Rizer Milisa K, Kaufman Beth, Sieck Cynthia J, Hefner Jennifer L, McAlearney Ann Scheck
Milisa K. Rizer, MD, MPH, is chief medical information officer, associate professor of clinical family medicine, and associate professor of biomedical informatics at The Ohio State University in Columbus, OH.
Beth Kaufman, RN, is the assistant director of health systems informatics at The Ohio State University Wexner Medical Center in Columbus, OH.
Perspect Health Inf Manag. 2015 Jul 1;12(Summer):1g. eCollection 2015.
Electronic medical record (EMR) implementation efforts face many challenges, including individual and organizational barriers and concerns about loss of productivity during the process. These issues may be particularly complex in large and diverse settings with multiple specialties providing inpatient and outpatient care. This case report provides an example of a successful EMR implementation that emphasizes the importance of flexibility and adaptability on the part of the implementation team. It also presents the top 10 lessons learned from this EMR implementation in a large midwestern academic medical center. Included are five overarching lessons related to leadership, initial approach, training, support, and optimization as well as five lessons related to the EMR system itself that are particularly important elements of a successful implementation.
电子病历（EMR）的实施工作面临诸多挑战，包括个人和组织层面的障碍，以及对实施过程中生产力损失的担忧。在提供住院和门诊护理的多个专科并存的大型多样化环境中，这些问题可能尤为复杂。本病例报告提供了一个成功实施EMR的例子，强调了实施团队灵活性和适应性的重要性。它还介绍了在中西部一家大型学术医疗中心实施该EMR过程中吸取的十大经验教训。其中包括与领导、初始方法、培训、支持和优化相关的五个总体经验教训，以及与EMR系统本身相关的五个经验教训，这些都是成功实施的特别重要因素。
