Enhancing patient safety and quality of care by improving the usability of electronic health record systems: recommendations from AMIA

被引：365

作者：

Middleton, Blackford ^{[1
]}

Bloomrosen, Meryl ^{[2
]}

Dente, Mark A. ^{[3
]}

Hashmat, Bill ^{[4
]}

Koppel, Ross ^{[5
]}

Overhage, J. Marc ^{[6
]}

Payne, Thomas H. ^{[7
]}

Rosenbloom, S. Trent ^{[8
]}

Weaver, Charlotte ^{[9
]}

Zhang, Jiajie ^{[10
]}

机构：

[1] Harvard Univ, Sch Med, Partners HealthCare Syst, Wellesley, MA USA

[2] AMIA, Bethesda, MD USA

[3] GE Healthcare IT, Boston, MA USA

[4] CureMD, New York, NY USA

[5] Univ Penn, Dept Sociol, Philadelphia, PA 19104 USA

[6] Siemens Hlth Serv HS, Business Unit, Malvern, PA USA

[7] UW Med, Informat Technol Serv, Seattle, WA USA

[8] Vanderbilt Univ, Med Ctr, Dept Biomed Informat, Nashville, TN USA

[9] Gentiva Hlth Serv, Sch Biomed Informat, Atlanta, GA USA

[10] Univ Texas Hlth Sci Ctr Houston, Houston, TX USA

来源：

JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION | 2013年 / 20卷 / E1期

关键词：

PHYSICIAN ORDER ENTRY; INFORMATION-TECHNOLOGY; UNINTENDED CONSEQUENCES; ALERTS; IMPACT; PERFORMANCE; DESIGN; MODEL; EHR; IMPLEMENTATION;

D O I：

10.1136/amiajnl-2012-001458

中图分类号：

TP [自动化技术、计算机技术];

学科分类号：

0812 ;

摘要：

In response to mounting evidence that use of electronic medical record systems may cause unintended consequences, and even patient harm, the AMIA Board of Directors convened a Task Force on Usability to examine evidence from the literature and make recommendations. This task force was composed of representatives from both academic settings and vendors of electronic health record (EHR) systems. After a careful review of the literature and of vendor experiences with EHR design and implementation, the task force developed 10 recommendations in four areas: (1) human factors health information technology (IT) research, (2) health IT policy, (3) industry recommendations, and (4) recommendations for the clinician end-user of EHR software. These AMIA recommendations are intended to stimulate informed debate, provide a plan to increase understanding of the impact of usability on the effective use of health IT, and lead to safer and higher quality care with the adoption of useful and usable EHR systems.

引用

页码：E2 / E8

页数：7

共 94 条

[31] Unintended consequences of information technologies in health care - An interactive sociotechnical analysis [J].