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ELECTRONIC MEDICAL RECORDS PATIENT SAFETY & RISK MANAGEMENT GUIDE New addition to the Physician Office Practice Toolkit The Princeton Insurance Electronic Medical Records Patient Safety & Risk Management Guide was created to provide information concerning the proper use of electronic medical records to improve the quality and safety of patient care while decreasing potential liability risk. Once successfully implemented, EMRs create efficiencies in time and productivity which can lead to more quality time with patients, time to see more patients and/or less hectic schedules. However, maximizing efficiencies could result in various shortcuts that may degrade the patient safety benefits. So used, EMRs could actually create and propagate both old and new errors, and the efficiencies could create a roadmap for a plaintiff’s attorney to attempt to justify a legal action. The guide cautions against the use (including nonuse, modified, or improper use) of EMRs that may increase liability risk. It is not all-inclusive; rather it focuses on those areas most likely to involve liability or make litigation more difficult to defend. Included in the guide are sample screen shots/printouts from a variety of EMR vendors, numerous examples that demonstrate how EMRs can be used properly, and significant discussion of how these features may be improperly used to increase liability risk. Each section includes recommendations on how to avoid or mitigate potential liability risks associated with the use of EMRs, while using their key features to improve the quality, safety, and efficiency of healthcare delivery. The guide is not intended to endorse any particular EMR system, nor to serve as a comprehensive “how to” implementation manual. Implementation and EMR features are discussed only to the extent that they affect patient safety and/or risk management. It does not discuss or compare the various pros and cons, including costs (both to implement and to maintain), of any particular EMR systems (or EMRs in general). This guide should be used to supplement your current use of EMRs or for consideration of the extent to which you will implement certain EMR features. In this context, it should not be regarded as a standalone document for the implementation of EMRs. To view the guide, insureds may log in to the physician secure site at PrincetonInsurance.com and open the Physician Office Practice Toolkit. Then click on “Update my Toolkit” to be directed to a page that contains links to various components of the toolkit. Scroll down to the bottom for a link to the EMR Patient Safety & Risk Management Guide. To request a hard copy, call the Risk Resource Line at 1-866-Rx 4 Risk (794-7475). This material is not to be construed as establishing professional practice standards or providing legal advice. Compliance with any of the recommendations contained herein in no way guarantees the fulfillment of your obligations as may be required by any local, state or federal laws, regulations or other requirements. Readers are advised to consult a qualified attorney or other professional regarding the information and issues discussed herein, and for advice pertaining to a specific situation. January 2009 746 Alexander Road, PO Box 5322, Princeton, NJ 08543-5322 www.PrincetonInsurance.com Risk Review • January 2009 • Page 1 Vice President of Healthcare Risk Services Tom Snyder x5852 Manager, Healthcare Risk Services Phyllis DeCola x5897 Phone: 609.452.9404 www.RiskReviewOnline.com We welcome your feedback, comments and suggestions. Please feel free to contact us if you have a question or to send us your ideas for improving this site.

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Page 1: ELECTRONIC MEDICAL RECORDS PATIENT SAFETY & RISK ... · PATIENT SAFETY & RISK MANAGEMENT GUIDE ... The Princeton Insurance Electronic Medical Records Patient Safety & Risk Management

ELECTRONIC MEDICAL RECORDSPATIENT SAFETY & RISKMANAGEMENT GUIDENew addition to the Physician Office Practice ToolkitThe Princeton Insurance Electronic Medical Records Patient Safety & RiskManagement Guide was created to provide information concerning theproper use of electronic medical records to improve the quality and safety ofpatient care while decreasing potential liability risk. Once successfullyimplemented, EMRs create efficiencies in time and productivity which canlead to more quality time with patients, time to see more patients and/orless hectic schedules. However, maximizing efficiencies could result invarious shortcuts that may degrade the patient safety benefits. So used,EMRs could actually create and propagate both old and new errors, and theefficiencies could create a roadmap for a plaintiff’s attorney to attempt tojustify a legal action.

The guide cautions against the use (including nonuse, modified, or improperuse) of EMRs that may increase liability risk. It is not all-inclusive; rather itfocuses on those areas most likely to involve liability or make litigation moredifficult to defend. Included in the guide are sample screen shots/printoutsfrom a variety of EMR vendors, numerous examples that demonstrate howEMRs can be used properly, and significant discussion of how thesefeatures may be improperly used to increase liability risk. Each sectionincludes recommendations on how to avoid or mitigate potential liabilityrisks associated with the use of EMRs, while using their key features toimprove the quality, safety, and efficiency of healthcare delivery.

The guide is not intended to endorse any particular EMR system, nor toserve as a comprehensive “how to” implementation manual. Implementationand EMR features are discussed only to the extent that they affect patientsafety and/or risk management. It does not discuss or compare the variouspros and cons, including costs (both to implement and to maintain), of any

particular EMR systems (or EMRs in general).

This guide should be used to supplement your current use of EMRs or forconsideration of the extent to which you will implement certain EMRfeatures. In this context, it should not be regarded as a standalonedocument for the implementation of EMRs.

To view the guide, insureds may log in to the physician secure site atPrincetonInsurance.com and open the Physician Office Practice Toolkit.Then click on “Update my Toolkit” to be directed to a page that containslinks to various components of the toolkit. Scroll down to the bottom for alink to the EMR Patient Safety & Risk Management Guide.

To request a hard copy, call the Risk Resource Line at 1-866-Rx 4 Risk(794-7475).v

This material is not to be construed as establishing professional practice standards or providinglegal advice. Compliance with any of the recommendations contained herein in no wayguarantees the fulfillment of your obligations as may be required by any local, state or federallaws, regulations or other requirements. Readers are advised to consult a qualified attorney orother professional regarding the information and issues discussed herein, and for advicepertaining to a specific situation.

January 2009

746 Alexander Road, PO Box 5322, Princeton, NJ 08543-5322 www.PrincetonInsurance.comRisk Review • January 2009 • Page 1

Vice President of Healthcare Risk ServicesTom Snyder x5852

Manager, Healthcare Risk ServicesPhyllis DeCola x5897

Phone: 609.452.9404

www.RiskReviewOnline.com

We welcome your feedback, comments and suggestions. Please feel free to contact us ifyou have a question or to send us your ideas for improving this site.

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