
SAFER Self-Assessment Guide: Clinician Communication
358(9)
SAFER Guides
13 Assessment of Handheld Computing Devices 367(16)
Sociotechnical Evaluation of the Safety and Effectiveness of Point-of-Care Mobile Computing Devices: A Case Study Conducted in India
367(16)
Dean F. Sittig
Kanav Kahol
Hardeep Singh
14 Increasing Resilience in an EHR-Enabled Healthcare Organization 383(46)
Resilient Practices in Maintaining Safety of Health Information Technologies
383(33)
Michael W. Smith
Joan S. Ash
Dean F. Sittig
Hardeep Singh
SAFER Self-Assessment Guide: Organizational Activities and Responsibilities for Electronic Health Record (ERR) Safety
416(13)
SAFER Guides
15 Creating an Oversight Infrastructure for EHR Safety 429(28)
Creating an Oversight Infrastructure for Electronic Health Record-Related Patient Safety Hazards
429(14)
Hardeep Singh
David C. Classen
Dean F. Sittig
Patient Safety Goals for the Proposed Federal Health Information Technology Safety Center
443(14)
Dean F. Sittig
David C. Classen
Hardeep Singh
Author Notes 457(10)
Index 467
Dean F. Sittig, PhD, is a professor at the School of Biomedical Informatics at The University of Texas Health Science Center at Houston and a member of the UT Houston-Memorial Hermann Center for Healthcare Quality and Safety, Houston, Texas. Dr. Sittigs research interests center on the design, development, implementation, and evaluation of all aspects of clinical information systems. In addition to Dr. Sittigs work on measuring the impact of clinical information systems on a large scale, he is working to improve our understanding of both the factors that lead to success, as well as the unintended consequences associated with computer-based clinical decision support and provider order entry systems. He is the co-author of three award-winning books from the Healthcare Information and Management Systems Society.





Hardeep Singh, MD, MPH, is chief of the Health Policy, Quality & Informatics program at the Houston Veterans Affairs Center for Innovations in Quality, Effectiveness and Safety, Houston, Texas, and associate professor of medicine at Baylor College of Medicine in Houston, Texas. He is a practicing internist and conducts multidisciplinary research on patient safety improvement in electronic health record-based clinical settings. Dr. Singh received the Academy-Health 2012 Alice S. Hersh New Investigator Award for high-impact research of international significance. In April 2014, he received the prestigious Presidential Early Career Award for Scientists and Engineers from President Obama for his pioneering work in the field of diagnostic errors and patient safety improvement.