Evidence map›Paper›PMID 41585299›Full record

ArticleDigital health

Patient safety incidents associated with EMR use: Results of a national survey of Swiss physicians.

David Schwappach, Wolf Hautz, Gert Krummrey, Yvonne Pfeiffer, Raj Ratwani

Abstract read
In one paragraph

Article in Digital health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
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0citing papers in PubMed
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1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

David SchwappachInstitute of Social and Preventive Medicine (ISPM), University Bern, Bern, Switzerland.ORCID https://orcid.org/0000-0001-8668-3065
Wolf HautzDepartment of Emergency Medicine, Inselspital University Hospital, University of Bern, Bern, Switzerland.
Gert KrummreyInstitute for Medical Informatics (I4MI), Bern University of Applied Sciences (BFH), Biel/Bienne, Switzerland.
Yvonne PfeifferHarmfree Healthcare, Wädenswil, Switzerland.
Raj RatwaniMedStar Health National Center for Human Factors in Healthcare and Georgetown University School of Medicine, Washington, DC, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Electronic medical records (EMRs) are increasingly recognized as a contributing factor to patient safety incidents. Clinicians' experiences can reveal EMR-related risks that may otherwise go unnoticed. This study explores EMR-related patient safety incidents reported by physicians across diverse care settings, institutions, and EMR products. Methods: A national sample of Swiss physicians was surveyed online and asked whether they had experienced a patient safety incident related to EMR use within the previous four weeks. Free-text descriptions of incidents were analyzed thematically using a structured, multi-step procedure. Results: Of the 1933 inpatient and outpatient physicians who completed the survey, 23.9% ( Conclusions: Physicians reported a broad range of EMR-related safety problems, particularly related to ordering functionalities and usability, many of which were not formally recorded. In addition to broader socio-technical strategies, such as user training, incident reporting, and alignment with clinical workflows, systematically incorporating clinicians' experiences into EMR design is required to guide advancements in patient safety.

Indexed as

Electronic medical recordincident reportingpatient safetysurveyusability

Identifiers

PMID41585299
PMCPMC12827915

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Registered trials

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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.