Patient safety perceptions of primary care providers after implementation of an electronic medical record system.
McGuire MJ, Noronha G, Samal L, Yeh HC, Crocetti S, Kravet S. J Gen Intern Med. 2012 Aug 11; [Epub ahead of print].
Electronic medical records (EMRs) are generally perceived to improve patient safety, and prior reviews have found that EMR implementation is associated with improvement in some measures of safety and quality. This study of EMR implementation in a large primary care medical group found a positive association between implementation of a new EMR and safety culture, with sustained improvement in Safety Attitudes Questionnaire scores over a 3-year period following implementation. Interestingly, the perceived improvement in safety culture was smallest in the first year of use of the new EMR; a prior study found that 1 year of experience was necessary before primary care physicians felt a new EMR improved safety and quality.
Identifying diagnostic errors in primary care using an electronic screening algorithm.
Singh H, Thomas EJ, Khan MM, Petersen LA. Arch Intern Med. 2007;167:302-308.
Patient perceptions of mistakes in ambulatory care.
Kistler CE, Walter LC, Mitchell CM, Sloane PD. Arch Intern Med. 2010;170:1480-1487.
Exploring situational awareness in diagnostic errors in primary care.
Singh H, Davis Giardina T, Petersen LA, et al. BMJ Qual Saf. 2012;21:30-38.
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Alternatives to potentially inappropriate medications for use in e-prescribing software: triggers and treatment algorithms.
Hume AL, Quilliam BJ, Goldman R, Eaton C, Lapane KL. BMJ Qual Saf. 2011;20:875-884.