An analysis of more than 80,000 patient safety event reports at a large mid-Atlantic health system found 76 were caused by electronic health record systems that had stopped working, according to a recent AHRQ-funded study in Journal of the American Medical Informatics Association. In nearly three-quarters of those instances, however, correct downtime procedures either were not followed or did not exist. The most common safety incidents, recorded over a three-year period ending in January 2016, involved patient misidentification, the miscommunication of clinical information when ordering labs tests or seeking lab results and ordering incorrect medications. Study authors concluded that all facilities should reduce patient risks by developing and practicing procedures for downtimes that may occur during regular maintenance or due to equipment failures, power outages or cyber attacks. Access the abstract.
Implications of electronic health record downtime: an analysis of patient safety event reports. - PubMed - NCBI
J Am Med Inform Assoc. 2017 May 30. doi: 10.1093/jamia/ocx057. [Epub ahead of print]
Implications of electronic health record downtime: an analysis of patient safety event reports.
MATERIALS AND METHODS:
downtime, EHR; electronic health records; patient safety