Evidence map›Paper›PMID 22080284›Full record

ArticleJournal of patient safety2011

Creating an oversight infrastructure for electronic health record-related patient safety hazards.

Hardeep Singh, David C Classen, Dean F Sittig

Abstract read
In one paragraph

Article in Journal of patient safety, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. Article
  3. Article
  4. Article
  5. Article
  6. The complex case of EHRs: examining the factors impacting the EHR user experience.Journal of the American Medical Informatics Association : JAMIA · 2019
    Article
  7. Article
  8. Electronic Health Records: Then, Now, and in the Future.Yearbook of medical informatics · 2016
    Review
  9. Article
  10. Technology, cognition and error.BMJ quality & safety · 2015
    Article
  11. Patient safety goals for the proposed Federal Health Information Technology Safety Center.Journal of the American Medical Informatics Association : JAMIA · 2015
    Article
  12. Article
  13. Review
  14. Review
  15. Electronic health records and national patient-safety goals.The New England journal of medicine · 2012
    Article
  16. Rights and responsibilities of users of electronic health records.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2012
    Article
  17. The dangerous decade.Journal of the American Medical Informatics Association : JAMIA
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Hardeep SinghHouston VA Health Services Research and Development Center of Excellence, Texas, USA.
David C Classen
Dean F Sittig

Funding

Unintended Consequences of Physician Order EntryR01LM006942 · NLM · OREGON HEALTH & SCIENCE UNIVERSITY · PI ASH, JOAN S. · 2000 to 2010
$4.0M
Reducing Missed And Delayed Diagnoses In Cancer: Lessons From AviationK23CA125585 · NCI · BAYLOR COLLEGE OF MEDICINE · PI SINGH, HARDEEP · 2007 to 2011
$709k
NCI NIH HHS K23 CA125585NCI NIH HHS K23CA125585NLM NIH HHS R01 LM006942NLM NIH HHS R01-LM006942
6 · The paper itself

Abstract

Electronic health records (EHRs) have potential quality and safety benefits. However, reports of EHR-related safety hazards are now emerging. The Office of the National Coordinator for Health Information Technology recently sponsored an Institute of Medicine committee to evaluate how health information technology use affects patient safety. In this article, we propose the creation of a national EHR oversight program to provide dedicated surveillance of EHR-related safety hazards and to promote learning from identified errors, close calls, and adverse events. The program calls for data gathering, investigation/analysis, and regulatory components. The first 2 functions will depend on institution-level EHR safety committees that will investigate all known EHR-related adverse events and near-misses and report them nationally using standardized methods. These committees should also perform routine safety self-assessments to proactively identify new risks. Nationally, we propose the long-term creation of a centralized, nonpartisan board with an appropriate legal and regulatory infrastructure to ensure the safety of EHRs. We discuss the rationale of the proposed oversight program and its potential organizational components and functions. These include mechanisms for robust data collection and analyses of all safety concerns using multiple methods that extend beyond reporting, multidisciplinary investigation of selected high-risk safety events, and enhanced coordination with other national agencies to facilitate broad dissemination of hazards information. Implementation of this proposed infrastructure can facilitate identification of EHR-related adverse events and errors and potentially create a safer and more effective EHR-based health care delivery system.

Indexed as

Health PolicyPatient CareData CollectionElectronic Health RecordsGovernment RegulationHumansNational Academies of Science, Engineering, and Medicine, U.S., Health and Medicine DivisionPopulation SurveillanceProgram DevelopmentProgram EvaluationSafety ManagementUnited StatesUnited States Department of Veterans Affairs

Identifiers

PMID22080284
PMCPMC3677059

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.