ArticleJournal of the American Medical Informatics Association : JAMIA2018
Implications of electronic health record downtime: an analysis of patient safety event reports.
Article in Journal of the American Medical Informatics Association : JAMIA, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
What it found
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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
18 citing papers in PubMed, 1 synthesis or guideline pooled it.
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- Electronic Health Record Downtime Events of a Hospital: A Retrospective Analysis from Adverse Event Reports.Applied clinical informatics · 2025Article
- Development and Evaluation of Offsite Repository for Clinical Assets, a Resilient Solution for Order Set Access during EHR Downtimes.Applied clinical informatics · 2025Article
- Resilience in the Face of Disruption: Viewpoint on the CrowdStrike Incident in July 2024.JMIR medical informatics · 2025Article
- Patient Care Technology Disruptions Associated With the CrowdStrike Outage.JAMA network open · 2025Article
- Digital Disasters: The Growing Threat of Healthcare Ransomware.Anesthesiology · 2025Review
- Strategy for scheduled downtime of hospital information system utilizing third-party applications.BMC medical informatics and decision making · 2024Article
- What Goes Up, Must Come Down: A State-of-the-Art Electronic Health Record Downtime and Uptime Procedure in a Metropolitan Health Setting.Applied clinical informatics · 2023Article
- IT risk management for medical devices in hospital IT networks: a catalogue of measures and indicators.BMJ health & care informatics · 2023Article
- Current challenges in health information technology-related patient safety.Health informatics journal · 2020Article
- Evaluation of Electronic Medical Record Downtime in a Busy Emergency Department.Qatar medical journal · 2020Article
- Data breach remediation efforts and their implications for hospital quality.Health services research · 2019Article
- Clinical impact of intraoperative electronic health record downtime on surgical patients.Journal of the American Medical Informatics Association : JAMIA · 2019Article
- Continuing Patient Care during Electronic Health Record Downtime.Applied clinical informatics · 2019Article
- Cyber-resilient Intensive Care Unit: Ransomware is a Patient-safety Crisis-A Resource-stratified Approach for India.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care MedicineArticle
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objective: We sought to understand the types of clinical processes, such as image and medication ordering, that are disrupted during electronic health record (EHR) downtime periods by analyzing the narratives of patient safety event report data. Materials and Methods: From a database of 80 381 event reports, 76 reports were identified as explicitly describing a safety event associated with an EHR downtime period. These reports were analyzed and categorized based on a developed code book to identify the clinical processes that were impacted by downtime. We also examined whether downtime procedures were in place and followed. Results: The reports were coded into categories related to their reported clinical process: Laboratory, Medication, Imaging, Registration, Patient Handoff, Documentation, History Viewing, Delay of Procedure, and General. A majority of reports (48.7%, n = 37) were associated with lab orders and results, followed by medication ordering and administration (14.5%, n = 11). Incidents commonly involved patient identification and communication of clinical information. A majority of reports (46%, n = 35) indicated that downtime procedures either were not followed or were not in place. Only 27.6% of incidents (n = 21) indicated that downtime procedures were successfully executed. Discussion: Patient safety report data offer a lens into EHR downtime-related safety hazards. Important areas of risk during EHR downtime periods were patient identification and communication of clinical information; these should be a focus of downtime procedure planning to reduce safety hazards. Conclusion: EHR downtime events pose patient safety hazards, and we highlight critical areas for downtime procedure improvement.
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