Revisions to the Safety Assurance Factors for Electronic Health Record Resilience (SAFER) Guides to update national recommendations for safe use of electronic health records.

Dean F Sittig^1,2, Trisha Flanagan³, Patricia Sengstack⁴, Rosann T Cholankeril³, Sara Ehsan³, Amanda Heidemann⁵, Daniel R Murphy^3,6, Hojjat Salmasian⁷, Jason S Adelman^8,9, Hardeep Singh^3,6

¹Department of Clinical and Health Informatics, McWilliams School of Biomedical Informatics, University of Texas Health Science Center at Houston, Houston, TX 77030, United States.

²Informatics Review LLC, Lake Oswego, OR 97034, United States.

³Center for Innovations in Quality, Effectiveness and Safety, Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX 77030, United States.

⁴Vanderbilt University School of Nursing, Nashville, TN 37240, United States.

⁵Wolters Kluwer Health, St. Louis, MO 63146, United States.

⁶Department of Medicine, Baylor College of Medicine, Houston, TX 77030, United States.

⁷Division of General Internal Medicine and Primary Care, Brigham and Women's Hospital, and Harvard Medical School, Boston, MA 02115, United States.

⁸Department of Medicine, Columbia University Irving Medical Center, New York, NY 10032, United States.

⁹Department of Quality and Patient Safety, NewYork-Presbyterian Hospital, New York, NY 10032, United States.

PubMed PMC DOI PDF

Abstract

UNLABELLED: The Safety Assurance Factors for Electronic Health Record (EHR) Resilience (SAFER) Guides provide recommendations to healthcare organizations for conducting proactive self-assessments of the safety and effectiveness of their EHR implementation and use. Originally released in 2014, they were last updated in 2016. In 2022, the Centers for Medicare and Medicaid Services required their ann…

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Mentioned Companies

W
Wolters Kluwer Health
affiliation

Other Funding

Center for Innovations in Quality, Effectiveness and Safety(#CIN 13-413)
Department of Veterans Affairs National Center for Patient Safety
NLM NIH HHS
United States
AHRQ HHS(R01HS028595)
United States
Informatics Review LLC
U.S. Department of Veterans Affairs National Center for Patient Safety
AHRQ HHS(R01 HS029318)
United States
US Assistant Secretary for Technology Planning to the Informatics Review LLC
US Assistant Secretary for Technology Planning
AHRQ HHS(R18 HS029347)
United States

MeSH Terms

Electronic Health Records*United States0Humans0Patient Safety*Centers for Medicare and Medicaid Services, U.S.0Guidelines as Topic0Safety Management*

Keywords

electronic health recordshealth policysafety

Article Info

PMID: 40220287
PMCID: PMC12005625
DOI: 10.1093/jamia/ocaf018
Received: November 27, 2024
Accepted: January 22, 2025

How to Cite

Sittig DF et al. Revisions to the Safety Assurance Factors for Electronic Health Record Resilience (SAFER) Guides to update national recommendations for safe use of electronic health records. J Am Med Inform Assoc2025;32(4):755-760. doi:10.1093/jamia/ocaf018

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