Identifying Electronic Health Record Usability And Safety Challenges In Pediatric Settings.

TitleIdentifying Electronic Health Record Usability And Safety Challenges In Pediatric Settings.
Publication TypeJournal Article
Year of Publication2018
AuthorsRatwani RM, Savage E, Will A, Fong A, Karavite D, Muthu N, A Rivera J, Gibson C, Asmonga D, Moscovitch B, Grundmeier R, Rising J
JournalHealth Aff (Millwood)
Volume37
Issue11
Pagination1752-1759
Date Published2018 11
ISSN1544-5208
KeywordsChild, Electronic Health Records, Health Information Interoperability, Humans, Medication Errors, Patient Safety, Pediatrics, User-Computer Interface
Abstract

Pediatric populations are uniquely vulnerable to the usability and safety challenges of electronic health records (EHRs), particularly those related to medication, yet little is known about the specific issues contributing to hazards. To understand specific usability issues and medication errors in the care of children, we analyzed 9,000 patient safety reports, made in the period 2012-17, from three different health care institutions that were likely related to EHR use. Of the 9,000 reports, 3,243 (36 percent) had a usability issue that contributed to the medication event, and 609 (18.8 percent) of the 3,243 might have resulted in patient harm. The general pattern of usability challenges and medication errors were the same across the three sites. The most common usability challenges were associated with system feedback and the visual display. The most common medication error was improper dosing.

DOI10.1377/hlthaff.2018.0699
Alternate JournalHealth Aff (Millwood)
PubMed ID30395517
Grant ListR01 HS023701 / HS / AHRQ HHS / United States