The study by Sarzynski and colleagues1 uses rigorous analysis to obtain important insights about the real-time information that patients receive at discharge. It is puzzling that the electronic health records (EHRs) used were not named. One can infer from a look through the Michigan State University website that they have both Cerner and Epic, but why is such detective work necessary? The heart of quality/safety work is one of transparency balanced by humility. We should not expect health information technology systems to be any more perfect than we are. But, these systems would not improve if we do not have more openness about their shortcomings.
The lack of scientific foundations and published postmarketing surveillance for our EHRs, especially the ascendant ones, was initially surprising. However, as they achieve complete market dominance, with less overt scientific review and public guidance and commentary,2 the silence is deafening....
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