ArticleJournal of the American Medical Informatics Association : JAMIA2017
Testing electronic health records in the "production" environment: an essential step in the journey to a safe and effective health care system.
Article in Journal of the American Medical Informatics Association : JAMIA, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis 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
22 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Successfully implementing a national electronic health record: a rapid umbrella review.International journal of medical informatics · 2020Pooled it
- Bridging Global Frameworks and Local Practice: Quantitative Evaluation of Electronic Health Record Safety in Kuwait's Public Hospitals.JMIR medical informatics · 2025Article
- Strategies used to detect and mitigate system-related errors over time: A qualitative study in an Australian health district.BMC health services research · 2024Article
- Interprofessional Evaluation of a Medication Clinical Decision Support System Prior to Implementation.Applied clinical informatics · 2024Article
- Five Strategies for a Safer EHR Modernization Journey.Journal of general internal medicine · 2023Article
- Applying requisite imagination to safeguard electronic health record transitions.Journal of the American Medical Informatics Association : JAMIA · 2022Article
- Recommendations for the safe, effective use of adaptive CDS in the US healthcare system: an AMIA position paper.Journal of the American Medical Informatics Association : JAMIA · 2021Article
- Algorithmic Detection of Boolean Logic Errors in Clinical Decision Support Statements.Applied clinical informatics · 2021Article
- Outcomes of the Deployment of the Auto-Visual Acute Flaccid Paralysis Detection and Reporting (AVADAR) System for Strengthening Polio Surveillance in Africa From 2017 to 2018: Evaluation Study.JMIR public health and surveillance · 2020Article
- Reducing Alert Burden in Electronic Health Records: State of the Art Recommendations from Four Health Systems.Applied clinical informatics · 2020Article
- Implementation of electronic medical records at an Emergency Medicine Department in Tanzania: The information technology perspective.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2019Article
- Review
- Looking Behind the Curtain: Identifying Factors Contributing to Changes on Care Outcomes During a Large Commercial EHR Implementation.EGEMS (Washington, DC) · 2019Article
- Understanding CancelRx: Results of End-to-End Functional Testing, Proactive Risk Assessment, and Pilot Implementation.Applied clinical informatics · 2019Article
- Smashing the strict hierarchy: three cases of clinical decision support malfunctions involving carvedilol.Journal of the American Medical Informatics Association : JAMIA · 2018Article
- Best practices for preventing malfunctions in rule-based clinical decision support alerts and reminders: Results of a Delphi study.International journal of medical informatics · 2018Article
- Development and evaluation of a novel user interface for reviewing clinical microbiology results.Journal of the American Medical Informatics Association : JAMIA · 2018Article
- Design and Implementation of a Pediatric ICU Acuity Scoring Tool as Clinical Decision Support.Applied clinical informatics · 2018Article
- Clinical decision support alert malfunctions: analysis and empirically derived taxonomy.Journal of the American Medical Informatics Association : JAMIA · 2018Article
- Who Watches the Watchers. Working Towards Safety for EHR Knowledge Resources.Applied clinical informatics · 2017Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
Abstract
Thorough and ongoing testing of electronic health records (EHRs) is key to ensuring their safety and effectiveness. Many health care organizations limit testing to test environments separate from, and often different than, the production environment used by clinicians. Because EHRs are complex hardware and software systems that often interact with other hardware and software systems, no test environment can exactly mimic how the production environment will behave. An effective testing process must integrate safely conducted testing in the production environment itself, using test patients. We propose recommendations for how to safely incorporate testing in production into current EHR testing practices, with suggestions regarding the incremental release of upgrades, test patients, tester accounts, downstream personnel, and reporting.
Indexed as
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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.