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Scientific article
English

The potential role of dashboard use and navigation in reducing medical errors of an electronic health record system: a mixed-method simulation handoff study

Published inHealth systems, vol. 8, no. 3, p. 203-214
Publication date2019
First online date2019-05-28
Abstract

The dashboards of electronic health record (EHR) systems could potentially support the chart biopsy that occurs before or after physician handoffs. In this study, we conducted a simulation handoff study and recorded the participants' navigation patterns in an EHR system mock-up. We analyzed the navigation patterns of dashboard use in terms of duration, frequency, and sequence, and we examined the relationship between dashboard use in chart biopsy and the errors identified after handoffs. The results show that the participants frequently used the dashboard as an information hub and as an information resource to help them navigate the EHR system and answer the questions in a nursing call. Moreover, using the dashboard as an information hub can help reduce imprecision and factual errors in handoffs. Our findings suggest the need for a "context-aware" dashboard to accommodate dynamic navigation patterns and to support clinical work as well as to reduce medical errors.

eng
Keywords
  • Clinical systems and informatics
  • Health IT quality and evaluation
  • Human-computer interaction
Citation (ISO format)
WU, Danny T. Y. et al. The potential role of dashboard use and navigation in reducing medical errors of an electronic health record system: a mixed-method simulation handoff study. In: Health systems, 2019, vol. 8, n° 3, p. 203–214. doi: 10.1080/20476965.2019.1620637
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ISSN of the journal2047-6965
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