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Restricting the Number of Open Patient Records in the Electronic Health Record

Restricting the Number of Open Patient Records in the Electronic Health Record Opinion EDITORIAL Restricting the Number of Open Patient Records in the Electronic Health Record Is the Record Half Open or Half Closed? Robert M. Wachter, MD; Sara G. Murray, MD, MAS; Julia Adler-Milstein, PhD Over the past decade, the percentage of hospitals with The study by Adelman and colleagues in this issue of JAMA electronic health record (EHR) systems has increased from less is one of the first to use this kind of approach in addressing the than 10% to more than 90%, and the adoption curve in out- important question: What are the potential patient safety im- patient settings has been plications of allowing physicians to have multiple patient rec- similar. This means that most ords open at the same time? Based on expert opinion that us- Author Audio Interview clinical work in the United ers are more likely to make wrong-patient order mistakes if they States and in other resource- have multiple patient records open simultaneously, guide- Related article page 1780 rich countries now involves lines published by the Office of the National Coordinator for the complex interaction between clinicians and their Health Information Technology include the recommenda- digital tools. tion to limit the number of open http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

Restricting the Number of Open Patient Records in the Electronic Health Record

JAMA , Volume 321 (18) – May 14, 2019

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Publisher
American Medical Association
Copyright
Copyright 2019 American Medical Association. All Rights Reserved.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.2019.3835
Publisher site
See Article on Publisher Site

Abstract

Opinion EDITORIAL Restricting the Number of Open Patient Records in the Electronic Health Record Is the Record Half Open or Half Closed? Robert M. Wachter, MD; Sara G. Murray, MD, MAS; Julia Adler-Milstein, PhD Over the past decade, the percentage of hospitals with The study by Adelman and colleagues in this issue of JAMA electronic health record (EHR) systems has increased from less is one of the first to use this kind of approach in addressing the than 10% to more than 90%, and the adoption curve in out- important question: What are the potential patient safety im- patient settings has been plications of allowing physicians to have multiple patient rec- similar. This means that most ords open at the same time? Based on expert opinion that us- Author Audio Interview clinical work in the United ers are more likely to make wrong-patient order mistakes if they States and in other resource- have multiple patient records open simultaneously, guide- Related article page 1780 rich countries now involves lines published by the Office of the National Coordinator for the complex interaction between clinicians and their Health Information Technology include the recommenda- digital tools. tion to limit the number of open

Journal

JAMAAmerican Medical Association

Published: May 14, 2019

References