Faculty, Staff and Student Publications

Authors

    Language

    English

    Publication Date

    4-13-2022

    Journal

    Journal of the American Medical Informatics Association

    DOI

    10.1093/jamia/ocab291

    PMID

    35022741

    PMCID

    PMC9006683

    PubMedCentral® Posted Date

    1-12-2022

    PubMedCentral® Full Text Version

    Post-print

    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.

    Keywords

    Communication, Electronic Health Records, Hospitals, Imagination, Requisite Imagination, patient safety, change management

    Published Open-Access

    yes

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