BACKGROUND The rapid expansion in the use of electronic health records (EHR) has increased the number of medical errors originating in health information systems (HIS). The sociotechnical approach helps in understanding risks in the development, implementation, and use of EHR and health information technology (HIT) while accounting for complex interactions of technology within the health care s...

OBJECTIVE To study how social interactions influence physician adoption of an electronic health records (EHR) system. DESIGN A social network survey was used to delineate the structure of social interactions among 40 residents and 15 attending physicians in an ambulatory primary care practice. Social network analysis was then applied to relate the interaction structures to individual physicia...

Electronic health records (EHR) are here to stay. With the advent of the meaningful use requirement by the United States government, EHR adoption and implementation are no longer a choice, but a mandate. This government-mandated roadmap for EHR carries along serious implications on the EHR definition and critical success factors on its implementation. This paper is a conceptual framework that m...

SALUS aims to facilitate resuse of EHRs for enabling pro-active post market safety studies through providing functional and semantic interoperability profiles and supporting open source toolsets enabling EHR systems and clinical research systems to communicate and exchange EHR data and meaningful interpretation of the exchanged EHR data. Implementing security and privacy mechanisms and open sou...

In this paper we present a proposal to conceptualize the EHR, based on the semantic description of the information, according to the documentary structures and the clinical aspects of the EHR contents. Our aim here is to perform a formalization with a double purpose: on one hand to enable the interoperability; on the other hand, to improve the accessibility to the EHR, according to clinical or ...

Everyday more hospitals develop their own Electronic Health Record (EHR) Systems to improve the accessibility to the information on it. There are some standards and proposals to homogenize the structure of these EHR, but they use to be so generic, that the final EHR structure has so many particularities that is different in each hospital. This situation has created a huge problem of interoperab...

Electronic health records (EHRs) have potential quality and safety benefits. However, reports of EHR-related safety hazards are now emerging. The Office of the National Coordinator for Health Information Technology recently sponsored an Institute of Medicine committee to evaluate how health information technology use affects patient safety. In this article, we propose the creation of a national...

As adoption of health information technology solutions like electronic health records (EHRs) has increased across the United States, increasing attention is being paid to the safety and risk profile of these technologies. However, several groups have called out a lack of available safety data as a major challenge to assessing EHR safety, and this study was performed to inform the field about th...