A5015116806- Electronic Health Records Systems
- Patient Safety and Medication Errors
- Healthcare Technology and Patient Monitoring
- Quality and Safety in Healthcare
- Pharmaceutical Practices and Patient Outcomes
- Emergency and Acute Care Studies
- Healthcare Systems and Technology
- Occupational Health and Safety Research
- Data Quality and Management
- Mobile Health and mHealth Applications
- Human-Automation Interaction and Safety
- Clinical practice guidelines implementation
- Pharmacovigilance and Adverse Drug Reactions
- Risk and Safety Analysis
- Ethics in Clinical Research
- Personal Information Management and User Behavior
- Medical Coding and Health Information
- Usability and User Interface Design
- Artificial Intelligence in Healthcare and Education
- Cognitive Functions and Memory
- Trauma and Emergency Care Studies
- Heparin-Induced Thrombocytopenia and Thrombosis
- Medical Research and Practices
- COVID-19 Clinical Research Studies
- Persona Design and Applications
MedStar Health
2015-2025
Georgetown University
2014-2025
Georgetown University Medical Center
2015-2025
United States Food and Drug Administration
2024
Center for Biologics Evaluation and Research
2024
Human Factors (Norway)
2015-2021
MedStar Georgetown University Hospital
2015-2019
MedStar Union Memorial Hospital
2013-2015
Applied Human Factors (United States)
2012-2014
Binghamton University
2013
This study analyzed patient safety reports in and near Pennsylvania from 2013 through 2016 to identify those that contained explicit language associating possible harm with an electronic health record usability issue.
Abstract The usability of electronic health records (EHRs) continues to be a point dissatisfaction for providers, despite certification requirements from the Office National Coordinator that require EHR vendors employ user-centered design (UCD) process. To better understand factors contribute poor usability, research team visited 11 different in order analyze their UCD processes and discover specific challenges faced as they sought integrate with development. Our analysis demonstrates...
Generative artificial intelligence (AI) technologies have the potential to revolutionise healthcare delivery but require classification and monitoring of patient safety risks. To address this need, we developed evaluated a preliminary system for categorising generative AI errors. Our is organised around two stages (input output) with specific error types by stage. We applied our applications assess its effectiveness in issues: patient-facing conversational large language models (LLMs) an...
To characterize the variability in usability and safety of EHRs from two vendors across four healthcare systems (2 Epic 2 Cerner). Twelve to 15 emergency medicine physicians participated each site completed six clinical scenarios. Keystroke, mouse click, video data were collected. From scenarios, diagnostic imaging, laboratory, medication tasks analyzed. There was wide task completion time, clicks, error rates. For certain tasks, there an average a nine-fold difference time eight-fold...
This study uses data reported by electronic health record (EHR) vendors to the US Department of Health and Human Services’ Office National Coordinator for Information Technology determine whether usability certification requirements testing standards were met.
Summary Convalescent plasma can provide passive immunity during viral outbreaks, but the benefit is uncertain for treatment of novel coronavirus disease 2019 (COVID‐19). Our goal to assess efficacy COVID‐19 convalescent (CCP). In all, 526 hospitalized patients with laboratory‐confirmed SARS‐CoV‐2 at an academic health system were analyzed. Among them, 263 received CCP and compared matched controls standard treatment. The primary outcome was 28‐day mortality a subanalysis 7 14 days. No...
Root cause analysis (RCA) after adverse events in healthcare is a standard practice at many institutions. However, has failed to see dramatic improvement patient safety over the last decade. In order improve RCA process, this study used systems science, which based partly on human factors engineering principles and been applied with success other high-risk industries like aviation. A multi-institutional dataset of 334 cases 782 solutions was analyzed using qualitative methods. team science...
Abstract Objective The primary objective was to evaluate time, number of interface actions, and accuracy on medication reconciliation tasks using a novel user (Twinlist, which lays out the medications in five columns based similarity uses animation introduce grouping - www.cs.umd.edu/hcil/sharp/twinlist) compared Control (where are presented side by two columns). A secondary assess participant agreement with statements regarding clarity utility elicit comparisons. Material Methods 1 × 2...
Background. Emergency medical dispatch systems are used to help categorize and prioritize emergency services (EMS) resources for requests assistance. Objective. We examined whether a subset of Medical Priority Dispatch System (MPDS) codes could predict patient outcomes (emergency department [ED] discharge versus hospital admission/ED death). Methods. This retrospective observational cohort study analyzed EMS through single public safety answering point (PSAP) serving mixed urban, suburban,...
The objective of this work was to assess the functional utility new display concepts for an emergency department information system created using cognitive systems engineering methods, by comparing them similar displays currently in use. were compared standard a clinical simulation study during which nurse-physician teams performed simulated tasks. Questionnaires used support provided displays, participants’ level situation awareness, and workload Participants rated significantly higher than...
Abstract Despite basic federal requirements promoting a user-centered design approach to electronic health record (EHR) development and usability testing there have been safety risks with EHR technology. Four vendors were asked provide written descriptions of their practices, we reviewed these identify areas where has advancement for improvement. All 4 described processes methods that demonstrate from previous studies vendor practices. Importantly, are also beginning address aspects...
Tapering prescription opioid pain medication through evidence-based guidelines can help in combating the epidemic. Integrating clinical decision support (CDS) into workflow of tapering translating to formulate and implement a plan that manages symptoms while minimizing withdrawal, optimally engages with patient. The purpose our project was develop patient- clinician-facing CDS area chronic management one integrated application (app) called And Patient Reporting outcomes for Chronic Pain...
Abstract Objective To conduct a meta-ethnographic synthesis summarizing the overarching themes of qualitative literature on nurse interaction with medication administration technologies (MAT) comprising electronic record (eMAR) and bar-coded (BCMA). Materials Methods We searched scientific databases from their inception until September 23, 2024, resulting in 2270 unique articles, extracted data 27 articles. Scientific rigor was assessed by Standards for Reporting Qualitative Research (SRQR)...
Objective: Currently, there are few resources for electronic health record (EHR) purchasers and end users to understand the usability processes employed by EHR vendors during product design development. We developed a framework, based on human factors literature industry standards, systematically evaluate user-centered testing methods used vendors. Materials Methods: reviewed current certification requirements develop 15-point framework evaluating products. The is 3 dimensions: process,...
OBJECTIVES: To understand the opinions of emergency medical service (EMS) providers regarding their ability to care for older adults, domains geriatric medicine in which they need more training, and modality through continuing education could be best delivered. DESIGN: Qualitative study using key informant interviews. SETTING: Prehospital EMS system Rochester, New York. PARTICIPANTS: providers, instructors administrators, physicians, geriatricians. MEASUREMENTS: Semistructured interviews...
Objective. To examine the effects of adding close concurrent and retrospective physician oversight, consistent with National Association EMS Physicians (NAEMSP) recommendations, to an existing regional prehospital rapid-sequence intubation (RSI) program. Methods. This study involved a cohort patients receiving RSI between January 1, 2004, July 31, 2008. On 2007, updated program including additional increased RSI-specific continuing medical education, cadaver laboratory training was...