Q & A: What Makes A Quality EHR?

A 2016 study published in the Annals of Internal Medicine found that for every hour physicians spend with patients, they spend two hours interfacing with their electronic health records (EHR). A different study found that 14% of physicians have experienced a potential medication error due to their EHR in the past month, and another 14% of physicians said that excessive EHR alerts have caused them to overlook something important.

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Understanding of Human Over-Reliance on Technology

The implementation of information technology in medication-use systems is widely accepted as a way to reduce adverse drug events by decreasing human error (Mahoney, Berrard-Collins, Coleman, Amaral, & Cotter, 2007). Technology examples include computerized order entry systems, clinical decision support systems, robotic dispensing, profiled automated dispensing cabinets (ADCs), smart infusion pumps, and barcode scanning of medications during compounding, dispensing, ADC restocking, and administration.

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Build a Care Team

With healthcare complexity increasing daily, traditional models of delivering care fail to offer a framework capable of delivering high-quality care at a reasonable cost. The rapid expansion and evolution of medical knowledge makes it impossible for any single healthcare professional to assimilate and retain the up-to-date information necessary to properly treat patients.

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Surveillance Monitoring: Current Challenges and Solutions

Failing to recognize early signs that a patient is deteriorating and respond with effective treatment—“failure to rescue”—has long been a challenge for hospitals, particularly among low-risk patients in low-acuity care delivery areas. Failure to rescue often affects postsurgical patients on opioids, though it is not limited to this narrow patient population. To reduce its occurrence, hospitals have primarily adopted rapid response teams.

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