Agency for Healthcare Research and Quality: EHR adoption will reduce adverse patient safety events — 6 thoughts

Agency for Healthcare Research and Quality researchers found facilities that implemented a fully electronic EHR system reduced the number of adverse patient safety events in the inpatient setting, according to HealthIT Analytics. In the study, researchers analyzed data for more than 45,000 patients at 1,351 hospitals included in the 2012 and 2013 Medicare Patient Safety Monitoring System.

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Journal of Patient Safety published the study this month.

Here are six thoughts:

1. Researchers defined a “fully electronic” EHR system as including nursing assessments, digital physician notes, discharge summaries, provider orders and problem and medication lists.

2. Facilities equipped with a fully electronic EHR system were 17 percent to 30 percent less likely to experience an adverse patient safety event, compared to facilities without a fully electronic EHR system.

3. Of the 45,000 patients, the rate of harm was 2.3 percent and merely 13 percent of those patients received care in a fully electronic EHR environment.

4. Pneumonia patients receiving care in a fully electronic hospital were 25 percent less likely to experience any kind of general patient safety event; 35 percent less likely to encounter an adverse drug event; and 34 percent less likely to develop a hospital-acquired infection.

5. Cardiovascular surgery patients experienced a 31 percent reduction in the likelihood of post-procedural events and 21 percent less generalized events.

6. Patients hospitalized for other types of surgery in a facility with a fully electronic EHR system experienced a 36 percent decrease in hospital-acquired infections.

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