title: Impact of electronic health record systems on information integrity: quality and safety implications.
abstract: While the adoption of electronic health record (EHR) systems promises a number of substantial benefits, including better care and decreased healthcare costs, serious unintended consequences from the implementation of these systems have emerged. Poor EHR system design and improper use can cause EHR-related errors that jeopardize the integrity of the information in the EHR, leading to errors that endanger patient safety or decrease the quality of care. These unintended consequences also may increase fraud and abuse and can have serious legal implications. This literature review examines the impact of unintended consequences of the use of EHR systems on the quality of care and proposed solutions to address EHR-related errors. This analysis of the literature on EHR risks is intended to serve as an impetus for further research on the prevalence of these risks, their impact on quality and safety of patient care, and strategies for reducing them.
authors.affiliation: Sue Bowman, MJ, RHIA, CCS, FAHIMA, is the senior director of coding policy and compliance at AHIMA in Chicago, IL.
authors.forename: Sue
authors.initials: S
authors.lastname: Bowman
mesh_terms: D016494:Computer Security; D057286:Electronic Health Records / Q000592:standards*; D006801:Humans; D019300:Medical Errors / Q000517:prevention & control; D008490:Medical Informatics; D061214:Patient Safety; D011786:Quality Control
keywords: data integrity; electronic health records; health information technology