ArticleApplied clinical informatics2019
Continuing Patient Care during Electronic Health Record Downtime.
Article in Applied clinical informatics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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
14 citing papers in PubMed.
- Digital Twin-Based Virtual Hospital Platform for IT Outage Disaster Response Training: Implementation and Evaluation Study.JMIR formative research · 2026Article
- Dental and Maxillofacial Trauma During Civil Suppression: A Clinical Perspective.International dental journal · 2026Article
- Protecting Radiology Data and Devices Against Cybersecurity Threats: A Joint White Paper of the American College of Radiology (ACR) and Society for Imaging Informatics in Medicine (SIIM).Journal of imaging informatics in medicine · 2026Article
- Digital Specimen Tracking- and ISO 15189-Oriented Risk Management in Anatomic Pathology: A Qualitative Study of Expert Perspectives in Western Austria.Diagnostics (Basel, Switzerland) · 2026Article
- Pregnant women's and health workers' perceptions and experiences on the Rwandan ANC digital module intervention at selected health centres.PLOS digital health · 2026Article
- Electronic Health Record Burnout in Surgery and Strategies to Improve Burnout: A Narrative Review.Cureus · 2025Review
- Development and Evaluation of Offsite Repository for Clinical Assets, a Resilient Solution for Order Set Access during EHR Downtimes.Applied clinical informatics · 2025Article
- Electronic Health Record Downtime Events of a Hospital: A Retrospective Analysis from Adverse Event Reports.Applied clinical informatics · 2025Article
- Resilience in the Face of Disruption: Viewpoint on the CrowdStrike Incident in July 2024.JMIR medical informatics · 2025Article
- Article
- When all computers shut down: the clinical impact of a major cyber-attack on a general hospital.Frontiers in digital health · 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
- Twilighted Homegrown Systems: The Experience of Six Traditional Electronic Health Record Developers in the Post-Meaningful Use Era.Applied clinical informatics · 2020Article
- 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
6 authors.
Funding
Abstract
introductionElectronic health record (EHR) downtime is any period during which the EHR system is fully or partially unavailable. These periods are operationally disruptive and pose risks to patients. EHR downtime has not sufficiently been studied in the literature, and most hospitals are not adequately prepared.
objectiveThe objective of this study was to assess the operational implications of downtime with a focus on the clinical laboratory, and to derive recommendations for improved downtime contingency planning.
methodsA hybrid qualitative-quantitative study based on historic performance data and semistructured interviews was performed at two mid-Atlantic hospitals. In the quantitative analysis, paper records from downtime events were analyzed and compared with normal operations. To enrich this quantitative analysis, interviews were conducted with 17 hospital employees, who had experienced several downtime events, including a hospital-wide EHR shutdown.
resultsDuring downtime, laboratory testing results were delayed by an average of 62% compared with normal operation. However, the archival data were incomplete due to inconsistencies in the downtime paper records. The qualitative interview data confirmed that delays in laboratory result reporting are significant, and further uncovered that the delays are often due to improper procedural execution, and incomplete or incorrect documentation. Interviewees provided a variety of perspectives on the operational implications of downtime, and how to best address them. Based on these insights, recommendations for improved downtime contingency planning were derived, which provide a foundation to enhance
conclusionThis study documents the extent to which downtime events are disruptive to hospital operations. It further highlights the challenge of quantitatively assessing the implication of downtimes events, due to a lack of otherwise EHR-recorded data. Organizations that seek to improve and evaluate their downtime contingency plans need to find more effective methods to collect data during these times.
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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.