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Derek Meeks, Michael Smith, L. Taylor, Dean Sittig, Jean Scott, Hardeep Singh (2014)
An analysis of electronic health record-related patient safety concernsJournal of the American Medical Informatics Association : JAMIA, 21
K. Walsh, W. Adams, H. Bauchner, R. Vinci, J. Chessare, Maureen Cooper, Pamela Hebert, E. Schainker, C. Landrigan (2006)
Medication Errors Related to Computerized Order Entry for ChildrenPediatrics, 118
A. Landman, S. Takhar, Samuel Wang, Anabela Cardoso, J. Kosowsky, A. Raja, R. Khorasani, E. Poon (2013)
The hazard of software updates to clinical workstations: a natural experiment.Journal of the American Medical Informatics Association : JAMIA, 20 e1
R. Myers, Stephen Jones, Dean Sittig (2011)
Review of Reported Clinical Information System Adverse Events in US Food and Drug Administration DatabasesApplied Clinical Informatics, 02
M. Palchuk, Elizabeth Fang, Janet Cygielnik, M. Labreche, M. Shubina, H. Ramelson, C. Hamann, C. Broverman, J. Einbinder, A. Turchin (2010)
An unintended consequence of electronic prescriptions: prevalence and impact of internal discrepanciesJournal of the American Medical Informatics Association : JAMIA, 17 4
F. Magrabi, S. Liaw, Diana Arachi, W. Runciman, E. Coiera, M. Kidd (2015)
Identifying patient safety problems associated with information technology in general practice: an analysis of incident reportsBMJ Quality & Safety, 25
F. Magrabi, Mei‐Sing Ong, W. Runciman, E. Coiera (2012)
Using FDA reports to inform a classification for health information technology safety problemsJournal of the American Medical Informatics Association : JAMIA, 19 1
J. Horsky, G. Kuperman, V. Patel (2005)
Case Report: Comprehensive Analysis of a Medication Dosing Error Related to CPOEJournal of the American Medical Informatics Association : JAMIA, 12 4
Tara Hanuscak, S. Szeinbach, E. Seoane-Vazquez, Brendan Reichert, Charles McCluskey (2009)
Evaluation of causes and frequency of medication errors during information technology downtime.American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists, 66 12
(2013)
Spotlight on electronic health record errors: papers or electronic hybrid workflows
Olufunmilola Odukoya, Jamie Stone, M. Chui (2014)
E-prescribing errors in community pharmacies: Exploring consequences and contributing factorsInternational journal of medical informatics, 83 6
F. Magrabi, Maureen Baker, I. Sinha, Mei‐Sing Ong, S. Harrison, M. Kidd, W. Runciman, E. Coiera (2015)
Clinical safety of England's national programme for IT: A retrospective analysis of all reported safety events 2005 to 2011International journal of medical informatics, 84 3
L. Melvin (2005)
Effects of estrogen with and without progestin on urinary incontinenceJournal of Family Planning and Reproductive Health Care, 31
D. Coplen (2007)
Types of Unintended Consequences Related to Computerized Provider Order EntryYearbook of Urology, 2007
Ying Wang, E. Coiera, B. Gallego, Óscar Pérez, Mei‐Sing Ong, G. Tsafnat, D. Roffe, Graham Jones, F. Magrabi (2016)
Measuring the effects of computer downtime on hospital pathology processesJournal of biomedical informatics, 59
Kate Goddard, A. Roudsari, J. Wyatt (2014)
Automation bias: Empirical results assessing influencing factorsInternational journal of medical informatics, 83 5
J. Santell, J. Kowiatek, R. Weber, R. Hicks, C. Sirio (2009)
Medication errors resulting from computer entry by nonprescribers.American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists, 66 9
F. Magrabi, Mei‐Sing Ong, W. Runciman, E. Coiera (2011)
Patient safety problems associated with heathcare information technology: an analysis of adverse events reported to the US Food and Drug Administration.AMIA ... Annual Symposium proceedings. AMIA Symposium, 2011
J. Aarts, H. Doorewaard, M. Berg (2004)
Case Report: Understanding Implementation: The Case of a Computerized Physician Order Entry System in a Large Dutch University Medical CenterJournal of the American Medical Informatics Association : JAMIA, 11 3
Hardeep Singh, S. Mani, D. Espadas, N. Petersen, Veronica Franklin, L. Petersen (2009)
Prescription errors and outcomes related to inconsistent information transmitted through computerized order entry: a prospective study.Archives of internal medicine, 169 10
Gerard Castro, Lisa Buczkowski, J. Hafner (2016)
The Contribution of Sociotechnical Factors to Health Information Technology-Related Sentinel Events.Joint Commission journal on quality and patient safety, 42 2
Hardeep Singh, Dean Sittig (2015)
Measuring and improving patient safety through health information technology: The Health IT Safety FrameworkBMJ Quality & Safety, 25
D. Chou (2012)
Health IT and Patient Safety: Building Safer Systems for Better CareJAMA, 308
G. Schiff, M. Amato, T. Eguale, J. Boehne, A. Wright, R. Koppel, A. Rashidee, R. Elson, D. Whitney, Thu-Trang Thach, D. Bates, A. Seger (2002)
Computerised physician order entry-related medication errors: analysis of reported errors and vulnerability testing of current systemsBMJ Quality & Safety, 24
J. Westbrook, M. Baysari, Ling Li, R. Burke, K. Richardson, R. Day (2013)
The safety of electronic prescribing: manifestations, mechanisms, and rates of system-related errors associated with two commercial systems in hospitalsJournal of the American Medical Informatics Association : JAMIA, 20
S. Slight, R. Howard, M. Ghaleb, N. Barber, B. Franklin, A. Avery (2013)
The causes of prescribing errors in English general practices: a qualitative study.The British journal of general practice : the journal of the Royal College of General Practitioners, 63 615
Jianbo Lei, Pengcheng Guan, Kaihua Gao, Xueqing Lu, Yunan Chen, Yuefeng Li, Q. Meng, Jiajie Zhang, Dean Sittig, Kai Zheng (2014)
Characteristics of health IT outage and suggested risk management strategies: An analysis of historical incident reports in ChinaInternational journal of medical informatics, 83 2
Samantha Brenner, R. Kaushal, Z. Grinspan, Christine Joyce, Inho Kim, R. Allard, D. Delgado, Erika Abramson (2016)
Effects of health information technology on patient outcomes: a systematic reviewJournal of the American Medical Informatics Association : JAMIA, 23 5
J. Ash, M. Berg, E. Coiera (2003)
Viewpoint Paper: Some Unintended Consequences of Information Technology in Health Care: The Nature of Patient Care Information System-related ErrorsJournal of the American Medical Informatics Association : JAMIA, 11 2
M. Beccaro, H. Jeffries, Matthew Eisenberg, E. Harry (2006)
Computerized Provider Order Entry Implementation: No Association With Increased Mortality Rates in an Intensive Care UnitPediatrics, 118
Tosha Wetterneck, James Walker, Mary Blosky, R. Cartmill, P. Hoonakker, Mark Johnson, E. Norfolk, P. Carayon (2011)
Factors contributing to an increase in duplicate medication order errors after CPOE implementationJournal of the American Medical Informatics Association : JAMIA, 18 6
J. Westbrook, M. Reckmann, Ling Li, W. Runciman, R. Burke, C. Lo, M. Baysari, J. Braithwaite, R. Day (2012)
Effects of Two Commercial Electronic Prescribing Systems on Prescribing Error Rates in Hospital In-Patients: A Before and After StudyPLoS Medicine, 9
C. McDonald (2006)
Computerization Can Create Safety Hazards: A Bar-Coding Near MissAnnals of Internal Medicine, 144
J. Brender, J. Talmon, N. Keizer, P. Nykänen, M. Rigby, E. Ammenwerth (2013)
STARE-HI – Statement on Reporting of Evaluation Studies in Health InformaticsApplied Clinical Informatics, 04
E. Coiera (2016)
A New Informatics GeographyYearbook of Medical Informatics, 25
E. Worcester, F. Coe (2010)
The Disclosure Dilemma — Large-Scale Adverse Events
Robert Yu, Yiting Zhang, Yang Gong, Jiajie Zhang (2013)
Unintended adverse consequences of introducing electronic health records in residential aged care homesInternational journal of medical informatics, 82 9
Ka-Chun Cheung, W. Veen, M. Bouvy, M. Wensing, P. Bemt, P. Smet (2014)
Classification of medication incidents associated with information technology.Journal of the American Medical Informatics Association : JAMIA, 21 e1
C. Zhan, R. Hicks, C. Blanchette, M. Keyes, D. Cousins (2006)
Potential benefits and problems with computerized prescriber order entry: analysis of a voluntary medication error-reporting database.American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists, 63 4
S. Menon, Hardeep Singh, Ashley Meyer, E. Belmont, Dean Sittig (2014)
Electronic health record-related safety concerns: a cross-sectional survey.Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management, 34 1
W. Runciman, P. Hibbert, R. Thomson, T. Schaaf, Heather Sherman, P. Lewalle (2009)
Towards an International Classification for Patient Safety: key concepts and termsInternational Journal for Quality in Health Care, 21
J. Ash, Dean Sittig, E. Poon, Kenneth Guappone, E. Campbell, R. Dykstra (2007)
Research Paper: The Extent and Importance of Unintended Consequences Related to Computerized Provider Order EntryJournal of the American Medical Informatics Association : JAMIA, 14 4
L. Salahuddin, Z. Ismail (2015)
Classification of antecedents towards safety use of health information technology: A systematic reviewInternational journal of medical informatics, 84 11
E. Coiera (2015)
Guide to health informatics
O. Fo, J. McCollegan, Kuch Ba, Y. Han, Orr Ra (2011)
Han YY, Carcillo JA, Venkataraman ST, Clark RS, Watson RS, Nguyen TC, Bayir H, Orr RA. Unexpected increased mortality after implementation of a commercially sold computerized physician order entry system. Pediatrics
Bill Runciman, A. Merry, M. Walton (2007)
Safety and Ethics in Healthcare: A Guide to Getting it Right
F. Magrabi, Mei‐Sing Ong, W. Runciman, E. Coiera (2010)
An analysis of computer-related patient safety incidents to inform the development of a classificationJournal of the American Medical Informatics Association : JAMIA, 17 6
Karen Nanji, J. Rothschild, Claudia Salzberg, Carol Keohane, Katherine Zigmont, Jim Devita, T. Gandhi, Anuj Dalal, D. Bates, E. Poon (2011)
Errors associated with outpatient computerized prescribing systemsJournal of the American Medical Informatics Association : JAMIA, 18 6
N. Nelson (2007)
Downtime procedures for a clinical information system: a critical issue.Journal of critical care, 22 1
(2015)
Investigations of health IT–related deaths, serious injuries, or unsafe conditions
D. Warm, P. Edwards (2012)
Classifying Health Information Technology patient safety related incidents – an approach used in WalesApplied Clinical Informatics, 03
D. Bates, A. Gawande (2003)
Improving safety with information technology.The New England journal of medicine, 348 25
M. Stewart, A. Georgiou, A. Hordern, M. Dimigen, J. Westbrook (2012)
What do radiology incident reports reveal about in-hospital communication processes and the use of health information technology?Studies in health technology and informatics, 178
Erin Sparnon, William Marella (2012)
The Role of the Electronic Health Record in Patient Safety Events
N. Samaranayake, Siu Cheung, W. Chui, B. Cheung (2012)
Technology-related medication errors in a tertiary hospital: A 5-year analysis of reported medication incidentsInternational journal of medical informatics, 81 12
W. Runciman, M. Kluger, R. Morris, A. Paix, L. Watterson, R. Webb (2005)
Crisis management during anaesthesia: the development of an anaesthetic crisis management manualQuality and Safety in Health Care, 14
Scott Watson, Trung Nguyen, H. Bayır, R. Orr, Y. Han, J. Carcillo, S. Venkataraman, Robert Clark (2005)
Unexpected Increased Mortality After Implementation of a Commercially Sold Computerized Physician Order Entry SystemPediatrics, 116
Objective: To systematically review studies reporting problems with information technology (IT) in health care and their effects on care delivery and patient outcomes.Materials and methods: We searched bibliographic databases including Scopus, PubMed, and Science Citation Index Expanded from January 2004 to December 2015 for studies reporting problems with IT and their effects. A framework called the information value chain, which connects technology use to final outcome, was used to assess how IT problems affect user interaction, information receipt, decision-making, care processes, and patient outcomes. The review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement.Results: Of the 34 studies identified, the majority (n = 14, 41%) were analyses of incidents reported from 6 countries. There were 7 descriptive studies, 9 ethnographic studies, and 4 case reports. The types of IT problems were similar to those described in earlier classifications of safety problems associated with health IT. The frequency, scale, and severity of IT problems were not adequately captured within these studies. Use errors and poor user interfaces interfered with the receipt of information and led to errors of commission when making decisions. Clinical errors involving medications were well characterized. Issues with system functionality, including poor user interfaces and fragmented displays, delayed care delivery. Issues with system access, system configuration, and software updates also delayed care. In 18 studies (53%), IT problems were linked to patient harm and death. Near-miss events were reported in 10 studies (29%).Discussion and conclusion: The research evidence describing problems with health IT remains largely qualitative, and many opportunities remain to systematically study and quantify risks and benefits with regard to patient safety. The information value chain, when used in conjunction with existing classifications for health IT safety problems, can enhance measurement and should facilitate identification of the most significant risks to patient safety.
Journal of the American Medical Informatics Association – Oxford University Press
Published: Mar 1, 2017
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