In 1999 the Institute of Medicine (IOM) estimated that 44000-98000 patients die each year from preventable medical errors [1], with an associated cost of $17 billion to $29 billion [2]. This report shed the light on the importance of decreasing the cost of healthcare while increasing efficiencies in the continuum of care. Using the traditional paper system to manage patients’ data and improving the quality of the care in the complex nature of the U.S. healthcare has its own problems and limitations [3]. There have been numerous concerns of quality and safety associated with these systems [4].
Over the past decade the US government has made long term, multibillion dollar investments in health information technologies, including …show more content…
Evaluating EHR safety based on the SAFER guides requires a multidisciplinary team. Since identifying the most appropriate people at these hospitals to complete the guides was difficult for us, we discussed the research project with the health IT directors and managers at these hospitals in person /via email. We shared the SAFER guides with them and asked if they could assist with assigning the most appropriate people to answer the questions on each guide. The participants were asked to complete the guides along with their associated follow up questions (see table 1) according to their own knowledge of their organizations’ system. The follow up questions consisted of 12 questions developed by the authors to help them get more information regarding the assessment guide completed by the participants. Once we received the guides, we de-identified the data and summarized them across these hospitals. We aggregated and calculated the percentage of each level of implementation for each guide to determine the percentages of practices that were fully, partially, or not implemented at these hospitals. We used Tableau software to get more insight into our data. A content analysis was performed on the responses from the follow-up questions to identify the common themes among …show more content…
Do you think following the assessment guide will optimize the safety and safe use of EHRs?
2. How complete is the guide?
3. Do you think the guide is useful?
4. How frequently your organization should do a reassessment of their EHR using the guide?
5. How helpful was the sheet in the appendix in answering the questions?
6. How many questions in the guide raised your attention concerning the safety of your EHR?
7. Have you discussed the reassessment of your organization’s EHR with your manager using the guide?
8. Do you think any important practices were left out? If yes, provide more details.
9. How long did it take you to complete the High Priority Practices guide?
10. In what ways do you find the guide useful?
11. Were any of the practices redundant, if yes, provide more detail.
12. Do you think completing this guide requires a multidisciplinary team? If yes, what are your suggested sources of input? If not, what expertise should the main source of input have?