Evidence map›Paper›PMID 23355463›Full record

GuidelineJournal of the American Medical Informatics Association : JAMIA2013

Enhancing patient safety and quality of care by improving the usability of electronic health record systems: recommendations from AMIA.

Blackford Middleton, Meryl Bloomrosen, Mark A Dente, Bill Hashmat, Ross Koppel, J Marc Overhage, Thomas H Payne, S Trent Rosenbloom, Charlotte Weaver, Jiajie Zhang and 1 more

Registry-linked trialOpen access · bronzeAbstract readGuideline
In one paragraph

Guideline in Journal of the American Medical Informatics Association : JAMIA, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03911687 (Communicating Narrative Concerns Entered by RNs), which is not on this map. Cited by 231 papers, 12 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
231citing papers in PubMed, 12 pooled it
106.8field-weighted citation impact, top 1% of its field
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.

NCT03911687 nacompletednot on this mapstarted 2020, after this paper: background citation

Communicating Narrative Concerns Entered by RNs (CONCERN) Clinical Decision Support (CDS) System

TypeinterventionalSponsorColumbia UniversityRan2020 to 2022Enrolled60,893ConditionsHospital Acquired ConditionArmsCONCERN CDS system notification
3 · Its place in the literature

Who cites it

231 citing papers in PubMed, 12 syntheses or guidelines pooled it, 624 citations in OpenAlex.

  1. Pooled it
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  10. An appraisal of published usability evaluations of electronic health records via systematic review.Journal of the American Medical Informatics Association : JAMIA · 2017
    Pooled it
  11. Pooled it
  12. Pooled it
  13. Trial
  14. Effect of digital tools to promote hospital quality and safety on adverse events after discharge.Journal of the American Medical Informatics Association : JAMIA · 2024
    Trial
  15. Trial
  16. Trial
  17. Article
  18. Impact of Emerging Technologies on Outpatient Care Quality: Mixed Methods Study.JMIR rehabilitation and assistive technologies · 2026
    Review
  19. Article
  20. Article

171 more citing papers are in PubMed but not listed here.

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

11 authors at 6 institutions in 1 country.

Blackford MiddletonClinical Informatics Research and Development, Partners HealthCare System, Harvard Medical School, Wellesley, Massachusetts 02481, USA. bmiddleton1@partners.org
Meryl Bloomrosen
Mark A Dente
Bill Hashmat
Ross Koppel
J Marc Overhage
Thomas H Payne
S Trent Rosenbloom
Charlotte Weaver
Jiajie Zhang
American Medical Informatics Association
American Medical Informatics Association · USHarvard University · USSiemens Healthcare (United States) · USThe University of Texas Health Science Center at Houston · USUniversity of Pennsylvania · USVanderbilt University Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In response to mounting evidence that use of electronic medical record systems may cause unintended consequences, and even patient harm, the AMIA Board of Directors convened a Task Force on Usability to examine evidence from the literature and make recommendations. This task force was composed of representatives from both academic settings and vendors of electronic health record (EHR) systems. After a careful review of the literature and of vendor experiences with EHR design and implementation, the task force developed 10 recommendations in four areas: (1) human factors health information technology (IT) research, (2) health IT policy, (3) industry recommendations, and (4) recommendations for the clinician end-user of EHR software. These AMIA recommendations are intended to stimulate informed debate, provide a plan to increase understanding of the impact of usability on the effective use of health IT, and lead to safer and higher quality care with the adoption of useful and usable EHR systems.

Indexed as

Patient SafetyCommerceHealth PolicyHumansMedical ErrorsMedical InformaticsMedical Records Systems, ComputerizedSocieties, MedicalUnited StatesUser-Computer InterfaceClinical InformaticsElectronic Health RecordsHealth Information TechnologyHuman FactorsMedical ErrorUsability

Identifiers

PMID23355463
PMCPMC3715367
OpenAlexW2150290401

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.