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Open Access 05-10-2023 | Editorial

Five Strategies for a Safer EHR Modernization Journey

Authors: Dean F. Sittig, PhD, Edward E. Yackel, DNP, Hardeep Singh, MD, MPH

Published in: Journal of General Internal Medicine | Special Issue 4/2023

Excerpt

Safely transitioning to any new electronic health record (EHR) is difficult. Large-scale EHR transitions require more time, money, and effort and pose even greater risks to patient safety. EHRs control, constrain, or at a minimum interact with nearly every aspect of our complex adaptive healthcare system. In addition to surprises, problems, and delays,¹ organizations transitioning EHRs often experience decreases in certain cost, quality, and efficiency measures for up to 2 years.² …

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Dunn Lopez K, Chin CL, Leitão Azevedo RF, Kaushik V, Roy B, Schuh W, Banks K, Sousa V, Morrow D. Electronic Health Record Usability and Workload Changes Over Time for Provider and Nursing Staff Following Transition to New EHR. Appl Ergon. 2021 May;93:103359. https://doi.org/10.1016/j.apergo.2021.103359.CrossRefPubMed

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Sittig DF, Ash JS, Wright A, Chase D, Gebhardt E, Russo EM, Tercek C, Mohan V, Singh H. How Can We Partner with Electronic Health Record Vendors on the Complex Journey to Safer Health Care? J Healthc Risk Manag. 2020 Oct;40(2):34-43. https://doi.org/10.1002/jhrm.21434.CrossRefPubMed

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Sittig DF, Gonzalez D, Singh H. Contingency Planning for Electronic Health Record-Based Care Continuity: a Survey of Recommended Practices. Int J Med Inform. 2014 Nov;83(11):797-804. https://doi.org/10.1016/j.ijmedinf.2014.07.007.CrossRefPubMed

Wright A, Aaron S, Sittig DF. Testing Electronic Health Records in the “Production” Environment: an Essential Step in the Journey to a Safe and Effective Health Care System. J Am Med Inform Assoc. 2017 Jan;24(1):188-192. https://doi.org/10.1093/jamia/ocw039.CrossRefPubMed

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10.

Sittig DF, Classen DC, Singh H. Patient Safety Goals for the Proposed Federal Health Information Technology Safety Center. J Am Med Inform Assoc. 2015 Mar;22(2):472-8. https://doi.org/10.1136/amiajnl-2014-002988.CrossRefPubMed

Title: Five Strategies for a Safer EHR Modernization Journey
Authors: Dean F. Sittig, PhD
Edward E. Yackel, DNP
Hardeep Singh, MD, MPH
Publication date: 05-10-2023
Publisher: Springer International Publishing
Published in: Journal of General Internal Medicine / Issue Special Issue 4/2023
Print ISSN: 0884-8734
Electronic ISSN: 1525-1497
DOI: https://doi.org/10.1007/s11606-023-08331-z

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