What impact would an EHR have on the likelihood of a medical error?

Graber, Mark L. MD, FACP*; Siegal, Dana RN, CPHRM†; Riah, Heather MBA†; Johnston, Doug MTS*; Kenyon, Kathy JD‡

From *RTI International, Research Triangle Park, North Carolina;

†CRICO, Cambridge, Massachusetts; and

‡Office of the National Coordinator for Health Technology, Washington, District of Columbia.

Correspondence: Mark L. Graber, MD, FACP, 5 Hitching Post, Plymouth, MA 02360 [e-mail: ].

The authors disclose no conflict of interest.

This report was sponsored by the Office of the National Coordinator for Health Technology under contract number HHSP23320095651WC_HHSP23337047T to RTI International.

This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 [CCBY-NC-ND], where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.

Journal of Patient Safety 15[2]:p 77-85, June 2019. | DOI: 10.1097/PTS.0000000000000240

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Abstract

Background 

There is widespread agreement that the full potential of health information technology [health IT] has not yet been realized and of particular concern are the examples of unintended consequences of health IT that detract from the safety of health care or from the use of health IT itself. The goal of this project was to obtain additional information on these health IT–related problems, using a mixed methods [qualitative and quantitative] analysis of electronic health record–related harm in cases submitted to a large database of malpractice suits and claims.

Methods 

Cases submitted to the CRICO claims database and coded during 2012 and 2013 were analyzed. A total of 248 cases [

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