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remember when going to the doctor's office looked like this now it looks more like this across the country more and more doctors offices are using electronic health records or EHRs as digital records have become more common unanticipated problems with design workflow training and how clinicians use them have contributed to patient harm to learn more we talked to MedStar Health's dr. Raj Milani a leading researcher on EHR usability and safety each hour should make it easier and safer for clinicians to provide care to patients the suboptimal usability of EHRs can lead to mistakes like selecting the wrong patient ordering the wrong drug and missing critical lab results MedStar Health's dr. Terry Fairbanks who studies human factors in health care explained how a computer auto-refresh error can cause a problem without the doctor even realizing it let's take two patients Martha Jones and Daniel Rodriguez who come into the emergency department on the same day and have similar issues so they both need a chest x-ray when the doctor goes to see Martha Jones they pull up the patient's electronic health record to look at the x-ray and the doctor actually pulls up Daniel Rodriguez's x-ray thinking that it is Martha's and this x-ray appears normal so the doctor sends Martha home this all happened in a fraction of the second so let's slow it down to see what actually happened in between the first and second click the database updates with new patient information and Auto refreshes so by the time the doctor finishes the second click the x-ray icon his cursor was on now belongs to Daniel Rodriguez Daniel's x-ray looks fine on the other hand this is Martha Jones actual x-ray you can see there's a large white area here which represents a pneumonia which needs antibiotics without antibiotics Martha could get much worse very quickly this is one example of a health IT facilitated error and there are many others this is a fixable problem but currently there's not enough research on how and why these errors occur all patients deserve the best care possible we need better data now on how when and why these challenges arise so that we can all do a better job protecting our patients [Music] you