Electronic Health Records Challenges in Design and Implementation

This book provides an overview of the challenges in electronic health records (EHR) design and implementation along with an introduction to the best practices that have been identified over the past several years. The book examines concerns surrounding EHR use and proposes eight examples of proper EHR use. It discusses the complex strategic planning that accompanies the systemic organizational changes associated with EHR programs and highlights key lessons learned regarding health information—including technology errors and risk management concerns.

Introduction Eight Rights of Safe Electronic Health Record Use, Dean Sittig and Hardeep SinghTen Considerations for the Adoption of Health Information Technology, Kathrin M. Cresswell, David W. Bates, and Aziz SheikhDefining Health Information-Technology Errors, Dean Sittig and Hardeep SinghRisk Management of EHR-Related Safety Concerns, Dean Sittig and Hardeep SinghMatching Identifiers in Electronic Health Records, Allison B. McCoy, Adam Wright, Michael G. Kahn, Jason S. Shapiro, Elmer Victor Bernstam, and Dean F. SittigRights and Responsibilities of Users of Electronic Health Records, Dean Sittig and Hardeep SinghA Human Factors Guide to EHR Usability, Svetlana Z. Lowry, Matthew T. Quinn, Mala Ramaiah, David Brick, Emily S. Patterson, Jiajie Zhang. Patricia Abbott, and Michael C. GibbonsPoint-of-Care Mobile Computing Devices, Dean F. Sittig, Kanav Kahol, and Hardeep SinghTen Commandments for Effective Clinical Decision Support, David W. Bates, Gilad J. Kuperman, Samuel Wang, Tejal Gandhi, Anne Kittler, Lynn Volk, Cynthia Spurr, Ramin Khorasani, Milenko Tanasijevic, and Blackford MiddletonImproving Clinical Quality Indicators, Dean F. Sittig, Jonathan M. Teich, Jerome A. Osheroff, and Hardeep SinghComputerized Clinical Decision Support, Joan S. Ash, Dean F. Sittig, Kenneth P. Guappone, Richard H. Dykstra, Joshua Richardson, Adam Wright, James Carpenter, Carmit McMullen, Michael Shapiro, Arwen Bunce, and Blackford MiddletonGovernance for Clinical Decision Support, Adam Wright, Dean F Sittig, Joan S. Ash, David W. Bates, Joshua Feblowitz, Greg Fraser, Saverio M. Maviglia, Carmit McMullen, W. Paul Nichol, Justine E. Pang, Jack Starmer, and Blackford MiddletonUse of Order Sets in Computerized Provider Order Entry Systems, Adam Wright, Joshua C. Feblowitz, Justine E. Pang, James D. Carpenter, Michael A. Krall, Blackford Middleton, and Dean F. SittigImproving the Effectiveness of EHR-Based Referral Processes, Adol Esquivel, Dean F. Sittig, Daniel R. Murphy, and Hardeep SinghEight Recommendations for Communicating Test Results, Hardeep Singh and Meena S. VijFollow-Up of Abnormal Cancer Screens Using HER, Hardeep Singh, Lindsey Wilson, Laura A Petersen, Mona K. Sawhney, Brian Reis, Donna Espadas, and Dean F. SittigRecommendations for Bar-Code Medication Administration, Emily S. Patterson, Michelle L. Rogers, and Marta L. RenderComputerized Provider Order Entry Adoption, Emily M. Campbell, Kenneth P. Guappone, Dean F. Sittig, Richard H. Dykstra, and Joan S. AshLessons from Unexpected Increased Mortality, Dean F. Sittig, Joan S. Ash, Jiajie Zhang, Jerome A. Osheroff, and M. Michael ShabotIndex

Dean F. Sittig, PhD, is a Professor at the School of Biomedical Informatics in The University of Texas Health Science Center at Houston and a member of the UT Houston-Memorial Hermann Center for Healthcare Quality and Safety. Dr. Sittig's research interests center on the design, development, implementation, and evaluation of all aspects of clinical information systems. In addition to Dr. Sittig's work on measuring the impact of clinical information systems on a large scale, he is working to improve our understanding of both the factors that lead to success, as well as, the unintended consequences associated with computer-based clinical decision support and provider order entry systems.