Electronic health record

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The electronic health record (EHR) is defined as a "computer-based systems for input, storage, display, retrieval, and printing of information contained in a patient's medical record."[1]

Successful implementations

The United States Department of Veterans Affairs has successfully implemented an electronic health record system, "VistA", across a very large health care system.[2][3]

Failed implementations

  • Kaiser - Hawaii[4]
  • Limpopo (Northern) Province, South Africa[5]

Adverse effects

Implementation of the electronic health record has been associated with medication errors[6] increased hospital mortality.[7] Some of these problems may be due to computer interfaces that are not intuitive to use.[8]

References

  1. ↑ National Library of Medicine. MeSH Descriptor Data. Retrieved on 2007-10-23.
  2. ↑ Brown SH, Lincoln MJ, Groen PJ, Kolodner RM (2003). "VistA--U.S. Department of Veterans Affairs national-scale HIS". International journal of medical informatics 69 (2-3): 135–56. PMID 12810119. [e]
  3. ↑ Fletcher RD, Dayhoff RE, Wu CM, Graves A, Jones RE (2001). "Computerized medical records in the Department of Veterans Affairs". Cancer 91 (8 Suppl): 1603–6. PMID 11309758. [e]
  4. ↑ Scott JT, Rundall TG, Vogt TM, Hsu J (2005). "Kaiser Permanente's experience of implementing an electronic medical record: a qualitative study". BMJ 331 (7528): 1313–6. DOI:10.1136/bmj.38638.497477.68. PMID 16269467. Research Blogging.
  5. ↑ Littlejohns P, Wyatt JC, Garvican L (2003). "Evaluating computerised health information systems: hard lessons still to be learnt". BMJ 326 (7394): 860–3. DOI:10.1136/bmj.326.7394.860. PMID 12702622. Research Blogging.
  6. ↑ Koppel R, Metlay JP, Cohen A, et al (2005). "Role of computerized physician order entry systems in facilitating medication errors". JAMA 293 (10): 1197–203. DOI:10.1001/jama.293.10.1197. PMID 15755942. Research Blogging.
  7. ↑ Han YY, Carcillo JA, Venkataraman ST, et al (2005). "Unexpected increased mortality after implementation of a commercially sold computerized physician order entry system". Pediatrics 116 (6): 1506–12. DOI:10.1542/peds.2005-1287. PMID 16322178. Research Blogging.
  8. ↑ Nielsen, Jakob (April 11, 2005). Medical Usability: How to Kill Patients Through Bad Design (Jakob Nielsen's Alertbox). Retrieved on 2007-10-23.

See also

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