Despite more than $30 billion of federal investment in health information technology over the past decade, the transition from paper to electronic health records has not reached its potential to enhance health care coordination and improve patient safety.
The inability of electronic health care record systems to easily share information with each other—known as interoperability—frustrates caregivers and their patients and raises serious safety concerns. Patients still tote their records and prescription bottles from a primary doctor’s office to specialists, and doctors still rely on patients’ memories for critical aspects of their health history. Better interoperability requires a nationwide approach to match patients to their records among the various doctor’s offices, hospitals, and specialists who care for them. It also requires standardization and reform of the ways health data are documented with electronic health records.
Along with interoperability challenges, the varied formats and designs of electronic health records can introduce unintentional safety problems. The lack of intuitive, easy-to-use interfaces—known as usability—can lead to data entry mistakes, such as recording the wrong patient, the wrong drug, or the wrong dosage. Doctors, hospitals, electronic health record vendors, and policymakers all have a role in identifying and addressing these usability challenges to advance the safety of health information technology.
Pew is conducting research to further quantify and illuminate these problems, and is convening stakeholder organizations to look for and advance solutions. Ultimately, Pew’s work will help realize the vision of health information technology, one where patients’ health information is accessible to them and their doctors, and the format of electronic health records does not raise the opportunity for unintended harm.
Our WorkView All
The Pew Charitable Trusts sent a letter on Jan. 25, 2018, to the U.S. Department of Health and Human Services, urging it to prioritize greater interoperability among electronic health record systems and to add unique device identifiers to insurance claims data. The letter came in response to a Trump administration executive order released in October 2017 that called for promoting greater choice... Read More
The Pew Charitable Trusts sent a letter Jan. 10, 2018, to the Office of the National Coordinator for Health Information Technology asking it to expand the data available for clinicians and patients to access through the use of application programming interfaces—tools that allow two systems of software applications to communicate with each other. Read More
The transition from paper medical charts to electronic health records (EHRs) has streamlined many of the ways that health care is delivered in the United States and contributed to safety improvements in a number of areas. While health information technology includes many types of products, patient records are a critical aspect of care, as they inform clinicians’ decisions and are used when... Read More