Chaudhry, Basit MD; Wang, Jerome
MD; Wu, Shinyi PhD; Maglione, Margaret MPP; Mojica, Walter MD; Roth,
Elizabeth MA; Morton, Sally C. PhD; Shekelle, Paul G. MD, PhD Systematic
Review: Impact of Health Information Technology on Quality, Efficiency, and
Costs of Medical Care. Annals of Internal Medicine. 144(10):742-752, May 16,
The leapfrog Group.
Fact sheet on computer physician order entry.
Ross Koppel and others.
Role of Computerized Physician Order Entry Systems in Facilitating
Medication Errors. Journal of the American Medical Association,
Vol. 293: 10, March 2005
Carcillo JA, Venkataraman ST, Clark RS, Watson RS, Nguyen TC, Bayir H, Orr
RA. Unexpected increased mortality after implementation of a
commercially sold computerized physician order entry system. Pediatrics. 2005
Dec;116(6):1506-12. Erratum in: Pediatrics. 2006 Feb;117(2):594. More►
EM, Sittig DF, Ash JS, Guappone KP, Dykstra RH.
Types of unintended consequences related to computerized provider order
entry. J Am Med Inform Assoc. 2006 Sep-Oct;13(5):547-56. Epub 2006
Jun 23. Email instructor if you cannot download the full text of this
article from your online library.
Ash JS, Berg
M, Coiera E. Some unintended consequences of information technology in
health care: the nature of patient care information system-related errors. J Am Med
Inform Assoc. 2004 Mar-Apr;11(2):104-12.
Sittig DF, Poon EG, Guappone K, Campbell E, Dykstra RH. The Extent and
Importance of Unintended Consequences Related to Computerized Provider Order
Entry. J Am Med Inform Assoc. 2007
July-August;14(4):415-423. If you cannot download this article from your
library please email the instructor.
Sidorov J It
Ain't Necessarily So:The electronic health record and the unlikely prospect Of reducing
health care costs. Health Aff (Millwood). 2006 Jul-Aug;25(4):1079-85.
Blumenthal, David; Glaser, John
P. Information Technology Comes to Medicine. New England Journal of
Medicine. 356(24):2527-2534, June 14, 2007.
Library memberships is
required for access to this article. If you are having difficulty
downloading the file, please contact your instructor.
Advanced learners like you, often need different ways of understanding a topic. Reading is just one way of understanding. Another way is through writing about what you have
read. The enclosed assessment is designed to get you to think more about the concepts taught in this session.
What impact might Electronic Health Records have on intensive care
What evidence is there that medication errors go down after
implementation of Electronic Health records
Make a complete list of the types of errors introduced after
computerized physician order entry.
Please send an email toyour instructor
with your responses to the above questions.
Make sure that the email subject line includes the course number, topic name and your name, otherwise it will not get to the right place. If you wish to receive a receipt that the instructor has received your email, you may request the receipt from your email program. Please respond to all of the questions within the same email. Do not attach any files. Keep a copy of all your emails to the instructor till the end of the semester.
Information on this section
will be posted by April 9th.
Make a narrated Power Point slides regarding what you have learned about the
evidence on impact of EHR on efficiency and quality of care.
Please do not
provide opinions but review the evidence presented to you in the above readings. Prepare your slides as if you are
reporting to the CEO of a hospital or clinic thinking through whether they
should purchase an
Be brief: Do not exceed 10 slides or 10 minutes of narration.
Cite your work in smaller font on each slide so I can trace your
arguments to its source. Do not present opinions but data.
Be clear. Do not extrapolate from studies done in a clinic to
studies in hospitals and vice versa.
Be organized. Give an overview of what you are going to talk
about, present your points and make a summary at the end.
Be visual. Use charts and graphs from your reading and cite your
This work can be accomplished with help from a colleague. Please do not
work with the same colleague that you have worked in a previous project. Once done, post your work on a public web and send the URL to the instructor or provide
your work on a compact disk to the instructor.
See review of the evidence on EHRs by students Alex, Meaghan and