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COMMENTARY Safe Electronic Health Record Use Requires a Comprehensive Monitoring and Evaluation Framework tial safety hazards that result from inadequate design, Dean F. Sittig, PhD development, implementation, or use of EHRs. Koppel and David C. Classen, MD Kreda state that many EHR vendors legally limit the abil- ity of their clients to publically report these types of prob- ECENT PASSAGE OF THE AMERICAN REINVESTMENT lems. Such a national EHR hazard reporting system, and Recovery Act (ARRA) increases pressure on described in detail by Walker et al, could increase aware- health care practitioners and organizations to imple- ness of safety concerns among users as well as help ven- Rment currently available electronic health records dors identify items that need their attention. This report- (EHRs). Research and experience gained to date show that ing system might be operationalized through the new such implementation efforts are difficult, costly, time- patient safety organization statute and associated Agency consuming, and fraught with many unintended conse- for Healthcare Research and Quality (AHRQ) common quences. Evaluation of these systems after implementa- reporting formats. tion suggests that they do not routinely meet safety standards of other safety-critical industries. The aggressive timeline Enhanced EHR Certification proposed in the
JAMA – American Medical Association
Published: Feb 3, 2010
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