{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,6]],"date-time":"2025-11-06T12:14:38Z","timestamp":1762431278467,"version":"3.37.3"},"reference-count":17,"publisher":"Oxford University Press (OUP)","issue":"5","funder":[{"DOI":"10.13039\/100000133","name":"Agency for Healthcare Research and Quality","doi-asserted-by":"publisher","award":["R21HS023704"],"award-info":[{"award-number":["R21HS023704"]}],"id":[{"id":"10.13039\/100000133","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2017,9,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>To reduce the risk of wrong-patient errors, safety experts recommend limiting the number of patient records providers can open at once in electronic health records (EHRs). However, it is unknown whether health care organizations follow this recommendation or what rationales drive their decisions. To address this gap, we conducted an electronic survey via 2 national listservs. Among 167 inpatient and outpatient study facilities using EHR systems designed to open multiple records at once, 44.3% were configured to allow \u22653 records open at once (unrestricted), 38.3% allowed only 1 record open (restricted), and 17.4% allowed 2 records open (hedged). Decision-making centered on efforts to balance safety and efficiency, but there was disagreement among organizations about how to achieve that balance. Results demonstrate no consensus on the number of records to be allowed open at once in EHRs. Rigorous studies are needed to determine the optimal number of records that balances safety and efficiency.<\/jats:p>","DOI":"10.1093\/jamia\/ocx034","type":"journal-article","created":{"date-parts":[[2017,3,15]],"date-time":"2017-03-15T20:36:33Z","timestamp":1489610193000},"page":"992-995","source":"Crossref","is-referenced-by-count":13,"title":["A national survey assessing the number of records allowed open in electronic health records at hospitals and ambulatory sites"],"prefix":"10.1093","volume":"24","author":[{"given":"Jason S","family":"Adelman","sequence":"first","affiliation":[{"name":"Department of Medicine, Columbia University Medical Center, New York, NY, USA"},{"name":"Department of Biomedical Informatics, Columbia University, New York, NY, USA"},{"name":"Division of Quality and Patient Safety, NewYork-Presbyterian Hospital, New York, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew A","family":"Berger","sequence":"additional","affiliation":[{"name":"Department of Medicine, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amisha","family":"Rai","sequence":"additional","affiliation":[{"name":"Division of Quality and Patient Safety, NewYork-Presbyterian Hospital, New York, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"William L","family":"Galanter","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Illinois at Chicago, Chicago, IL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bruce L","family":"Lambert","sequence":"additional","affiliation":[{"name":"Department of Communication Studies, Northwestern University, Chicago, IL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gordon D","family":"Schiff","sequence":"additional","affiliation":[{"name":"Department of Medicine, Brigham and Women's Hospital, Boston, MA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David K","family":"Vawdrey","sequence":"additional","affiliation":[{"name":"Department of Biomedical Informatics, Columbia University, New York, NY, USA"},{"name":"Division of Quality and Patient Safety, NewYork-Presbyterian Hospital, New York, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert A","family":"Green","sequence":"additional","affiliation":[{"name":"Department of Biomedical Informatics, Columbia University, New York, NY, USA"},{"name":"Division of Quality and Patient Safety, NewYork-Presbyterian Hospital, New York, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hojjat","family":"Salmasian","sequence":"additional","affiliation":[{"name":"Department of Biomedical Informatics, Columbia University, New York, NY, USA"},{"name":"Division of Quality and Patient Safety, NewYork-Presbyterian Hospital, New York, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ross","family":"Koppel","sequence":"additional","affiliation":[{"name":"Department of Sociology, University of Pennsylvania, Philadelphia, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Clyde B","family":"Schechter","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jo R","family":"Applebaum","sequence":"additional","affiliation":[{"name":"Division of Quality and Patient Safety, NewYork-Presbyterian Hospital, New York, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"William N","family":"Southern","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Hospital Medicine, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2017,4,17]]},"reference":[{"key":"2020110612445726000_ocx034-B1","unstructured":"Office of the National Coordinator for Health Information Technology. Certified Health IT Vendors and Editions Reported by Hospitals Participating in the Medicare EHR Incentive Program, Health IT Quick-Stat #29. dashboard.healthit.gov\/quickstats\/pages\/FIG-Vendors-of-EHRs-to-Participating-Hospitals.php. July 2016. Accessed September 30, 2016."},{"key":"2020110612445726000_ocx034-B2","unstructured":"Office of the National Coordinator for Health Information Technology. Office-based Physician Electronic Health Record Adoption: 2004\u20132014, Health IT Quick-Stat #50. dashboard.healthit.gov\/quickstats\/pages\/physician-ehr-adoption-trends.php. September 2015. Accessed September 30, 2016."},{"key":"2020110612445726000_ocx034-B3","unstructured":"Office of the National Coordinator for Health Information Technology. Data Documentation, Office-based Health Care Providers. 2011\u20132013. http:\/\/dashboard.healthit.gov\/datadashboard\/documentation\/ska-data-documentation.php Accessed September 30, 2016."},{"issue":"10","key":"2020110612445726000_ocx034-B4","doi-asserted-by":"crossref","first-page":"1197","DOI":"10.1001\/jama.293.10.1197","article-title":"Role of computerized physician order entry systems in facilitating medication errors","volume":"293","author":"Koppel","year":"2005","journal-title":"JAMA."},{"issue":"5","key":"2020110612445726000_ocx034-B5","doi-asserted-by":"crossref","first-page":"542","DOI":"10.1197\/jamia.M2384","article-title":"Unintended consequences of information technologies in health care: an interactive sociotechnical analysis","volume":"14","author":"Harrison","year":"2007","journal-title":"J Am Med Inform Assoc."},{"issue":"4","key":"2020110612445726000_ocx034-B6","doi-asserted-by":"crossref","first-page":"415","DOI":"10.1197\/jamia.M2373","article-title":"The extent and importance of unintended consequences related to computerized provider order entry","volume":"14","author":"Ash","year":"2007","journal-title":"J Am Med Inform Assoc."},{"issue":"5","key":"2020110612445726000_ocx034-B7","doi-asserted-by":"crossref","first-page":"547","DOI":"10.1197\/jamia.M2042","article-title":"Types of unintended consequences related to computerized provider order entry","volume":"13","author":"Campbell","year":"2006","journal-title":"J Am Med Inform Assoc."},{"volume-title":"Clinical Information Systems: Overcoming Adverse Consequences","year":"2010","author":"Sittig","key":"2020110612445726000_ocx034-B8"},{"key":"2020110612445726000_ocx034-B9","doi-asserted-by":"crossref","first-page":"104","DOI":"10.1197\/jamia.M1471","article-title":"Some unintended consequences of information technology in health care: the nature of patient care information system-related errors","volume":"11","author":"Ash","year":"2003","journal-title":"J Am Med Inform Assoc."},{"volume-title":"Anticipating Unintended Consequences of Health Information Technology and Health Information Exchange: How to Identify and Address Unsafe Conditions Associated with Health IT","author":"Office of the National Coordinator for Health Information Technology","key":"2020110612445726000_ocx034-B10"},{"key":"2020110612445726000_ocx034-B11","unstructured":"Office of the National Coordinator for Health Information Technology. Patient Identification SAFER Guide. https:\/\/www.healthit.gov\/safer\/guide\/sg006. Accessed August 31, 2016."},{"volume-title":"Sentinel Event Alert","author":"The Joint Commission. Safe use of health information technology","key":"2020110612445726000_ocx034-B12"},{"issue":"4","key":"2020110612445726000_ocx034-B13","doi-asserted-by":"crossref","first-page":"364","DOI":"10.1016\/j.jen.2012.03.009","article-title":"Accurate patient identification in the emergency department: meeting the safety challenges","volume":"38","author":"Paparella","year":"2012","journal-title":"J Emerg Nurs."},{"key":"2020110612445726000_ocx034-B14","volume-title":"Content Analysis: An Introduction to its Methodology","author":"Krippendorff K","year":"2013","edition":"3rd ed"},{"key":"2020110612445726000_ocx034-B15","first-page":"1294","article-title":"\u201cI meant that med for Baylee not Bailey!\u201d: a mixed method study to identify incidence and risk factors for CPOE patient misidentification","volume":"2012","author":"Levin","year":"2012","journal-title":"AMIA Annu Symp Proc."},{"issue":"3","key":"2020110612445726000_ocx034-B16","doi-asserted-by":"crossref","first-page":"477","DOI":"10.1136\/amiajnl-2012-001555","article-title":"Indication-based prescribing prevents wrong-patient medication errors in computerized provider order entry (CPOE)","volume":"20","author":"Galanter","year":"2013","journal-title":"J Am Med Inform Assoc."},{"issue":"2","key":"2020110612445726000_ocx034-B17","doi-asserted-by":"crossref","first-page":"305","DOI":"10.1136\/amiajnl-2012-001055","article-title":"Understanding and preventing wrong-patient electronic orders: a randomized controlled trial","volume":"20","author":"Adelman","year":"2013","journal-title":"J Am Med Inform Assoc."}],"container-title":["Journal of the American Medical Informatics Association"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/jamia\/article-pdf\/24\/5\/992\/34149183\/ocx034.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/jamia\/article-pdf\/24\/5\/992\/34149183\/ocx034.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,11,6]],"date-time":"2020-11-06T18:25:12Z","timestamp":1604687112000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jamia\/article\/24\/5\/992\/3737799"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,4,17]]},"references-count":17,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2017,4,17]]},"published-print":{"date-parts":[[2017,9,1]]}},"URL":"https:\/\/doi.org\/10.1093\/jamia\/ocx034","relation":{},"ISSN":["1067-5027","1527-974X"],"issn-type":[{"type":"print","value":"1067-5027"},{"type":"electronic","value":"1527-974X"}],"subject":[],"published-other":{"date-parts":[[2017,9]]},"published":{"date-parts":[[2017,4,17]]}}}