National Healthcare Quality and Disparities Report
Latest available findings on quality of and access to health care
Data
- Data Infographics
- Data Visualizations
- Data Tools
- Data Innovations
- All-Payer Claims Database
- Healthcare Cost and Utilization Project (HCUP)
- Medical Expenditure Panel Survey (MEPS)
- AHRQ Quality Indicator Tools for Data Analytics
- State Snapshots
- United States Health Information Knowledgebase (USHIK)
- Data Sources Available from AHRQ
Search All Research Studies
Topics
- Case Study (1)
- Clinical Decision Support (CDS) (1)
- Communication (1)
- Decision Making (1)
- (-) Electronic Health Records (EHRs) (7)
- (-) Electronic Prescribing (E-Prescribing) (7)
- Healthcare Costs (1)
- Healthcare Delivery (1)
- Health Information Technology (HIT) (5)
- Medication (4)
- Medication: Safety (4)
- Nursing (1)
- Patient Safety (4)
- Provider (1)
- Provider: Clinician (1)
- Risk (1)
AHRQ Research Studies
Sign up: AHRQ Research Studies Email updates
Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
Results
1 to 7 of 7 Research Studies DisplayedKandaswamy S, Pruitt Z, Kazi S
Clinician perceptions on the use of free-text communication orders.
The aim of this study was to investigate (1) why ordering clinicians use free-text orders to communicate medication information; (2) what risks physicians and nurses perceive when free-text orders are used for communicating medication information; and (3) how electronic health records (EHRs) could be improved to encourage the safe communication of medication information. The investigators concluded that clinicians' use of free-text orders as a workaround to insufficient structured order entry can create unintended patient safety risks.
AHRQ-funded; HS025136; HS024755.
Citation: Kandaswamy S, Pruitt Z, Kazi S .
Clinician perceptions on the use of free-text communication orders.
Appl Clin Inform 2021 May;12(3):484-94. doi: 10.1055/s-0041-1731002..
Keywords: Electronic Prescribing (E-Prescribing), Health Information Technology (HIT), Electronic Health Records (EHRs), Medication: Safety, Medication, Patient Safety, Communication, Provider: Clinician, Provider, Risk
Holmgren AJ, Co Z, Newmark L
Assessing the safety of electronic health records: a national longitudinal study of medication-related decision support.
The authors tested how well EHRs prevented medication errors with the potential for patient harm. Data from a national, longitudinal sample of 1527 hospitals in the US from 2009-16 who took a safety performance assessment test using simulated medication orders was used. The authors found that hospital medication order safety performance improved over time. They conclude that intentional quality improvement efforts appear to be a critical part of high safety performance and may indicate the importance of a culture of safety.
AHRQ-funded; HS023696.
Citation: Holmgren AJ, Co Z, Newmark L .
Assessing the safety of electronic health records: a national longitudinal study of medication-related decision support.
BMJ Qual Saf 2020 Jan;29(1):52-59. doi: 10.1136/bmjqs-2019-009609..
Keywords: Electronic Health Records (EHRs), Health Information Technology (HIT), Patient Safety, Medication, Electronic Prescribing (E-Prescribing), Medication: Safety, Clinical Decision Support (CDS), Decision Making
Garabedian PM, Wright A, Newbury I
Comparison of a prototype for indications-based prescribing with 2 commercial prescribing systems.
The objective of this study was to evaluate, in comparison with the prescribing modules of 2 leading electronic health record prescribing systems, the efficiency, error rate, and satisfaction with a new computerized provider order entry prototype for the outpatient setting that allows clinicians to initiate prescribing using the indication. The investigators found that reengineering prescribing to start with the drug indication allowed indications to be captured in an easy and useful way, which may be associated with saved time and effort, reduced medication errors, and increased clinician satisfaction.
AHRQ-funded; HS023694.
Citation: Garabedian PM, Wright A, Newbury I .
Comparison of a prototype for indications-based prescribing with 2 commercial prescribing systems.
JAMA Netw Open 2019 Mar;2(3):e191514. doi: 10.1001/jamanetworkopen.2019.1514..
Keywords: Electronic Health Records (EHRs), Electronic Prescribing (E-Prescribing), Health Information Technology (HIT), Medication
Adams KT, Howe JL, Fong A
An analysis of patient safety incident reports associated with electronic health record interoperability.
The study’s objectives were to (1) identify patient safety incident reports that reflect EHR interoperability challenges with other health IT, and (2) perform a detailed analysis of these reports. It found that the majority of EHR interoperability patient safety event (PSE) reports involved interfacing with pharmacy systems (i.e. medication related), followed by laboratory, and radiology. Most of the interoperability challenges in these clinical areas were associated with the EHR receiving information from other health IT systems.
AHRQ-funded; HS023701.
Citation: Adams KT, Howe JL, Fong A .
An analysis of patient safety incident reports associated with electronic health record interoperability.
Appl Clin Inform 2017 Feb;8(2):593-602. doi: 10.4338/ACI-2017-01-RA-0014.
.
.
Keywords: Healthcare Delivery, Electronic Health Records (EHRs), Electronic Prescribing (E-Prescribing), Medication: Safety, Patient Safety
Abbott AA, Fuji KT, Galt KA
A qualitative case study exploring nurse engagement with electronic health records and e-prescribing.
The purpose of this qualitative case study was to describe how nurses adapt to using an electronic health record with electronic prescribing (e-Rx) system in a rural ambulatory care practice. Findings showed that nurses adjust their routine in response to providers' preferential behavior yet retained focus on the patient and care coordination. e-Rx adoption increased workload and introduced safety risks.
AHRQ-funded; HS018625.
Citation: Abbott AA, Fuji KT, Galt KA .
A qualitative case study exploring nurse engagement with electronic health records and e-prescribing.
West J Nurs Res 2015 Jul;37(7):935-51. doi: 10.1177/0193945914567359.
.
.
Keywords: Case Study, Electronic Health Records (EHRs), Electronic Prescribing (E-Prescribing), Nursing, Patient Safety
Joseph S, Sow M, Furukawa MF
AHRQ Author: Furukawa MF
HITECH spurs EHR vendor competition and innovation, resulting in increased adoption.
This study examined the impact of the Health Information Technology for Economic and Clinical Health Act (HITECH). It found increased provider adoption and also provides the first evidence of increased competitiveness and innovation in the electronic health records industry spurred by HITECH.
AHRQ-authored
Citation: Joseph S, Sow M, Furukawa MF .
HITECH spurs EHR vendor competition and innovation, resulting in increased adoption.
Am J Manag Care. 2014 Sep;20(9):734-40..
Keywords: Health Information Technology (HIT), Healthcare Costs, Electronic Prescribing (E-Prescribing), Electronic Health Records (EHRs)
Abramson EL, Pfoh ER, Barron Y
The effects of electronic prescribing by community-based providers on ambulatory medication safety.
This study was conducted to assess the effect of implementing a commercial electronic health record with e-prescribing on rates and types of prescribing errors. Use of e-prescribing resulted in relatively low error rates (6.0 errors per 100 prescriptions). These rates were sustained over time but without further improvement (6.0 versus 4.5 errors per 100) prescriptions).
AHRQ-funded; HS016970.
Citation: Abramson EL, Pfoh ER, Barron Y .
The effects of electronic prescribing by community-based providers on ambulatory medication safety.
Jt Comm J Qual Patient Saf 2013 Dec;39(12):545-52..
Keywords: Electronic Prescribing (E-Prescribing), Health Information Technology (HIT), Medication: Safety, Medication, Electronic Health Records (EHRs)