{"id":"https://openalex.org/W2623926437","doi":"https://doi.org/10.4338/aci-2017-01-ra-0014","title":"An Analysis of Patient Safety Incident Reports Associated with Electronic Health Record Interoperability","display_name":"An Analysis of Patient Safety Incident Reports Associated with Electronic Health Record Interoperability","publication_year":2017,"publication_date":"2017-04-01","ids":{"openalex":"https://openalex.org/W2623926437","doi":"https://doi.org/10.4338/aci-2017-01-ra-0014","mag":"2623926437","pmid":"https://pubmed.ncbi.nlm.nih.gov/29388756"},"language":"en","primary_location":{"id":"doi:10.4338/aci-2017-01-ra-0014","is_oa":true,"landing_page_url":"https://doi.org/10.4338/aci-2017-01-ra-0014","pdf_url":"http://www.thieme-connect.de/products/ejournals/pdf/10.4338/ACI-2017-01-RA-0014.pdf","source":{"id":"https://openalex.org/S187139995","display_name":"Applied Clinical Informatics","issn_l":"1869-0327","issn":["1869-0327"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310320000","host_organization_name":"Thieme Medical Publishers (Germany)","host_organization_lineage":["https://openalex.org/P4310320000"],"host_organization_lineage_names":["Thieme Medical Publishers (Germany)"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Applied Clinical Informatics","raw_type":"journal-article"},"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"bronze","oa_url":"http://www.thieme-connect.de/products/ejournals/pdf/10.4338/ACI-2017-01-RA-0014.pdf","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5041751523","display_name":"Katharine Adams","orcid":"https://orcid.org/0000-0003-4826-8885"},"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":"Katharine Adams","raw_affiliation_strings":["National Center for Human Factors in Healthcare, MedStar Health, Washington, DC","National Center for Human Factors in Healthcare, MedStar Health, Washington, DC;"],"affiliations":[{"raw_affiliation_string":"National Center for Human Factors in Healthcare, MedStar Health, Washington, DC","institution_ids":["https://openalex.org/I86755215"]},{"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/A5029755683","display_name":"Jessica Howe","orcid":"https://orcid.org/0000-0003-1594-8171"},"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":"Jessica Howe","raw_affiliation_strings":["National Center for Human Factors in Healthcare, MedStar Health, Washington, DC","National Center for Human Factors in Healthcare, MedStar Health, Washington, DC;"],"affiliations":[{"raw_affiliation_string":"National Center for Human Factors in Healthcare, MedStar Health, Washington, DC","institution_ids":["https://openalex.org/I86755215"]},{"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/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","National Center for Human Factors in Healthcare, MedStar Health, Washington, DC;"],"affiliations":[{"raw_affiliation_string":"National Center for Human Factors in Healthcare, MedStar Health, Washington, DC","institution_ids":["https://openalex.org/I86755215"]},{"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/A5051138169","display_name":"Joseph S. Puthumana","orcid":"https://orcid.org/0000-0001-8481-1983"},"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":"Joseph Puthumana","raw_affiliation_strings":["National Center for Human Factors in Healthcare, MedStar Health, Washington, DC","National Center for Human Factors in Healthcare, MedStar Health, Washington, DC;"],"affiliations":[{"raw_affiliation_string":"National Center for Human Factors in Healthcare, MedStar Health, Washington, DC","institution_ids":["https://openalex.org/I86755215"]},{"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/A5039396789","display_name":"Kathryn Kellogg","orcid":null},"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"]},{"id":"https://openalex.org/I918155757","display_name":"Georgetown College","ror":"https://ror.org/059yd5j13","country_code":"US","type":"education","lineage":["https://openalex.org/I918155757"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Kathryn Kellogg","raw_affiliation_strings":["Department of Emergency Medicine, Georgetown School of Medicine","National Center for Human Factors in Healthcare, MedStar Health, Washington, DC","National Center for Human Factors in Healthcare, MedStar Health, Washington, DC;","Department of Emergency Medicine, Georgetown School of Medicine;"],"affiliations":[{"raw_affiliation_string":"Department of Emergency Medicine, Georgetown School of Medicine","institution_ids":["https://openalex.org/I184565670","https://openalex.org/I918155757"]},{"raw_affiliation_string":"National Center for Human Factors in Healthcare, MedStar Health, Washington, DC","institution_ids":["https://openalex.org/I86755215"]},{"raw_affiliation_string":"National Center for Human Factors in Healthcare, MedStar Health, Washington, DC;","institution_ids":["https://openalex.org/I86755215"]},{"raw_affiliation_string":"Department of Emergency Medicine, Georgetown School of Medicine;","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5012497390","display_name":"Michael J Gaunt","orcid":null},"institutions":[{"id":"https://openalex.org/I4210115132","display_name":"Institute for Safe Medication Practices","ror":"https://ror.org/02358mx30","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I4210115132"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Michael Gaunt","raw_affiliation_strings":["Institute for Safe Medication Practices, Horsham, PA"],"affiliations":[{"raw_affiliation_string":"Institute for Safe Medication Practices, Horsham, PA","institution_ids":["https://openalex.org/I4210115132"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5020082151","display_name":"Raj Ratwani","orcid":null},"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"]},{"id":"https://openalex.org/I918155757","display_name":"Georgetown College","ror":"https://ror.org/059yd5j13","country_code":"US","type":"education","lineage":["https://openalex.org/I918155757"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Raj Ratwani","raw_affiliation_strings":["Department of Emergency Medicine, Georgetown School of Medicine","National Center for Human Factors in Healthcare, MedStar Health, Washington, DC","National Center for Human Factors in Healthcare, MedStar Health, Washington, DC;","Department of Emergency Medicine, Georgetown School of Medicine;"],"affiliations":[{"raw_affiliation_string":"Department of Emergency Medicine, Georgetown School of Medicine","institution_ids":["https://openalex.org/I184565670","https://openalex.org/I918155757"]},{"raw_affiliation_string":"National Center for Human Factors in Healthcare, MedStar Health, Washington, DC","institution_ids":["https://openalex.org/I86755215"]},{"raw_affiliation_string":"National Center for Human Factors in Healthcare, MedStar Health, Washington, DC;","institution_ids":["https://openalex.org/I86755215"]},{"raw_affiliation_string":"Department of Emergency Medicine, Georgetown School of Medicine;","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":7,"corresponding_author_ids":["https://openalex.org/A5020082151"],"corresponding_institution_ids":["https://openalex.org/I184565670","https://openalex.org/I86755215","https://openalex.org/I918155757"],"apc_list":null,"apc_paid":null,"fwci":7.5574,"has_fulltext":true,"cited_by_count":33,"citation_normalized_percentile":{"value":0.96830957,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":90,"max":99},"biblio":{"volume":"08","issue":"02","first_page":"593","last_page":"602"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":0.9997000098228455,"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":0.9997000098228455,"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/T10582","display_name":"Ethics in Clinical Research","score":0.9839000105857849,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11636","display_name":"Artificial Intelligence in Healthcare and Education","score":0.9790999889373779,"subfield":{"id":"https://openalex.org/subfields/2718","display_name":"Health Informatics"},"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/interoperability","display_name":"Interoperability","score":0.9079768061637878},{"id":"https://openalex.org/keywords/patient-safety","display_name":"Patient safety","score":0.7186038494110107},{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.5861786603927612},{"id":"https://openalex.org/keywords/health-care","display_name":"Health care","score":0.5607520937919617},{"id":"https://openalex.org/keywords/health-information-technology","display_name":"Health information technology","score":0.5175279974937439},{"id":"https://openalex.org/keywords/semantic-interoperability","display_name":"Semantic interoperability","score":0.5170122385025024},{"id":"https://openalex.org/keywords/pharmacy","display_name":"Pharmacy","score":0.4712788462638855},{"id":"https://openalex.org/keywords/electronic-health-record","display_name":"Electronic health record","score":0.44478166103363037},{"id":"https://openalex.org/keywords/electronic-prescribing","display_name":"Electronic prescribing","score":0.4198005795478821},{"id":"https://openalex.org/keywords/medical-emergency","display_name":"Medical emergency","score":0.3871217966079712},{"id":"https://openalex.org/keywords/nursing","display_name":"Nursing","score":0.3150850534439087},{"id":"https://openalex.org/keywords/computer-science","display_name":"Computer science","score":0.27530038356781006},{"id":"https://openalex.org/keywords/world-wide-web","display_name":"World Wide Web","score":0.2461734116077423}],"concepts":[{"id":"https://openalex.org/C20136886","wikidata":"https://www.wikidata.org/wiki/Q749647","display_name":"Interoperability","level":2,"score":0.9079768061637878},{"id":"https://openalex.org/C2779328685","wikidata":"https://www.wikidata.org/wiki/Q1475557","display_name":"Patient safety","level":3,"score":0.7186038494110107},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5861786603927612},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.5607520937919617},{"id":"https://openalex.org/C2776354556","wikidata":"https://www.wikidata.org/wiki/Q10910281","display_name":"Health information technology","level":3,"score":0.5175279974937439},{"id":"https://openalex.org/C192800085","wikidata":"https://www.wikidata.org/wiki/Q5258530","display_name":"Semantic interoperability","level":3,"score":0.5170122385025024},{"id":"https://openalex.org/C104863432","wikidata":"https://www.wikidata.org/wiki/Q614304","display_name":"Pharmacy","level":2,"score":0.4712788462638855},{"id":"https://openalex.org/C3020144179","wikidata":"https://www.wikidata.org/wiki/Q10871684","display_name":"Electronic health record","level":3,"score":0.44478166103363037},{"id":"https://openalex.org/C2777519982","wikidata":"https://www.wikidata.org/wiki/Q3560776","display_name":"Electronic prescribing","level":3,"score":0.4198005795478821},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.3871217966079712},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.3150850534439087},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.27530038356781006},{"id":"https://openalex.org/C136764020","wikidata":"https://www.wikidata.org/wiki/Q466","display_name":"World Wide Web","level":1,"score":0.2461734116077423},{"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/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D000073892","descriptor_name":"Health Information Interoperability","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D000073892","descriptor_name":"Health Information Interoperability","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D000073892","descriptor_name":"Health Information Interoperability","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D000073892","descriptor_name":"Health Information Interoperability","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006282","descriptor_name":"Health Personnel","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006282","descriptor_name":"Health Personnel","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006282","descriptor_name":"Health Personnel","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006282","descriptor_name":"Health Personnel","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":"D006801","descriptor_name":"Humans","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":"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},{"descriptor_ui":"D061214","descriptor_name":"Patient Safety","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":3,"locations":[{"id":"doi:10.4338/aci-2017-01-ra-0014","is_oa":true,"landing_page_url":"https://doi.org/10.4338/aci-2017-01-ra-0014","pdf_url":"http://www.thieme-connect.de/products/ejournals/pdf/10.4338/ACI-2017-01-RA-0014.pdf","source":{"id":"https://openalex.org/S187139995","display_name":"Applied Clinical Informatics","issn_l":"1869-0327","issn":["1869-0327"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310320000","host_organization_name":"Thieme Medical Publishers (Germany)","host_organization_lineage":["https://openalex.org/P4310320000"],"host_organization_lineage_names":["Thieme Medical Publishers (Germany)"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Applied Clinical Informatics","raw_type":"journal-article"},{"id":"pmid:29388756","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/29388756","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":"Applied clinical informatics","raw_type":null},{"id":"pmh:oai:europepmc.org:5208389","is_oa":false,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/6241757","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Text"}],"best_oa_location":{"id":"doi:10.4338/aci-2017-01-ra-0014","is_oa":true,"landing_page_url":"https://doi.org/10.4338/aci-2017-01-ra-0014","pdf_url":"http://www.thieme-connect.de/products/ejournals/pdf/10.4338/ACI-2017-01-RA-0014.pdf","source":{"id":"https://openalex.org/S187139995","display_name":"Applied Clinical Informatics","issn_l":"1869-0327","issn":["1869-0327"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310320000","host_organization_name":"Thieme Medical Publishers (Germany)","host_organization_lineage":["https://openalex.org/P4310320000"],"host_organization_lineage_names":["Thieme Medical Publishers (Germany)"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Applied Clinical Informatics","raw_type":"journal-article"},"sustainable_development_goals":[],"awards":[{"id":"https://openalex.org/G2019136341","display_name":null,"funder_award_id":"5 R01 HS023701\u201302","funder_id":"https://openalex.org/F4320332177","funder_display_name":"Agency for Healthcare Research and Quality"},{"id":"https://openalex.org/G2156863558","display_name":null,"funder_award_id":"5 R01 HS023701-02","funder_id":"https://openalex.org/F4320332177","funder_display_name":"Agency for Healthcare Research and Quality"}],"funders":[{"id":"https://openalex.org/F4320332177","display_name":"Agency for Healthcare Research and Quality","ror":"https://ror.org/03jmfdf59"}],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2623926437.pdf","grobid_xml":"https://content.openalex.org/works/W2623926437.grobid-xml"},"referenced_works_count":10,"referenced_works":["https://openalex.org/W1656806307","https://openalex.org/W1773412827","https://openalex.org/W2018106774","https://openalex.org/W2034898504","https://openalex.org/W2038327184","https://openalex.org/W2048918184","https://openalex.org/W2109768776","https://openalex.org/W2127433315","https://openalex.org/W2241024151","https://openalex.org/W2412938508"],"related_works":["https://openalex.org/W1641026212","https://openalex.org/W2014426586","https://openalex.org/W9475614","https://openalex.org/W2037817819","https://openalex.org/W2110310637","https://openalex.org/W2080041330","https://openalex.org/W74966022","https://openalex.org/W2044718808","https://openalex.org/W4397023288","https://openalex.org/W2108167590"],"abstract_inverted_index":{"Background:":[0],"With":[1],"the":[2,25,46,52,96,101,107,116,120,151,199,209,221,243,247,270],"widespread":[3],"use":[4],"of":[5,28,91,119,128,179,198,230,242],"electronic":[6],"health":[7,17,83,97,147,215,278],"records":[8],"(EHRs)":[9],"for":[10,24],"many":[11,241],"clinical":[12,102,204],"tasks,":[13],"interoperability":[14,37,59,79,159,169,181,200,232],"with":[15,81,186,208,276],"other":[16,82,214,226,277],"information":[18,212,224],"technology":[19],"(health":[20],"IT)":[21],"is":[22,32,43],"critical":[23],"effective":[26],"delivery":[27],"care.":[29],"While":[30],"it":[31],"generally":[33],"recognized":[34],"that":[35,76,142],"poor":[36],"negatively":[38],"impacts":[39],"patient":[40,48,53,72,121,131,254],"care,":[41],"little":[42],"known":[44],"about":[45],"specific":[47],"safety":[49,54,73,122,132,244],"implications.":[50],"Understanding":[51],"implications":[55],"will":[56],"help":[57],"prioritize":[58,260],"efforts":[60,258],"around":[61],"architectures":[62],"and":[63,85,115,174,195,239,265],"standards.":[64],"Objectives:":[65],"Our":[66],"objectives":[67],"were":[68,143,154,172,206,234],"to":[69,94,156,220,225,272],"(1)":[70],"identify":[71,157],"incident":[74,108],"reports":[75,93,135,141,183],"reflect":[77],"EHR":[78,158,168,180,210,222,231],"challenges":[80,201,233],"IT,":[84],"(2)":[86],"perform":[87],"a":[88,126,163,236,250],"detailed":[89],"analysis":[90],"these":[92,203],"understand":[95],"IT":[98,148,216,279],"systems":[99,188,217,261,280],"involved,":[100],"care":[103],"processes":[104],"impacted,":[105],"whether":[106],"occurred":[109],"within":[110,235,281],"or":[111],"between":[112],"provider":[113,138,237],"organizations,":[114,139],"reported":[117],"severity":[118],"events.":[123],"Methods:":[124],"From":[125],"database":[127],"1.735":[129],"million":[130],"event":[133,152],"(PSE)":[134],"spanning":[136],"multiple":[137],"2625":[140],"indicated":[144],"as":[145,218],"being":[146],"related":[149,160,170],"by":[150,193],"reporter":[153],"reviewed":[155],"reports.":[161],"Through":[162],"rigorous":[164],"coding":[165],"process":[166],"209":[167],"events":[171,245],"identified":[173],"coded.":[175],"Results:":[176],"The":[177,228],"majority":[178,229],"PSE":[182],"involved":[184],"interfacing":[185,275],"pharmacy":[187],"(i.e.":[189],"medication":[190],"related),":[191],"followed":[192],"laboratory,":[194,264],"radiology.":[196,266],"Most":[197],"in":[202,253,262],"areas":[205],"associated":[207],"receiving":[211],"from":[213],"opposed":[219],"sending":[223],"systems.":[227],"organization":[238],"while":[240],"reached":[246],"patient,":[248],"only":[249],"few":[251],"resulted":[252],"harm.":[255],"Conclusions:":[256],"Interoperability":[257],"should":[259,268],"pharmacy,":[263],"Providers":[267],"recognize":[269],"need":[271],"improve":[273],"EHRs":[274],"their":[282],"own":[283],"organization.":[284]},"counts_by_year":[{"year":2025,"cited_by_count":3},{"year":2024,"cited_by_count":1},{"year":2023,"cited_by_count":6},{"year":2022,"cited_by_count":7},{"year":2021,"cited_by_count":2},{"year":2020,"cited_by_count":7},{"year":2019,"cited_by_count":5},{"year":2018,"cited_by_count":2}],"updated_date":"2026-04-10T15:06:20.359241","created_date":"2025-10-10T00:00:00"}