Journal ArticleDOI
Reviewing the Benefits and Costs of Electronic Health Records and Associated Patient Safety Technologies
Nir Menachemi,Robert G. Brooks +1 more
TLDR
The challenges in measuring return on investment (ROI) are described and published ROI studies on health IT studies are reviewed to suggest the early stage of this knowledge base is needed.Abstract:
In the current paper, we describe the challenges in measuring return on investment (ROI) and review published ROI studies on health IT. In addition, given the absence of a robust ROI literature base, we review the general benefits and potential costs of various health IT applications including electronic health records (EHRs), computerized physicians order entry (CPOE) systems, and clinical decision support systems (CDSS). We conclude that articles examining these benefits are much more common than studies examining ROI itself. This trend suggests the early stage of this knowledge base. Additional research utilizing broader perspectives and multidisciplinary techniques will be needed before a better understanding of ROI from health IT is achieved.read more
Citations
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Journal ArticleDOI
Benefits and drawbacks of electronic health record systems
Nir Menachemi,Taleah H. Collum +1 more
TL;DR: The potential benefits of EHRs that include clinical outcomes, organizational outcomes, financial and operational benefits, and societal outcomes are described, which include improved ability to conduct research, improved population health, reduced costs.
Enabling Medication Management Through Health Information Technology
K Ann McKibbon,Cynthia Lokker,Steve M Handler,Lisa Dolovich,Anne Holbrook,Daria O'Reilly,Robyn Tamblyn,Brian J Hemens,Runki Basu,Sue Troyan,Pavel S Roshanov,Norman P. Archer,Parminder Raina +12 more
Journal ArticleDOI
Resistance is futile: but it is slowing the pace of EHR adoption nonetheless.
TL;DR: The external forces driving EHR diffusion have grown in importance since 2004 relative to physicians' internal motivation to adopt such systems, and the physicians' resistance to adoption has increased during the second period.
Journal ArticleDOI
On physician well being- : You'll get by with a little help from your friends
Jean E. Wallace,Jane B Lemaire +1 more
TL;DR: The findings show the importance of co-worker support, both in terms of being directly related to physician well being as well as buffering the negative effects of work demands.
Journal ArticleDOI
The IT productivity paradox in health: a stakeholder's perspective.
TL;DR: An assessment framework was developed to provide general guidance on how to assess HIT impacts and will be useful for researchers and practitioners as it takes into account the underlying reasons for the HIT productivity paradox and identifies the salient outcomes of interest linked to HIT implementation.
References
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BookDOI
To Err Is Human Building a Safer Health System
TL;DR: Boken presenterer en helhetlig strategi for hvordan myndigheter, helsepersonell, industri og forbrukere kan redusere medisinske feil.
Journal ArticleDOI
Book ReviewTo Err is Human: building a safer health system Kohn L T Corrigan J M Donaldson M S Washington DC USA: Institute of Medicine/National Academy Press ISBN 0 309 06837 1 $34.95
Journal ArticleDOI
Improving Primary Care for Patients With Chronic Illness
TL;DR: The chronic care model is a guide to higher-quality chronic illness management within primary care and predicts that improvement in its 6 interrelated components can produce system reform in which informed, activated patients interact with prepared, proactive practice teams.
Journal ArticleDOI
Effect of computerized physician order entry and a team intervention on prevention of serious medication errors.
David W. Bates,Lucian L. Leape,David J. Cullen,Nan M. Laird,Laura A. Petersen,Jonathan M. Teich,Elizabeth Burdick,Mairead L. Hickey,Sharon Kleefield,Brian T. Shea,Martha Vander Vliet,Diane L. Seger +11 more
TL;DR: Physician computer order entry decreased the rate of nonintercepted serious medication errors by more than half, although this decrease was larger for potential ADEs than for errors that actually resulted in an ADE.
Journal ArticleDOI
Role of computerized physician order entry systems in facilitating medication errors.
Ross Koppel,Joshua P. Metlay,Abigail Cohen,Brian Abaluck,A. Russell Localio,Stephen E. Kimmel,Brian L. Strom +6 more
TL;DR: It is found that a leading CPOE system often facilitated medication error risks, with many reported to occur frequently, and multiple qualitative and survey methods identified and quantified error risks not previously considered.