Identifying Electronic Health Record Usability And Safety Challenges In Pediatric Settings

Posted on: Wednesday, November 7, 2018 By: KorchekStaff


Greater risk to kids: Poor EHR design can lead to medication errors, which can be especially detrimental for children whose body weights are lower and whose immune systems aren't as developed as adults'. In more than a third of pediatric patient safety events involving EHRs and medication, the technology's "usability" contributed to medication errors, according to one study.

For instance, one physician ordered five times the recommended dosage without getting an alert from the EHR, researchers found.

In about a fifth of those cases, the mistake — which could result in improper dosage or incorrect prescriptions — actually reached the patient, sometimes leading to temporary harm, according to the analysis of 9,000 safety reports.

Raj Ratwani — director of the National Center for Human Factors in Healthcare at MedStar Health and the study's lead author — has urged ONC to publish a draft of a voluntary certification for EHRs used in pediatric settings; the 21st Century Cures Act directs ONC to create those criteria.

Researchers also argued that Congress should conduct oversight into ONC's plan to create an EHR reporting program that could help customers compare products, ensuring that the agency is prioritizing patient safety. - POLITICO's Morning eHealth