TY - JOUR
T1 - Integrating the Electronic Health Record into high-fidelity interprofessional intensive care unit simulations
AU - Gold, Jeffrey (Jeff)
AU - Tutsch, Alycia S R
AU - Gorsuch, Adriel
AU - Mohan, Vishnu
N1 - Publisher Copyright:
© 2015 Taylor & Francis Group, LLC.
PY - 2015/11/3
Y1 - 2015/11/3
N2 - With the rapid adoption of electronic health records (EHR), there is a growing appreciation for the central role they play in clinical decision making and team communication, with many studies documenting new safety issues with integration of the EHR into the clinical enterprise. To study these issues, we created a high-fidelity simulation instance of our clinical EHR. In this paper, we describe the impact of integrating the EHR into high-fidelity, interprofessional intensive care unit (ICU) simulations, and the errors induced. We found a number of safety issues directly related to the EHR including alert fatigue, negative impacts on interprofessional communication, and problems with selective data gathering, and these issues were present for all members of the interprofessional team. Through successful integration of the EHR into high-fidelity team-based simulations, we now have an infrastructure to focus educational initiative and deploy informatics solutions to mitigate these safety issues.
AB - With the rapid adoption of electronic health records (EHR), there is a growing appreciation for the central role they play in clinical decision making and team communication, with many studies documenting new safety issues with integration of the EHR into the clinical enterprise. To study these issues, we created a high-fidelity simulation instance of our clinical EHR. In this paper, we describe the impact of integrating the EHR into high-fidelity, interprofessional intensive care unit (ICU) simulations, and the errors induced. We found a number of safety issues directly related to the EHR including alert fatigue, negative impacts on interprofessional communication, and problems with selective data gathering, and these issues were present for all members of the interprofessional team. Through successful integration of the EHR into high-fidelity team-based simulations, we now have an infrastructure to focus educational initiative and deploy informatics solutions to mitigate these safety issues.
KW - Critical care
KW - informatics
KW - interprofessional teamwork
KW - patient safety
KW - sepsis
KW - shared decision making
UR - http://www.scopus.com/inward/record.url?scp=84949646897&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84949646897&partnerID=8YFLogxK
U2 - 10.3109/13561820.2015.1063482
DO - 10.3109/13561820.2015.1063482
M3 - Article
C2 - 26652628
AN - SCOPUS:84949646897
SN - 1356-1820
VL - 29
SP - 562
EP - 563
JO - Journal of Interprofessional Care
JF - Journal of Interprofessional Care
IS - 6
ER -