Evidence-based Contingency Planning for Electronic Health Record Downtime

基于证据的电子健康记录停机应急计划

• 批准号: 9322310
• 负责人: Christian Wernz
• 金额: $ 13.53万
• 依托单位: VIRGINIA COMMONWEALTH UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2016
• 资助国家: 美国
• 起止时间: 2016-08-01 至 2018-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9322310
• 关键词: Evidence; based; Contingency; Planning; Electronic

Abstract The objective of the proposed research is to develop more rigorous electronic health record (EHR) downtime procedures to improve patient safety, quality of care and organizational processes. The research team will first use archival data, observations, and interviews to compare workflow procedures under normal conditions and during EHR downtimes. This analysis will provide quantitative information on the impact of EHR downtimes. This information will also serve as a foundation for computer simulation models that the research team will develop to design improved downtime procedures for use in specific clinical contexts. This project utilizes the extensive expertise of the research team in human factors, health information technology, industrial engineering and computer simulation. The proposed research is based on unique insights that our team gleaned from observing clinical care processes during EHR downtimes. This research effort is being conducted in partnership with MedStar Health, a ten-hospital system. Contributions from this research will include a fundamental understanding of EHR downtime processes. Critically, our research will begin to introduce the rigorous computational simulation approach to EHR downtime planning. The proposed research is responsive to Special Emphasis Notice NOT-HS-15-005, which announced AHRQ's interest in funding research on health IT safety.

摘要 拟议研究的目标是开发更严格的电子健康记录 (EHR)停机时间程序，以改善患者安全，护理质量和组织 流程.研究小组将首先利用档案数据、观察和访谈， 比较正常情况下和EHR停机期间的工作流程。这 分析将提供有关EHR停机时间影响的定量信息。这些信息 也将作为计算机模拟模型的基础，研究小组将 开发设计改进的停机程序，用于特定的临床环境。 该项目利用了研究团队在人为因素、健康 信息技术、工业工程和计算机模拟。拟议研究 是基于我们的团队从观察临床护理过程中收集的独特见解， EHR停机时间。这项研究工作正在与MedStar Health合作进行， 10医院系统 这项研究的贡献将包括对EHR停机时间的基本理解 流程.关键是，我们的研究将开始引入严格的计算模拟 EHR停机时间规划方法。 拟议的研究是对特别强调通知NOT-HS-15-005的响应， 宣布AHRQ有兴趣资助健康IT安全研究。

项目成果

Identification of Design Criteria to Improve Patient Care in Electronic Health Record Downtime.

确定设计标准以改善电子健康记录停机期间的患者护理。

• DOI: 10.1097/pts.0000000000000580
• 发表时间: 2021
• 期刊: Journal of patient safety
• 影响因子: 2.2
• 作者: Larsen,EthanP;HaskinsLisle,Ali;Law,Bethany;Gabbard,JosephL;Kleiner,BrianM;Ratwani,RajM
• 通讯作者: Ratwani,RajM