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  1. Book: Electronic health records

    Sittig, Dean F.

    challenges in design and implementation

    2014  

    Author's details ed. by Dean F. Sittig
    Language English
    Size XXXI, 386 S. : Ill., graph. Darst.
    Publisher Apple Acad. Press
    Publishing place Toronto u.a.
    Publishing country Canada
    Document type Book
    HBZ-ID HT017761232
    ISBN 978-1-926895-93-2 ; 1-926895-93-2
    Database Catalogue ZB MED Medicine, Health

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    In stock of ZB MED Cologne/Königswinter

    Shelf markLoan statusLocation
    2014 A 2351 available for loan (reading room) Lesesaal EG

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  2. Book: Clinical information systems

    Sittig, Dean F. / Ash, Joan

    overcoming adverse consequences

    (Jones and Bartlett series in biomedical informatics)

    2011  

    Author's details Dean F. Sittig ; Joan S. Ash
    Series title Jones and Bartlett series in biomedical informatics
    Keywords Medical Order Entry Systems ; Medical Errors / prevention & control ; Equipment Failure ; Evaluation Studies as Topic ; Attitude to Computers
    Language English
    Size XIX, 230 S. : Ill.
    Publisher Jones and Bartlett
    Publishing place Sudbury, Mass. u.a.
    Publishing country United States
    Document type Book
    HBZ-ID HT016566153
    ISBN 978-0-7637-5764-9 ; 0-7637-5764-0
    Database Catalogue ZB MED Medicine, Health

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    In stock of ZB MED Cologne/Königswinter

    Shelf markLoan statusLocation
    2010 A 5687 order for loan Magazin

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  3. Article ; Online: A guide to mitigating audit log-related risk in medical professional liability cases.

    Sittig, Dean F / Wright, Adam

    Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management

    2023  Volume 43, Issue 2, Page(s) 37–47

    Abstract: Following the American Recovery and Reinvestment Act in 2009, use of electronic health records (EHRs) has become ubiquitous. Accordingly, one should expect most medical professional liability cases to involve review of patient records produced from EHRs. ...

    Abstract Following the American Recovery and Reinvestment Act in 2009, use of electronic health records (EHRs) has become ubiquitous. Accordingly, one should expect most medical professional liability cases to involve review of patient records produced from EHRs. When questions arise regarding who was involved in care of a patient, what they knew and when, or the meaning, completeness, integrity, validity, timeliness, confidentiality, accuracy, or legitimacy of data, or ways that the EHR's user interface or automated clinical decision support tools may have contributed to the alleged events, one often turns to the EHR and its audit log. This manuscript discusses lines of defense incorporated into the design, development, implementation, and use of EHRs to ensure their integrity and the types of EHR transaction logs (e.g., audit log) that exist. Using these logs can help one answer questions that often arise in medical malpractice cases. Finally, there are "best practices" surrounding EHR audit logs that health care organizations should implement. When used appropriately, EHRs and their audit logs provide another source of information to help hospital risk managers, legal counsel, and EHR expert witnesses to investigate adverse incidents and, if needed, prosecute or defend clinicians and/or health care organizations involved in the patient's care.
    MeSH term(s) Humans ; Liability, Legal ; Malpractice ; Electronic Health Records ; Health Personnel
    Language English
    Publishing date 2023-07-24
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2546719-0
    ISSN 2040-0861 ; 1074-4797
    ISSN (online) 2040-0861
    ISSN 1074-4797
    DOI 10.1002/jhrm.21553
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Identifying a Clinical Informatics or Electronic Health Record Expert Witness for Medical Professional Liability Cases.

    Sittig, Dean F / Wright, Adam

    Applied clinical informatics

    2023  Volume 14, Issue 2, Page(s) 290–295

    Abstract: Background: The health care field is experiencing widespread electronic health record (EHR) adoption. New medical professional liability (i.e., malpractice) cases will likely involve the review of data extracted from EHRs as well as EHR workflows, audit ...

    Abstract Background: The health care field is experiencing widespread electronic health record (EHR) adoption. New medical professional liability (i.e., malpractice) cases will likely involve the review of data extracted from EHRs as well as EHR workflows, audit logs, and even the potential role of the EHR in causing harm.
    Objectives: Reviewing printed versions of a patient's EHRs can be difficult due to differences in printed versus on-screen presentations, redundancies, and the way printouts are often grouped by document or information type rather than chronologically. Simply recreating an accurate timeline often requires experts with training and experience in designing, developing, using, and reviewing EHRs and audit logs. Additional expertise is required if questions arise about data's meaning, completeness, accuracy, and timeliness or ways that the EHR's user interface or automated clinical decision support tools may have contributed to alleged events. Such experts often come from the sociotechnical field of clinical informatics that studies the design, development, implementation, use, and evaluation of information and communications technology, specifically, EHRs. Identifying well-qualified EHR experts to aid a legal team is challenging.
    Methods: Based on literature review and experience reviewing cases, we identified seven criteria to help in this assessment.
    Results: The criteria are education in clinical informatics; clinical informatics knowledge; experience with EHR design, development, implementation, and use; communication skills; academic publications on clinical informatics; clinical informatics certification; and membership in informatics-related professional organizations.
    Conclusion: While none of these criteria are essential, understanding the breadth and depth of an individual's qualifications in each of these areas can help identify a high-quality, clinical informatics expert witness.
    MeSH term(s) Humans ; Electronic Health Records ; Liability, Legal ; Expert Testimony ; Medical Informatics ; Communication
    Language English
    Publishing date 2023-01-27
    Publishing country Germany
    Document type Journal Article
    ISSN 1869-0327
    ISSN (online) 1869-0327
    DOI 10.1055/a-2018-9932
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Your chosen title can be delivered directly to ZB MED Cologne location if you are registered as a user at ZB MED Cologne.

  5. Article ; Online: Five Strategies for a Safer EHR Modernization Journey.

    Sittig, Dean F / Yackel, Edward E / Singh, Hardeep

    Journal of general internal medicine

    2023  Volume 38, Issue Suppl 4, Page(s) 940–942

    MeSH term(s) Humans ; Patient Safety ; Electronic Health Records
    Language English
    Publishing date 2023-10-05
    Publishing country United States
    Document type Editorial ; Research Support, U.S. Gov't, P.H.S. ; Research Support, U.S. Gov't, Non-P.H.S.
    ZDB-ID 639008-0
    ISSN 1525-1497 ; 0884-8734
    ISSN (online) 1525-1497
    ISSN 0884-8734
    DOI 10.1007/s11606-023-08331-z
    Database MEDical Literature Analysis and Retrieval System OnLINE

    Full text online

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 2205: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

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  6. Article ; Online: Policies to Promote Shared Responsibility for Safer Electronic Health Records.

    Sittig, Dean F / Singh, Hardeep

    JAMA

    2021  Volume 326, Issue 15, Page(s) 1477–1478

    MeSH term(s) Centers for Medicare and Medicaid Services, U.S. ; Computer Security/legislation & jurisprudence ; Confidentiality ; Electronic Health Records/legislation & jurisprudence ; Electronic Health Records/standards ; Hospital Records/legislation & jurisprudence ; Humans ; Patient Safety/legislation & jurisprudence ; Policy ; United States
    Language English
    Publishing date 2021-09-10
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2958-0
    ISSN 1538-3598 ; 0254-9077 ; 0002-9955 ; 0098-7484
    ISSN (online) 1538-3598
    ISSN 0254-9077 ; 0002-9955 ; 0098-7484
    DOI 10.1001/jama.2021.13945
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Ua VI Zs.88: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
    ab Jg. 2022: Lesesaal (EG)

    Order via subito

    This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.

  7. Article: Identifying a Clinical Informatics or Electronic Health Record Expert Witness for Medical Professional Liability Cases

    Sittig, Dean F. / Wright, Adam

    Applied Clinical Informatics

    2023  Volume 14, Issue 02, Page(s) 290–295

    Abstract: Background: The health care field is experiencing widespread electronic health record (EHR) adoption. New medical professional liability (i.e., malpractice) cases will likely involve the review of data extracted from EHRs as well as EHR workflows, audit ...

    Abstract Background: The health care field is experiencing widespread electronic health record (EHR) adoption. New medical professional liability (i.e., malpractice) cases will likely involve the review of data extracted from EHRs as well as EHR workflows, audit logs, and even the potential role of the EHR in causing harm.
    Objectives: Reviewing printed versions of a patient's EHRs can be difficult due to differences in printed versus on-screen presentations, redundancies, and the way printouts are often grouped by document or information type rather than chronologically. Simply recreating an accurate timeline often requires experts with training and experience in designing, developing, using, and reviewing EHRs and audit logs. Additional expertise is required if questions arise about data's meaning, completeness, accuracy, and timeliness or ways that the EHR's user interface or automated clinical decision support tools may have contributed to alleged events. Such experts often come from the sociotechnical field of clinical informatics that studies the design, development, implementation, use, and evaluation of information and communications technology, specifically, EHRs. Identifying well-qualified EHR experts to aid a legal team is challenging.
    Methods: Based on literature review and experience reviewing cases, we identified seven criteria to help in this assessment.
    Results: The criteria are education in clinical informatics; clinical informatics knowledge; experience with EHR design, development, implementation, and use; communication skills; academic publications on clinical informatics; clinical informatics certification; and membership in informatics-related professional organizations.
    Conclusion: While none of these criteria are essential, understanding the breadth and depth of an individual's qualifications in each of these areas can help identify a high-quality, clinical informatics expert witness.
    Keywords medical informatics ; malpractice ; expert testimony ; electronic health records ; education
    Language English
    Publishing date 2023-01-27
    Publisher Georg Thieme Verlag KG
    Publishing place Stuttgart ; New York
    Document type Article
    ISSN 1869-0327
    ISSN (online) 1869-0327
    DOI 10.1055/a-2018-9932
    Database Thieme publisher's database

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    This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.

    Inter-library loan at ZB MED

    Your chosen title can be delivered directly to ZB MED Cologne location if you are registered as a user at ZB MED Cologne.

  8. Article ; Online: Guidelines for US Hospitals and Clinicians on Assessment of Electronic Health Record Safety Using SAFER Guides.

    Sittig, Dean F / Sengstack, Patricia / Singh, Hardeep

    JAMA

    2022  Volume 327, Issue 8, Page(s) 719–720

    MeSH term(s) Centers for Medicare and Medicaid Services, U.S. ; Commerce/standards ; Electronic Health Records/standards ; Guidelines as Topic ; Hospitals/standards ; Humans ; Patient Safety ; United States
    Language English
    Publishing date 2022-02-07
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2958-0
    ISSN 1538-3598 ; 0254-9077 ; 0002-9955 ; 0098-7484
    ISSN (online) 1538-3598
    ISSN 0254-9077 ; 0002-9955 ; 0098-7484
    DOI 10.1001/jama.2022.0085
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Ua VI Zs.88: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
    ab Jg. 2022: Lesesaal (EG)

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  9. Article ; Online: Applying requisite imagination to safeguard electronic health record transitions.

    Sittig, Dean F / Lakhani, Priti / Singh, Hardeep

    Journal of the American Medical Informatics Association : JAMIA

    2022  Volume 29, Issue 5, Page(s) 1014–1018

    Abstract: Over the next decade, many health care organizations (HCOs) will transition from one electronic health record (EHR) to another; some forced by hospital acquisition and others by choice in search of better EHRs. Herein, we apply principles of Requisite ... ...

    Abstract Over the next decade, many health care organizations (HCOs) will transition from one electronic health record (EHR) to another; some forced by hospital acquisition and others by choice in search of better EHRs. Herein, we apply principles of Requisite Imagination, or the ability to imagine key aspects of the future one is planning, to offer 6 recommendations on how to proactively safeguard these transitions. First, HCOs should implement a proactive leadership structure that values communication. Second, HCOs should implement proactive risk assessment and testing processes. Third, HCOs should anticipate and reduce unwarranted variation in their EHR and clinical processes. Fourth, HCOs should establish a culture of conscious inquiry with routine system monitoring. Fifth, HCOs should foresee and reduce information access problems. Sixth, HCOs should support their workforce through difficult EHR transitions. Proactive approaches using Requisite Imagination principles outlined here can help ensure safe, effective, and economically sound EHR transitions.
    MeSH term(s) Communication ; Electronic Health Records ; Hospitals ; Imagination
    Language English
    Publishing date 2022-01-13
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1205156-1
    ISSN 1527-974X ; 1067-5027
    ISSN (online) 1527-974X
    ISSN 1067-5027
    DOI 10.1093/jamia/ocab291
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 4128: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)
    Zs.MO 312: Show issues

    Order via subito

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  10. Article ; Online: COVID-19 and the Need for a National Health Information Technology Infrastructure.

    Sittig, Dean F / Singh, Hardeep

    JAMA

    2020  Volume 323, Issue 23, Page(s) 2373–2374

    MeSH term(s) Betacoronavirus ; Bioethical Issues ; COVID-19 ; Coronavirus Infections ; Data Collection/ethics ; Data Collection/standards ; Electronic Health Records ; Emergencies ; Humans ; Medical Informatics ; Pandemics ; Pneumonia, Viral ; Population Surveillance/methods ; SARS-CoV-2 ; United States ; United States Dept. of Health and Human Services
    Keywords covid19
    Language English
    Publishing date 2020-05-11
    Publishing country United States
    Document type Journal Article ; Research Support, U.S. Gov't, P.H.S.
    ZDB-ID 2958-0
    ISSN 1538-3598 ; 0254-9077 ; 0002-9955 ; 0098-7484
    ISSN (online) 1538-3598
    ISSN 0254-9077 ; 0002-9955 ; 0098-7484
    DOI 10.1001/jama.2020.7239
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Ua VI Zs.88: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
    ab Jg. 2022: Lesesaal (EG)

    Order via subito

    This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.

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