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EHR Design Flaws Contribute to Patient Harm in the ED



Errors in patient care, attributed to electronic health record systems used in emergency departments, are "incredibly common," says a researcher. But vendor contracts prevent physicians from speaking publicly about problems with the systems.



3 comments on "EHR Design Flaws Contribute to Patient Harm in the ED"
Pat (7/2/2013 at 2:24 PM)

Nowhere in this report do I see the nursing side of it all expressed. We find things every day that we intervene for before they happen. Human error is present of course, but most of these problems are generated because of the electronic charting. Please include nurses when you look at these problems. They are the ones who are having to deal with catching problems, etc. Several problems required communication but the electronic chart is not the panacea for quality care that everyone wanted it to be. Nurses are so often left out of the equation and they are the key to patient care.
Grif (6/26/2013 at 1:30 PM)

This article brings up some good points, however, the majority of the issues the author attributes to an EHR system are simply brought on by human error. The seven suggestions showcase this fact by primarily addressing preventive actions the ED could be taking.
Mary K (6/26/2013 at 11:39 AM)

The example given for "1. Poor Communication" is incredibly bad. The only time a provider should be giving a verbal order is in case of an emergency (e.g., running a code). Pain for a kidney stone does not equate to an emergency (although it raises everybody's stress levels and it FEELS like an emergency). This is a COMPLETE BYPASS of patient safety[INVALID][INVALID]there is no written order, there is no way for the nurse to verify allergies, to verify the medication and dosage, and how can s/he document giving the dosage if it was verbal? I would not want to be treated in this ED because staff are taking shortcuts in the pretext of alleviating suffering.