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American Journal of Medical Quality, Vol. 22, No. 5, 319-326 (2007)
DOI: 10.1177/1062860607304990

Incomplete EHR Adoption: Late Uptake of Patient Safety and Cost Control Functions

Nir Menachemi, PhD, MPH

Center on Patient Safety, Florida State University College of Medicine, nir.menachemi{at}med.fsu.edu

Eric W. Ford, PhD, MPH

Center for Healthcare Innovation, Education & Research, Texas Tech University

Leslie M. Beitsch, MD, JD

Florida State University College of Medicine

Robert G. Brooks, MD, MBA

Health Affairs, Florida State University College of Medicine

Many functions important to realizing the full potential from electronic health records (EHRs) may not be selected by all physicians using EHRs in the ambulatory setting. This article examines the extent to which EHR systems used by Florida physicians include functionalities that the Institute of Medicine has designated as being critical for optimal performance. Results indicate that EHR systems used by recent adopters, when compared with early adopters, appear to be missing key patient safety and cost control functions. Overall, many physicians are only partially adopting EHR technologies, suggesting that published adoption rates may be exaggerating the true rate of diffusion. (Am J Med Qual 2007;22:319-326)

Key Words: electronic health records • diffusion of innovation • EHR functionalities • innovators • early adopters • early majority


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