This collection of AMA STEPS Forward® Practice Innovation Strategies—including playbook and checklist PDFs—offers proven approaches on how to maximize the benefits of EHR use, strategies and tactics. An electronic health record ( EHR ) digitizes a patient’s paper chart. It collects the patient’s history of conditions, tests and treatments and can be used to create a more holistic view of the patient’s care. A medical EHR also improves upon paper by making the patient’s information available instantly and securely to an authorized user. But for all these advantages, EHRs can create unique challenges for end users. The AMA surfaces potential EHR inefficiencies and roadblocks to help ... For example, a 2018 report from the AMA, Pew Charitable Trusts and Medstar Health, Ways to Improve Electronic Health Record Safety, identified shortfalls with EHR usability, implementation and testing and outlined how to improve usability and safety across the continuum—from development to the post-implementation of EHRs. The three organizations reviewed the medical literature and convened an expert panel of physicians, nurses, pharmacists, EHR vendors, patients and health IT experts ... Break-the-glass, or break-glass functions require an EHR user to enter additional authentication information and documentation of a specific business reason for accessing a patient record before they can enter a patient’s chart that is subject to heightened restrictions.

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