Electronic Health Records

Author(s):

Ten rights and responsibilities of users identified.

Recognizing that electronic health record (EHR) adoption and use has lagged behind desired goals, two US researchers identified 10 areas that they propose are professional “rights” that EHR users require in order to optimally deliver high-quality, safe, and effective care. The researchers, Dr. Dean Sittig from the University of Texas Health Sciences Center at Houston and Dr. Hardeep Singh from the Michael E. DeBakey Veterans Affairs Medical Center and Baylor College of Medicine, created the following list of EHR features, functions, and user privileges:

Uninterrupted access to electronic health records
Ability to view all clinical information relating to their patients
Succinct summaries of patient health histories, including medical problems, medications, lab results and other information
Ability to override computer-generated clinical interventions
Clear, evidence-based rational for computer-generated clinical alerts or recommendations
Reliable performance measurement
Safe electronic health records
Training and assistance in all features of electronic health records
Safe, effective usable electronic health records that are compatible with actual clinical practice
Electronic systems that support communication and teamwork in the real world.

While the list contains desirable features and functions, it will still be challenging to overcome the issue of cost and ease of use. Another issue is the plethora of EHRs in use; rarely does one EHR system “talk to” or integrate with another brand of EHR, thus complicating the ability to transfer records and information electronically from one system to another. Until some of these basic issues are addressed, continued lags in EHR adoption can be expected.