ArticleJournal of patient safety2019
Electronic Health Record-Related Events in Medical Malpractice Claims.
Article in Journal of patient safety, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 2 of them syntheses that pooled 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.
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.
Who cites it
39 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Speech recognition for clinical documentation from 1990 to 2018: a systematic review.Journal of the American Medical Informatics Association : JAMIA · 2019Pooled it
- Are We There Yet? Human Factors Knowledge and Health Information Technology - the Challenges of Implementation and Impact.Yearbook of medical informatics · 2017Pooled it
- The Growing Use of Copy-Paste and Its Impact on Creation and Propagation of Documentation Errors.CHEST pulmonary · 2026Article
- Analysis of Patient Safety Event Report to Understand the Contribution of Health IT to Diagnostic Error.Journal of patient safety · 2026Article
- Determinants of healthcare professionals' acceptance of DeepSeek-assisted clinical decision support applications: a cross-sectional study.BMC medical informatics and decision making · 2026Article
- Discovery of data quality issues in electronic health records: profound consequences for critical care medicine applications - a systematized review.Critical care (London, England) · 2026Review
- Voices From the Frontline: A Qualitative Study of Nurses' Experiences With Documentation and Its Influence on Patient Safety.Journal of nursing management · 2026Article
- Copy Tools in the Electronic Health Record: Perceptions, Implications, and Future Directions.JMIR medical informatics · 2025Article
- Bridging Global Frameworks and Local Practice: Quantitative Evaluation of Electronic Health Record Safety in Kuwait's Public Hospitals.JMIR medical informatics · 2025Article
- Exploring Provider Perceptions and Attitudes toward Copy-Paste and Copy-Forward in Clinical Documentation.Applied clinical informatics · 2025Article
- Narrative Review of Electronic Health Record Systems in Anesthesia: Benefits, Risks, and Medico-Legal Considerations in the United States of America.Journal of medical systems · 2025Review
- "Everything is electronic health record-driven": the role of the electronic health record in the emergency department diagnostic process.JAMIA open · 2025Article
- Re-Envisioning Electronic Health Records to Optimize Patient-Centered Cancer Care, Quality, Surveillance, and Research.JCO oncology practice · 2025Article
- Addressing Note Bloat: Solutions for Effective Clinical Documentation.Journal of the American College of Emergency Physicians open · 2025Article
- Using shared clinical decision support to reduce adverse drug events and improve patient safety.Frontiers in digital health · 2025Review
- Lessons learned in migrating from one commercial genetics clinical decision-making tool to another: Assessment of data integrity and utilization.Genetics in medicine open · 2025Article
- Association Between X/Twitter and Prescribing Behavior During the COVID-19 Pandemic: Retrospective Ecological Study.JMIR infodemiology · 2024Article
- Addressing label noise for electronic health records: insights from computer vision for tabular data.BMC medical informatics and decision making · 2024Article
- Characterization of Safety Events Involving Technology in Primary and Community Care.Applied clinical informatics · 2023Article
- Physicians' Perspectives on a Multi-Dimensional Model for the Roles of Electronic Health Records in Approaching a Proper Differential Diagnosis.Journal of personalized medicine · 2023Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThere is widespread agreement that the full potential of health information technology (health IT) has not yet been realized and of particular concern are the examples of unintended consequences of health IT that detract from the safety of health care or from the use of health IT itself. The goal of this project was to obtain additional information on these health IT-related problems, using a mixed methods (qualitative and quantitative) analysis of electronic health record-related harm in cases submitted to a large database of malpractice suits and claims.
methodsCases submitted to the CRICO claims database and coded during 2012 and 2013 were analyzed. A total of 248 cases (<1%) involving health IT were identified and coded using a proprietary taxonomy that identifies user- and system-related sociotechnical factors. Ambulatory care accounted for most of the cases (146 cases). Cases were most typically filed as a result of an error involving medications (31%), diagnosis (28%), or a complication of treatment (31%). More than 80% of cases involved moderate or severe harm, although lethal cases were less likely in cases from ambulatory settings. Etiologic factors spanned all of the sociotechnical dimensions, and many recurring patterns of error were identified.
conclusionsAdverse events associated with health IT vulnerabilities can cause extensive harm and are encountered across the continuum of health care settings and sociotechnical factors. The recurring patterns provide valuable lessons that both practicing clinicians and health IT developers could use to reduce the risk of harm in the future. The likelihood of harm seems to relate more to a patient's particular situation than to any one class of error.
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What OpenQuestion holds
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.