ArticleJAMA network open2020
National Trends in the Safety Performance of Electronic Health Record Systems From 2009 to 2018.
Article in JAMA network open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.
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Who cites it
34 citing papers in PubMed, 1 synthesis or guideline pooled it, 82 citations in OpenAlex.
- Common Barriers to Reporting Medical Errors.TheScientificWorldJournal · 2021Pooled it
- Association of Hospital Public Quality Reporting With Electronic Health Record Medication Safety Performance.JAMA network open · 2021Trial
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- Assessing Medication CDS Usability: Pilot Results from 10 Outpatient Clinics.Applied clinical informatics · 2025Article
- Electronic health record market consolidation and implications for cybersecurity.Health affairs scholar · 2025Article
- Medication safety analysis of elderly inpatients based on improved functional resonance analysis method (FRAM): a mixed methods study.Scientific reports · 2025Article
- Implementation and delivery of electronic health records training programs for nurses working in inpatient settings: a scoping review.Journal of the American Medical Informatics Association : JAMIA · 2024Article
- Perceptions of hospital electronic health record (EHR) training, support, and patient safety by staff position and tenure.BMC health services research · 2024Article
- Electronic Health Record Usability, Satisfaction, and Burnout for Family Physicians.JAMA network open · 2024Article
- Article
- Moving Beyond Medical Statistics: A Systematic Review on Missing Data Handling in Electronic Health Records.Health data science · 2024Review
- How Safe are Outpatient Electronic Health Records? An Evaluation of Medication-Related Decision Support using the Ambulatory Electronic Health Record Evaluation Tool.Applied clinical informatics · 2023Article
- Inpatient EHR User Experience and Hospital EHR Safety Performance.JAMA network open · 2023Article
- Trends in US Hospital Electronic Health Record Vendor Market Concentration, 2012-2021.Journal of general internal medicine · 2023Article
- Evaluation Methods in Clinical Health Technologies: A Systematic Review.Iranian journal of public health · 2023Review
- Examining medication ordering errors using AHRQ network of patient safety databases.Journal of the American Medical Informatics Association : JAMIA · 2023Observational
- Bending the patient safety curve: how much can AI help?NPJ digital medicine · 2023Article
- Failure in Medical Practice: Human Error, System Failure, or Case Severity?Healthcare (Basel, Switzerland) · 2022Article
- Association Between Electronic Health Record Time and Quality of Care Metrics in Primary Care.JAMA network open · 2022Article
- Development and pilot evaluation of an electronic health record usability and safety self-assessment tool.JAMIA open · 2022Article
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Authors and funding
7 authors at 4 institutions in 1 country.
Funding
Abstract
Importance: Despite the broad adoption of electronic health record (EHR) systems across the continuum of care, safety problems persist. Objective: To measure the safety performance of operational EHRs in hospitals across the country during a 10-year period. Design, Setting, and Participants: This case series included all US adult hospitals nationwide that used the National Quality Forum Health IT Safety Measure EHR computerized physician order entry safety test administered by the Leapfrog Group between 2009 and 2018. Data were analyzed from July 1, 2018 to December 1, 2019. Exposure: The Health IT Safety Measure test, which uses simulated medication orders that have either injured or killed patients previously to evaluate how well hospital EHRs could identify medication errors with potential for patient harm. Main Outcomes and Measures: Descriptive statistics for performance on the assessment test over time were calculated at the overall test score level, type of decision support category level, and EHR vendor level. Results: Among 8657 hospital-years observed during the study, mean (SD) scores on the overall test increased from 53.9% (18.3%) in 2009 to 65.6% (15.4%) in 2018. Mean (SD) hospital score for the categories representing basic clinical decision support increased from 69.8% (20.8%) in 2009 to 85.6% (14.9%) in 2018. For the categories representing advanced clinical decision support, the mean (SD) score increased from 29.6% (22.4%) in 2009 to 46.1% (21.6%) in 2018. There was considerable variation in test performance by EHR. Conclusions and Relevance: These findings suggest that despite broad adoption and optimization of EHR systems in hospitals, wide variation in the safety performance of operational EHR systems remains across a large sample of hospitals and EHR vendors. Hospitals using some EHR vendors had significantly higher test scores. Overall, substantial safety risk persists in current hospital EHR systems.
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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.