Using an Evidence-Based Approach to EMR Implementation to Optimize Outcomes and Avoid Unintended Consequences.
Implementation of an electronic medical record (EMR) with computerized physician order entry (CPOE) can provide an important foundation for preventing harm and improving outcomes. Incentivized by the recent economic stimulus initiative, healthcare systems are implementing vendor-based EMR systems at an unprecedented rate. Accumulating evidence suggests that local implementation decisions, rather than the specific EMR product or technology selected, are the primary drivers of the quality improvement performance of these systems. However, limited attention has been paid to effective approaches to EMR implementation. In this case report, we outline the evidence-based approach we used to make EMR implementation decisions in a pragmatic structure intended for replication at other sites.
Lucile Packard Children's Hospital and a Clinical Associate Professor of Pediatrics at Stanford University School of Medicine.
Christopher A
CA
Longhurst
Lucile Packard Children's Hospital and a Clinical Assistant Professor of Neonatology at Stanford University School of Medicine.
Jonathan P
JP
Palma
Lucile Packard Children's Hospital.
Lisa M
LM
Grisim
Lucile Packard Children's Hospital at the time of this work.
Eric
E
Widen
Lucile Packard Children's Hospital.
Melanie
M
Chan
Lucile Packard Children's Hospital and an Associate Professor of Pediatrics at Stanford University School of Medicine.
Paul J
PJ
Sharek
CDS; CPOE; Computerized physician order entry; EHR; EMR; applied clinical informatics; clinical decision support; electronic health record; electronic medical record