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There is wide variation in the safety performance of electronic health record systems used in U.S. hospitals

Electronic Health Records Fail to Detect Many Medication Errors

Though broadly used in U.S. hospitals, EHRs fail to detect up to one-third of medication errors
Resident physicians randomly assigned to schedules that eliminate extended shifts during their intensive care unit rotation make more serious errors than those with extended shifts

Serious Resident Errors Increase When Extended ICU Shifts Are Cut

But after adjustment for number of patients per resident, errors not increased with ≤16-hour shifts
A machine learning system can generate clinically valid alerts for medication errors that might be missed with existing clinical decision support systems

Machine Learning System Makes More Alerts for Med Errors

68.2 percent of MedAware alerts would not have been generated with clinical decision support system
Physicians showing depressive symptoms are at higher risk for medical errors

Physician Depressive Symptoms Tied to Higher Risk for Medical Errors

Bidirectional association seen between depressive symptoms and medical errors
Psychiatric inpatients at community-based hospitals are twice as likely to experience adverse events or medical errors as inpatients at Veterans Health Administration hospitals

VA Hospitals Have Lower Rates of Adverse Events in Psychiatric Units

Adverse events, medical errors lower in VA versus community-based inpatient psychiatric units
Medication errors in acute care that result in death occur most often in patients older than 75 years

Medication Errors Resulting in Death Most Common in Elderly

Most common medication error category was omitted medicine or ingredient
Data from patient- and family-reported error narratives indicate that problems related to patient-physician interactions are major contributors to diagnostic errors

Patient Experiences Shed Light on Diagnostic Errors

Problems related to patient-physician interactions contribute to diagnostic errors
Every nine minutes

Dozens of Medical Groups Join Forces to Improve Diagnoses

Diagnostic error is the most common cause of medical errors that patients report
Identifying and reducing diagnostic errors in the intensive care unit should be a top priority

Recommendations Issued for Enhancing ICU Diagnostic Safety

Include enhancing recognition of potential errors, increasing teamwork, patient-centeredness
The incidence of preventable adverse drug events (pADEs) is zero to 17 per 1

Preventable Adverse Drug Events Usually of Minor Severity in Kids

Incidence of pADEs is zero to 17 per 1,000 patient-days for children in general pediatric wards