期刊
DIAGNOSIS
卷 4, 期 4, 页码 211-223出版社
WALTER DE GRUYTER GMBH
DOI: 10.1515/dx-2017-0012
关键词
decision support; diagnosis; diagnostic error; electronic health records; health care information technology; misdiagnosis
资金
- Office of the National Coordinator [HHSP23320095651WC]
- ONC Health IT Safety Center Road Map [HHS P23337047T]
Diagnostic error may be the largest unaddressed patient safety concern in the United States, responsible for an estimated 40,000-80,000 deaths annually. With the electronic health record (EHR) now in near universal use, the goal of this narrative review is to synthesize evidence and opinion regarding the impact of the EHR and health care information technology (health IT) on the diagnostic process and its outcomes. We consider the many ways in which the EHR and health IT facilitate diagnosis and improve the diagnostic process, and conversely the major ways in which it is problematic, including the unintended consequences that contribute to diagnostic error and sometimes patient deaths. We conclude with a summary of suggestions for improving the safety and safe use of these resources for diagnosis in the future.
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