Journal of the American Medical Informatics Association : JAMIA
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J Am Med Inform Assoc · Nov 2014
Sequencing of EHR adoption among US hospitals and the impact of meaningful use.
To examine whether there is a common sequence of adoption of electronic health record (EHR) functions among US hospitals, identify differences by hospital type, and assess the impact of meaningful use. ⋯ While there is a common sequence underlying adoption of EHR functions, the degree of adherence to the sequence varies by key hospital characteristics. Stage 1 meaningful use likely alters the sequence.
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J Am Med Inform Assoc · Nov 2014
An analysis of electronic health record-related patient safety concerns.
A recent Institute of Medicine report called for attention to safety issues related to electronic health records (EHRs). We analyzed EHR-related safety concerns reported within a large, integrated healthcare system. ⋯ Because EHR-related safety concerns have complex sociotechnical origins, institutions with long-standing as well as recent EHR implementations should build a robust infrastructure to monitor and learn from them.
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J Am Med Inform Assoc · Nov 2014
Area-level factors associated with electronic health record adoption and meaningful use in the Regional Extension Center Program.
To identify area-level correlates of electronic health record (EHR) adoption and meaningful use (MU) among primary care providers (PCPs) enrolled in the Regional Extension Center (REC) Program. ⋯ Federal efforts to spur EHR adoption and MU have demonstrated some early success; however, some geographic variations in EHR diffusion indicate that greater attention needs to be paid to ensuring equitable uptake and use of EHRs throughout the US.