title: Electronic health record-related safety concerns: a cross-sectional survey.
abstract: Federal electronic health record (EHR)-related initiatives are leading to rapid increases in their adoption. Despite their benefits, EHRs also introduce new risks that can lead to serious safety events. We conducted a Web-based survey of the American Society for Healthcare Risk Management and the American Health Lawyers Association to elicit perceptions regarding the frequency and types of EHR-related serious safety events. We received 369 responses. The majority (66%) worked for large hospitals and health systems with varying degrees of EHR adoption. More than half (53%) of respondents reported at least one EHR-related serious safety event in the previous 5 years, and 10% reported more than 20 events. EHR workflow (63%), user familiarity with the EHR system (63%), and integration with existing systems (59%) were most frequently endorsed as variables associated with EHR-related serious safety events. Because EHR-related safety concerns are underreported, organizations should consider implementing robust measures of EHR safety within their institution as a key step for mitigating these concerns.
authors: Houston VA Center for Innovations in Quality, Effectiveness and Safety.
authors: Shailaja
authors: S
authors: Menon
authors: Hardeep
authors: H
authors: Singh
authors: Ashley N D
authors: AN
authors: Meyer
authors: Elisabeth
authors: E
authors: Belmont
authors: Dean F
authors: DF
authors: Sittig
mesh_terms: D003430:Cross-Sectional Studies; D057286:Electronic Health Records; D006801:Humans; D019300:Medical Errors / Q000706:statistics & numerical data; D061214:Patient Safety / Q000706:statistics & numerical data*; D012308:Risk Management; D011795:Surveys and Questionnaires; D014481:United States; D057188:Workflow