Incomplete EHR adoption: Late uptake of patient safety and cost control functions

Nir Menachemi, Eric W. Ford, Leslie M. Beitsch, Robert G. Brooks

Research output: Contribution to journalArticlepeer-review

31 Scopus citations


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.

Original languageEnglish (US)
Pages (from-to)319-326
Number of pages8
JournalAmerican Journal of Medical Quality
Issue number5
StatePublished - Sep 2007
Externally publishedYes


  • Diffusion of innovation
  • Early adopters
  • Early majority
  • EHR functionalities
  • Electronic health records
  • Innovators

ASJC Scopus subject areas

  • Health Policy
  • General Nursing


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