{"id":"https://openalex.org/W2902207499","doi":"https://doi.org/10.1001/jama.2018.14079","title":"Improving Electronic Health Record Usability and Safety Requires Transparency","display_name":"Improving Electronic Health Record Usability and Safety Requires Transparency","publication_year":2018,"publication_date":"2018-11-29","ids":{"openalex":"https://openalex.org/W2902207499","doi":"https://doi.org/10.1001/jama.2018.14079","mag":"2902207499","pmid":"https://pubmed.ncbi.nlm.nih.gov/30489619"},"language":"en","primary_location":{"id":"doi:10.1001/jama.2018.14079","doi":"https://doi.org/10.1001/jama.2018.14079","is_oa":false,"landing_page_url":"https://doi.org/10.1001/jama.2018.14079","pdf_url":null,"source":{"id":"https://openalex.org/S172573765","display_name":"JAMA","issn_l":"0002-9955","issn":["0002-9955","0098-7484","1538-3598","2376-8118"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320259","host_organization_name":"American Medical Association","host_organization_lineage":["https://openalex.org/P4310320259"],"host_organization_lineage_names":["American Medical Association"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JAMA","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5037268899","display_name":"Raj M. Ratwani","orcid":"https://orcid.org/0000-0002-8623-6123","observed_orcids":["https://orcid.org/0000-0002-8623-6123"]},"institutions":[{"id":"https://openalex.org/I86755215","display_name":"MedStar Health","ror":"https://ror.org/05atemp08","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I86755215"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Raj M. Ratwani","raw_affiliation_strings":["National Center for Human Factors in Healthcare, MedStar Health, Washington, DC"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"National Center for Human Factors in Healthcare, MedStar Health, Washington, DC","institution_ids":["https://openalex.org/I86755215"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5112073166","display_name":"Michael Hodgkins","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I173654999","display_name":"American Medical Association","ror":"https://ror.org/03p6gt485","country_code":"US","type":"other","lineage":["https://openalex.org/I173654999"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Michael Hodgkins","raw_affiliation_strings":["American Medical Association, Chicago, Illinois"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"American Medical Association, Chicago, Illinois","institution_ids":["https://openalex.org/I173654999"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5036110536","display_name":"David Westfall Bates","orcid":"https://orcid.org/0000-0001-6268-1540","observed_orcids":["https://orcid.org/0000-0001-6268-1540","https://orcid.org/0000-0003-4850-2360","https://orcid.org/0000-0001-7438-9491","https://orcid.org/0000-0002-3105-156X","https://orcid.org/0000-0001-5440-6039"]},"institutions":[{"id":"https://openalex.org/I1283280774","display_name":"Brigham and Women's Hospital","ror":"https://ror.org/04b6nzv94","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I121934306","https://openalex.org/I1283280774","https://openalex.org/I48633490"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"David W. Bates","raw_affiliation_strings":["Brigham and Women\u2019s Hospital, Boston, Massachusetts"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Brigham and Women\u2019s Hospital, Boston, Massachusetts","institution_ids":["https://openalex.org/I1283280774"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":5.375,"has_fulltext":false,"cited_by_count":36,"citation_normalized_percentile":{"value":0.95521641,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":89,"max":99},"biblio":{"volume":"320","issue":"24","first_page":"2533","last_page":"2533"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T14400","display_name":"Medical Coding and Health Information","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13248","display_name":"Healthcare Technology and Patient Monitoring","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/electronic-health-records","display_name":"electronic health records","score":0.9819999933242798},{"id":"https://openalex.org/keywords/ehr-usability","display_name":"EHR usability","score":0.8629999756813049},{"id":"https://openalex.org/keywords/transparency","display_name":"transparency","score":0.6389999985694885},{"id":"https://openalex.org/keywords/research-dissemination","display_name":"research dissemination","score":0.7250000238418579},{"id":"https://openalex.org/keywords/health-information-technology-policy","display_name":"health IT policy","score":0.6899999976158142},{"id":"https://openalex.org/keywords/usability-problems","display_name":"usability problems","score":0.43299999833106995},{"id":"https://openalex.org/keywords/safety-issues","display_name":"safety concerns","score":0.7400000095367432}],"concepts":[{"id":"https://openalex.org/C170130773","wikidata":"https://www.wikidata.org/wiki/Q216378","display_name":"Usability","level":2,"score":0.9410175085067749},{"id":"https://openalex.org/C2780233690","wikidata":"https://www.wikidata.org/wiki/Q535347","display_name":"Transparency (behavior)","level":2,"score":0.7961941957473755},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7824918031692505},{"id":"https://openalex.org/C3020144179","wikidata":"https://www.wikidata.org/wiki/Q10871684","display_name":"Electronic health record","level":3,"score":0.6613637208938599},{"id":"https://openalex.org/C108827166","wikidata":"https://www.wikidata.org/wiki/Q175975","display_name":"Internet privacy","level":1,"score":0.4812714457511902},{"id":"https://openalex.org/C3019952477","wikidata":"https://www.wikidata.org/wiki/Q1324077","display_name":"Health records","level":3,"score":0.46224546432495117},{"id":"https://openalex.org/C4237393","wikidata":"https://www.wikidata.org/wiki/Q1636686","display_name":"Web usability","level":3,"score":0.43128079175949097},{"id":"https://openalex.org/C107457646","wikidata":"https://www.wikidata.org/wiki/Q207434","display_name":"Human\u2013computer interaction","level":1,"score":0.181718111038208},{"id":"https://openalex.org/C38652104","wikidata":"https://www.wikidata.org/wiki/Q3510521","display_name":"Computer security","level":1,"score":0.17557105422019958},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.15166229009628296},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.08127215504646301},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D003132","descriptor_name":"Commerce","qualifier_ui":"Q000331","qualifier_name":"legislation & jurisprudence","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011640","descriptor_name":"Public Policy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014584","descriptor_name":"User-Computer Interface","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D016347","descriptor_name":"Medical Records Systems, Computerized","qualifier_ui":"Q000331","qualifier_name":"legislation & jurisprudence","is_major_topic":false},{"descriptor_ui":"D016347","descriptor_name":"Medical Records Systems, Computerized","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D033161","descriptor_name":"Government Regulation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D061214","descriptor_name":"Patient Safety","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1001/jama.2018.14079","doi":"https://doi.org/10.1001/jama.2018.14079","is_oa":false,"landing_page_url":"https://doi.org/10.1001/jama.2018.14079","pdf_url":null,"source":{"id":"https://openalex.org/S172573765","display_name":"JAMA","issn_l":"0002-9955","issn":["0002-9955","0098-7484","1538-3598","2376-8118"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320259","host_organization_name":"American Medical Association","host_organization_lineage":["https://openalex.org/P4310320259"],"host_organization_lineage_names":["American Medical Association"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JAMA","raw_type":"journal-article"},{"id":"pmid:30489619","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/30489619","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JAMA","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.8560000061988831}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":5,"referenced_works":["https://openalex.org/W2794457162","https://openalex.org/W2810283546","https://openalex.org/W2827254741","https://openalex.org/W2899898469","https://openalex.org/W4253747132"],"related_works":["https://openalex.org/W3128290596","https://openalex.org/W1966684993","https://openalex.org/W3153239807","https://openalex.org/W2941850177","https://openalex.org/W2150290401","https://openalex.org/W2591107316","https://openalex.org/W2408179346","https://openalex.org/W2794457162","https://openalex.org/W1982672723","https://openalex.org/W2716517815"],"abstract_inverted_index":{"This":[0],"Viewpoint":[1],"discusses":[2],"ways":[3],"in":[4],"which":[5],"vendors":[6],"of":[7,19,35],"electronic":[8],"health":[9],"record":[10],"(EHR)":[11],"systems":[12],"can":[13],"block":[14],"the":[15,31],"conduct":[16],"and":[17,22,25,33,37],"dissemination":[18],"EHR":[20],"usability":[21,36],"safety":[23,38],"research":[24],"calls":[26],"for":[27],"policies":[28],"that":[29],"promote":[30],"identification":[32],"communication":[34],"issues.":[39]},"counts_by_year":[{"year":2026,"cited_by_count":4},{"year":2025,"cited_by_count":2},{"year":2024,"cited_by_count":1},{"year":2023,"cited_by_count":4},{"year":2022,"cited_by_count":3},{"year":2021,"cited_by_count":5},{"year":2020,"cited_by_count":3},{"year":2019,"cited_by_count":13}],"updated_date":"2026-11-06T12:05:46.655746","created_date":"2018-12-11T00:00:00"}