SAFER Electronic Health Records: Safety Assurance Factors for EHR Resilience

Apple Academic Press

Published by Apple Academic Press, 2015
ISBN 10: 1771881178 / ISBN 13: 9781771881173
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This important volume provide a one-stop resource on the SAFER Guides along with the guides themselves and information on their use, development, and evaluation. The Safety Assurance Factors for EHR Resilience (SAFER) guides, developed by the editors of this book, identify recommended practices to optimize the safety and safe use of electronic health records (EHRs). These guides are designed to help organizations self-assess the safety and effectiveness of their EHR implementations, identify specific areas of vulnerability, and change their cultures and practices to mitigate risks.

This book provides EHR designers, developers, implementers, users, and policymakers with the requisite historical context, clinical informatics knowledge, and real-world, practical guidance to enable them to utilize the SAFER Guides to proactively assess the safety and effectiveness of their electronic health records EHR implementations.

The first five chapters are designed to provide readers with the conceptual knowledge required to understand why and how the guides were developed. The next nine chapters focus on the underlying informatics concepts, key research activities, and methods used to develop each of the guides. Each of these chapters concludes with a copy of the guide itself. The final chapter provides a vision for the future and the work required to ensure that future generations of EHRs are designed, developed, implemented, and used to improve the overall safety of the EHR-enabled healthcare system.

Taken together, the information provided in this book should help any organization, whether large or small, implement its EHR program and improve the safety and effectiveness of its existing EHR-enabled healthcare systems.

This volume will be extremely valuable to small, ambulatory physician practices and larger outpatient settings as well as for hospitals and professors and instructors charged with teaching safe and effective implementation and use of EHRs. It will also be highly useful for health information technology professionals responsible for maintaining a safe and effective EHR and for clinical and administrative staff working in EHR-enabled healthcare systems.

From the Author: The goal of this book is to provide EHR designers, developers, implementers, users, and policy makers with the requisite historical context, clinical informatics knowledge, and real-world, practical guidance to enable them to utilize the SAFER Guides to proactively assess the safety and effectiveness of their EHR implementations. The first five chapters are designed to provide readers with the conceptual knowledge required to understand why and how the guides were developed. The next nine chapters consist of 1-3 articles that focus on the underlying informatics concepts, key research activities, or methods used to develop each of the guides. Each of these chapters concludes with a copy of the guide itself. The final chapter provides a vision for the future of how we can create the required socio-technical infrastructure necessary to oversee the work required to ensure that future generations of EHRs are designed, developed, implemented, and used to improve the overall safety of the EHR-enabled healthcare system.

High Priority Practices: The subset of processes determined to be "high risk" and "high priority" meant to broadly cover all areas that have a role in EHR safety

Computerized provider order entry (CPOE) with clinical decision support: Processes pertaining to electronic ordering of medications and diagnostic tests and aiding the clinical decision making process at the point of care

Test result reporting and follow-up: Processes involved in delivering test results to the appropriate providers

Communication between providers: Communication processes in three high-risk areas: consultations or referrals, discharge-related communications, and patient-related messaging between clinicians

Patient identification: Processes related to creation of new patients in the EHR, patient registration, retrieval of information on previously registered patients, and other patient identification processes

Contingency planning for EHR-based care continuity: Processes and preparations that should be in place in the event that the EHR experiences a hardware, software, or power failure

EHR customization and configuration: Processes required to create and maintain the physical environment in which the EHR will operate, as well as the infrastructure related to the hardware and software that are required to run the EHR

System-system data interfaces: Processes that enable different hardware devices and software applications to be connected both physically and logically so they can communicate and share information
Organizational activities and responsibilities: The organizational activities, processes, and tasks that people must carry out to ensure safe and effective EHR implementation and continued operations

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Title: SAFER Electronic Health Records: Safety ...
Publisher: Apple Academic Press
Publication Date: 2015
Binding: Hardcover
Book Condition: Used: Good

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