Electronic health record systems (EHRs) can improve safety and reliability of health care, but they can also introduce new vulnerabilities by failing to accommodate changes within a dynamic EHR-enabled health care system. Continuous assessment and improvement is thus essential for achieving resilience in EHR-enabled health care systems. Given the rapid adoption of EHRs by many organizations tha...

Electronic clinical quality measures (eCQMs) based on the Quality Data Model (QDM) cannot currently be executed against non-standardized electronic health record (EHR) data. To address this gap, we prototyped an implementation of a QDM-based eCQM using KNIME, an open-source platform comprising a wide array of computational workflow tools that are collectively capable of executing QDM-based logi...

Electronic Health Record (EHR) systems are core applications in any e-Health environment and represent basic services for healthcare information technology platforms. Many EHR introduction projects ran into trouble because of the inappropriate model and concept of implementation, according to the requirements and standards, as well as the lack of the acceptance of the EHR related services among...

While expectations are well-known drivers of electronic health record (EHR) adoption, the more elusive. On basis interviews with general practitioners (GPs), we investigate how early implementation process drives their an EHR that is being implemented in Norway. The GPs’ prospective driven by (a) satisfying experiences current system, (b) transfer others’ EHR, (c) a sense alignment, or lack the...

The move to a digital health service may improve some components of health systems: information, communication and documentation of care. This article gives a brief definition and history of what is meant by an electronic health record (EHR). There is some evidence of benefits in a number of areas, including legibility, accuracy and the secondary use of information, but there is a need for furt...

The aims of this study were to describe the level of adoption of electronic health records in Spanish hospitals and to identify potential barriers and facilitators to this process. We used an observational cross-sectional design. The survey was conducted between September and December 2011, using an electronic questionnaire distributed through email. We obtained a 30% response rate from the 214...

We investigate the incentive issues that surround the adoption and sharing of electronic health records (EHR) and the potential role of a personal health record (PHR) platform in facilitating data sharing. Through our analysis, we find evidence that health care providers may not have an incentive to share patients’ records electronically even though EHR systems will increase consumer surplus, e...

Within a changing healthcare environment, characterized by increased patient mobility, emphasis is placed on prevention and early detection. Efficient access to the Integrated Electronic Health Record (I-EHR) of the citizen is considered the cornerstone for the support of continuity of care, the reduction of avoidable mistakes, and for the provision of tools and methods to support evidence-base...

Collecting and monitoring performance measure data are resource-intensive, requiring time and effort by a team that includes health care providers treating the patients and documenting their care, quality personnel monitoring and working to optimize performance rates, and quality abstractors, who extract information from the medical record. Recently, an additional group of people have become in...