Impact of Electronic Health Record Systems on Information Integrity: Quality and Safety Implications

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Formatting:

This is a review of the 2013 article, “Impact of Electronic Health Record Systems on Information Integrity: Quality and Safety Implications” by Sue Bowman.

Introduction

According to Bowman, despite US Healthcare spending, our health system continuously fails to provide quality healthcare. The Electronic Health Records (EHRs) has promise to and potential to help improve care, but also has had some serious unintended consequences arise from the implementation and use. Addressing these issues would help improve the overall quality and integrity of the EHR [1]

Unintended Consequences

There are several flaws with EHR's that have yet to be addressed. These flaws consist of software design flaws, usability issues, copying and pasting, and automation bias. These flaws vary from system to system as there is no prescribed regulatory framework for development and implementation of EHR's.

Recommendations

Recommendations include addressing all of the above unintended consequences and implementing a regulatory framework.

Comments

This article was not quite about fraud and abuse as it appeared to be by review of the abstract, but never the less provided some insight into several other issues with EHR's that need to be addressed. I think that if these issues were addressed and a regulatory framework was implemented for EHR vendors to follow, there would be a lot less fraud and abuse. I believe it would also make it easier to penalize and minimize those committing fraud and abuse.

References

  1. Sue Bowman. 2013. Impact of Electronic Health Record Systems on Information Integrity: Quality and Safety Implications. http://www-ncbi-nlm-nih-gov.ezproxyhost.library.tmc.edu/pmc/articles/PMC3797550/