Electronic Medical Records and Patient Safety

Electronic medical record (EMR) systems and electronic health records (EHR) have been purported to reduce patient mortality, reduce medical errors, increase health care savings and improve health.  This appears, in part, to be a result of decreased medication errors that could result in adverse drug reactions (ADRs).  One benefit is that electronic prescribing helps to save lives.  Could it be that there is less of a problem in reading the physicians' poor hand writing?


A study published in the Journal of Political Economy stated that a 10% increase in the use of electronic records in hospitals would save 16 newborns for every 100,000 live births.  This would result in the saving of 6,400 infants per year in the US.


According to the Centers for Disease Control and Prevention, in 2011, 57% of office-based physicians had EMR systems.

Adoption of EMR/EHR systems by office-based physicians has increased

According to a 2009 Harvard School of Public Health press release, the most commonly cited barriers to adoption of these systems were found to be:

• inadequate capital for purchase (73%)

• concerns about maintenance costs (44%)

• resistance from physicians (36%)

• unclear return on investment (32%)

• lack of staff with adequate IT expertise (30%)

The press release was based on an article published in the New England Journal of Medicine.  The first author of the NEJM article gave an interview discuss EHR which can be viewed here.

It's not all bad news!

North Fulton Hospital in Atlanta Georgia has been given an "A" Hospital Safety Score by The Leapfrog Group, which is an independent, national nonprofit leader and advocate in hospital transparency. 

The Hospital Safety Score was calculated based on the guidance of The Leapfrog Group's Blue Ribbon Expert Panel using publicly available data regarding patient injuries, medical and medication errors, as well as infections. Hospitals are assigned an A, B, C, D, or F for their safety.

"Patient safety and quality are central to everything we do at North Fulton Hospital," said Deborah C. Keel, CEO of the hospital. "The Leapfrog Group's recognition publicly acknowledges the commitment of both medical staff and all hospital staff who 'blow the whistle' for patient safety each and every day."


Jennifer Green won a patient safety award for her as an infection preventionist and safety practitoner at Fort Hamilton Hospital in Cincinnati.  This award is given to those individuals who exemplify dedication and commitment to patient safety, work to communicate the importance of patient safety as an organizational priority and who serve as an outstanding role model to those other people working to further the safety of patients everywhere.

Patient safety education for undergraduate medical students

The authors of an article published in BMC Medical Education conducted a survey of the medical literature related to patient safety education in the medical curriculum of medical schools.


The article notes that there are only a few relevant published studies on the inclusion of patient safety education in the undergraduate curriculum in medical schools either as a selective course, a lecture program, or by being integrated into the existing curriculum.  The search included developed countries with advanced health and education systems. 


It is clear that the integration of patient safety education into the existing curriculum in medical schools internationally, provides significant challenges and needs.

Medical students benefit from learning about patient safety in an interprofessional team

An article published in Medical Education by 

Elizabeth Anderson, 

Lucy Thorpe, 

David Heney and 

Stewart Petersen describes how d

elivering patient safety education interprofessionally heightens students’ awareness of the importance of effective team-working for safe care and care delivery.  This is not something that is routinely taught in either medical schools or in post-graduate training programs.  The authors conclude that designing a a workshop on team-based patient safety towards the end of medical education can enable students to assimilate all aspects of their curriculum relevant to safety. Students learn that there is a link between team factors and safety and this is increased when students learn interprofessionally.