{"id":"https://openalex.org/W2617187239","doi":"https://doi.org/10.1093/jamia/ocx057","title":"Implications of electronic health record downtime: an analysis of patient safety event reports","display_name":"Implications of electronic health record downtime: an analysis of patient safety event reports","publication_year":2017,"publication_date":"2017-05-04","ids":{"openalex":"https://openalex.org/W2617187239","doi":"https://doi.org/10.1093/jamia/ocx057","mag":"2617187239","pmid":"https://pubmed.ncbi.nlm.nih.gov/28575417"},"language":"en","primary_location":{"id":"doi:10.1093/jamia/ocx057","is_oa":false,"landing_page_url":"https://doi.org/10.1093/jamia/ocx057","pdf_url":null,"source":{"id":"https://openalex.org/S129839026","display_name":"Journal of the American Medical Informatics Association","issn_l":"1067-5027","issn":["1067-5027","1527-974X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Medical Informatics Association","raw_type":"journal-article"},"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/7647128","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5067855305","display_name":"Ethan Larsen","orcid":"https://orcid.org/0000-0001-6599-4577"},"institutions":[{"id":"https://openalex.org/I859038795","display_name":"Virginia Tech","ror":"https://ror.org/02smfhw86","country_code":"US","type":"education","lineage":["https://openalex.org/I859038795"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Ethan Larsen","raw_affiliation_strings":["Grado Department of Industrial and Systems Engineering, Virginia Tech, Blacksburg, VA, USA"],"affiliations":[{"raw_affiliation_string":"Grado Department of Industrial and Systems Engineering, Virginia Tech, Blacksburg, VA, USA","institution_ids":["https://openalex.org/I859038795"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5082243931","display_name":"Allan Fong","orcid":"https://orcid.org/0000-0002-7550-1569"},"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":"Allan Fong","raw_affiliation_strings":["National Center for Human Factors in Healthcare, MedStar Health, Washington, DC, USA"],"affiliations":[{"raw_affiliation_string":"National Center for Human Factors in Healthcare, MedStar Health, Washington, DC, USA","institution_ids":["https://openalex.org/I86755215"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5077406918","display_name":"Christian Wernz","orcid":"https://orcid.org/0000-0001-7506-4728"},"institutions":[{"id":"https://openalex.org/I184840846","display_name":"Virginia Commonwealth University","ror":"https://ror.org/02nkdxk79","country_code":"US","type":"education","lineage":["https://openalex.org/I184840846"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Christian Wernz","raw_affiliation_strings":["Department of Health Administration, Virginia Commonwealth University, Richmond, VA, USA"],"affiliations":[{"raw_affiliation_string":"Department of Health Administration, Virginia Commonwealth University, Richmond, VA, USA","institution_ids":["https://openalex.org/I184840846"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5037268899","display_name":"Raj M. Ratwani","orcid":"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"]},{"id":"https://openalex.org/I184565670","display_name":"Georgetown University","ror":"https://ror.org/05vzafd60","country_code":"US","type":"education","lineage":["https://openalex.org/I184565670"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Raj M Ratwani","raw_affiliation_strings":["Department of Emergency Medicine, Georgetown University of School of Medicine, Washington, DC, USA","National Center for Human Factors in Healthcare, MedStar Health, Washington, DC, USA"],"affiliations":[{"raw_affiliation_string":"Department of Emergency Medicine, Georgetown University of School of Medicine, Washington, DC, USA","institution_ids":["https://openalex.org/I184565670"]},{"raw_affiliation_string":"National Center for Human Factors in Healthcare, MedStar Health, Washington, DC, USA","institution_ids":["https://openalex.org/I86755215"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":4,"corresponding_author_ids":["https://openalex.org/A5037268899"],"corresponding_institution_ids":["https://openalex.org/I184565670","https://openalex.org/I86755215"],"apc_list":{"value":3967,"currency":"USD","value_usd":3967},"apc_paid":null,"fwci":12.4139,"has_fulltext":false,"cited_by_count":59,"citation_normalized_percentile":{"value":0.983147,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":97,"max":100},"biblio":{"volume":"25","issue":"2","first_page":"187","last_page":"191"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":0.9998000264167786,"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":0.9998000264167786,"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/T10508","display_name":"Patient Safety and Medication Errors","score":0.98580002784729,"subfield":{"id":"https://openalex.org/subfields/3604","display_name":"Emergency Medical Services"},"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/T13643","display_name":"Artificial Intelligence in Law","score":0.9732999801635742,"subfield":{"id":"https://openalex.org/subfields/3320","display_name":"Political Science and International Relations"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/downtime","display_name":"Downtime","score":0.8946560025215149},{"id":"https://openalex.org/keywords/event","display_name":"Event (particle physics)","score":0.5756110548973083},{"id":"https://openalex.org/keywords/patient-safety","display_name":"Patient safety","score":0.5508432984352112},{"id":"https://openalex.org/keywords/electronic-health-record","display_name":"Electronic health record","score":0.5177159309387207},{"id":"https://openalex.org/keywords/computer-science","display_name":"Computer science","score":0.4613831639289856},{"id":"https://openalex.org/keywords/medical-emergency","display_name":"Medical emergency","score":0.4001929759979248},{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.32596081495285034},{"id":"https://openalex.org/keywords/health-care","display_name":"Health care","score":0.2121162712574005}],"concepts":[{"id":"https://openalex.org/C180591934","wikidata":"https://www.wikidata.org/wiki/Q1253369","display_name":"Downtime","level":2,"score":0.8946560025215149},{"id":"https://openalex.org/C2779662365","wikidata":"https://www.wikidata.org/wiki/Q5416694","display_name":"Event (particle physics)","level":2,"score":0.5756110548973083},{"id":"https://openalex.org/C2779328685","wikidata":"https://www.wikidata.org/wiki/Q1475557","display_name":"Patient safety","level":3,"score":0.5508432984352112},{"id":"https://openalex.org/C3020144179","wikidata":"https://www.wikidata.org/wiki/Q10871684","display_name":"Electronic health record","level":3,"score":0.5177159309387207},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.4613831639289856},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.4001929759979248},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.32596081495285034},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.2121162712574005},{"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},{"id":"https://openalex.org/C62520636","wikidata":"https://www.wikidata.org/wiki/Q944","display_name":"Quantum mechanics","level":1,"score":0.0},{"id":"https://openalex.org/C111919701","wikidata":"https://www.wikidata.org/wiki/Q9135","display_name":"Operating system","level":1,"score":0.0},{"id":"https://openalex.org/C121332964","wikidata":"https://www.wikidata.org/wiki/Q413","display_name":"Physics","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D004868","descriptor_name":"Equipment Failure","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004868","descriptor_name":"Equipment Failure","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004868","descriptor_name":"Equipment Failure","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006268","descriptor_name":"Health Facilities","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006268","descriptor_name":"Health Facilities","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006268","descriptor_name":"Health Facilities","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D019300","descriptor_name":"Medical Errors","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D019300","descriptor_name":"Medical Errors","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D019300","descriptor_name":"Medical Errors","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"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":true},{"descriptor_ui":"D061214","descriptor_name":"Patient Safety","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":true}],"locations_count":3,"locations":[{"id":"doi:10.1093/jamia/ocx057","is_oa":false,"landing_page_url":"https://doi.org/10.1093/jamia/ocx057","pdf_url":null,"source":{"id":"https://openalex.org/S129839026","display_name":"Journal of the American Medical Informatics Association","issn_l":"1067-5027","issn":["1067-5027","1527-974X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Medical Informatics Association","raw_type":"journal-article"},{"id":"pmid:28575417","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/28575417","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,"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":"Journal of the American Medical Informatics Association : JAMIA","raw_type":null},{"id":"pmh:oai:pubmedcentral.nih.gov:7647128","is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/7647128","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"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":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"J Am Med Inform Assoc","raw_type":"Text"}],"best_oa_location":{"id":"pmh:oai:pubmedcentral.nih.gov:7647128","is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/7647128","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"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":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"J Am Med Inform Assoc","raw_type":"Text"},"sustainable_development_goals":[{"score":0.6200000047683716,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"awards":[],"funders":[{"id":"https://openalex.org/F4320306085","display_name":"U.S. Department of Health and Human Services","ror":"https://ror.org/033jnv181"}],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":28,"referenced_works":["https://openalex.org/W17346816","https://openalex.org/W1607675442","https://openalex.org/W1656806307","https://openalex.org/W1714723801","https://openalex.org/W2015042083","https://openalex.org/W2020445042","https://openalex.org/W2021365718","https://openalex.org/W2023248478","https://openalex.org/W2030434108","https://openalex.org/W2044959457","https://openalex.org/W2099701690","https://openalex.org/W2109492724","https://openalex.org/W2109768776","https://openalex.org/W2111175405","https://openalex.org/W2116241811","https://openalex.org/W2139603770","https://openalex.org/W2147545567","https://openalex.org/W2150217040","https://openalex.org/W2161554615","https://openalex.org/W2218231226","https://openalex.org/W2313841134","https://openalex.org/W2496891868","https://openalex.org/W2553510588","https://openalex.org/W6600684305","https://openalex.org/W6681847329","https://openalex.org/W6688683560","https://openalex.org/W6698725915","https://openalex.org/W6715661378"],"related_works":["https://openalex.org/W2046276983","https://openalex.org/W2954002293","https://openalex.org/W2892741875","https://openalex.org/W2164372000","https://openalex.org/W2078264086","https://openalex.org/W2109143577","https://openalex.org/W1985537075","https://openalex.org/W2161582432","https://openalex.org/W1972812226","https://openalex.org/W187383352"],"abstract_inverted_index":{"EHR":[0],"downtime":[1,13],"events":[2],"pose":[3],"patient":[4],"safety":[5],"hazards,":[6],"and":[7],"we":[8],"highlight":[9],"critical":[10],"areas":[11],"for":[12],"procedure":[14],"improvement.":[15]},"counts_by_year":[{"year":2026,"cited_by_count":4},{"year":2025,"cited_by_count":10},{"year":2024,"cited_by_count":5},{"year":2023,"cited_by_count":5},{"year":2022,"cited_by_count":5},{"year":2021,"cited_by_count":7},{"year":2020,"cited_by_count":6},{"year":2019,"cited_by_count":12},{"year":2018,"cited_by_count":5}],"updated_date":"2026-04-02T15:55:50.835912","created_date":"2025-10-10T00:00:00"}
