Franklin
DOS offers the ideal type of analytics platform for healthcare because of its flexibility.
. . An IT problem with a noticeable consequence but no patient harm.
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Lei
Studies reporting the effects of health IT problems on care delivery and patient outcomes. The majority were analyses of incidents (n = 14, 41%; Table 2), which were reported at varying levels, from a single hospital to nationwide, in 6 countries: the United States, the United Kingdom, the Netherlands, China, Hong Kong, and Australia.12–15,17–26 Nine were ethnographic studies using interviews, surveys, and participant observation27–35 and 7 were descriptive studies using existing data such as prescriptions to examine medication errors.36–42 The remaining 4 studies were case reports.43–46 Of the 34 studies reviewed, more than half examined computerized provider order entry (CPOE) or prescribing systems (n = 19) and 10 (29%) examined all types of health IT systems.
Santell
Finally, observable impact on care process and outcomes was examined using a standard approach and categorized as13–16: Potential or actual harm to a patient. Baysari
Objective: To systematically review studies reporting problems with information technology (IT) in health care and their effects on care delivery and patient outcomes.
Takhar
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Patients can use their personal devices, such as a phone or tablet, to create and save personal notes as well as receive alerts and notifications from their providers. Workarounds were used to deal with many IT issues.
MA
Kaushal
However, as incident reports do not represent a systematic sample, they cannot be used to quantify the impact of IT problems on care processes and outcomes.57 Further observational studies are required to measure the frequency of the different types of IT problems and quantify their effects.58 While the impact of problems at a large scale such as system downtime might be quantifiable, the effects of low-frequency problems affecting small numbers of patients might be harder to measure than in other domains in patient safety. Although there may be some features that involve patient information, MPM is geared much more toward a healthcare facility’s clerical work, such as managing patient flows and other general documentation for the office. How has your healthcare facility benefited from the use of health information technology systems? Phase 2: unsafe or inappropriate use of technology, 25. Most of the evidence of patient harm comes from incident reports, with the exception of 1 comparative study where CPOE implementation was associated with an increased risk of mortality in a children's hospital.42 However, this finding was not replicated when the same system was implemented at different sites, and the disparity in outcomes was likely the result of differences in local implementation processes.52 More generally, only 2 other studies identified in this review were comparative, detecting an increase in duplicate medication orders30 and new system–related prescribing errors following CPOE implementation.41,51 While the types of IT problems have been well documented in the literature, further observational studies are required to measure their frequency and the magnitude of their impact on care delivery and patient outcomes. WB
Guappone
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Summit Medical and Atlantic Health) and hospitals. Stewart
. Jump-start your selection project with a free, pre-built, customizable EHR Tools requirements template. Patient scheduling software oftentimes goes hand-in-hand with a patient portal. What is Health Information Technology?
Health Information Exchange (HIE) 5. Of the 850 events analyzed, 68% (n = 574) described potentially hazardous circumstances, 24% (n = 205) had an observable impact on care delivery, 4% (n = 36) were a near miss, and 3% (n = 22) were associated with patient harm, including 3 deaths (0.35%). Jeffries
. Activity Based Costing (ABC) 6. Seventy-two percent of respondents ranked unintended consequences as moderately to very important, including these categories: (1) more/new work issues, (2) workflow issues, (3) never-ending system demands, (5) communication issues, (6) intense emotions, and (9) overdependence on technology. As RPMs become increasingly popular, this data captured could possibly become part of a larger population health study down the road. J
Problems with process for reapproval of antibiotics led to gaps in therapy. For example, autopopulated fields in a prescribing system contained incorrect information such as drug dosing directions.31 Problems in data entry and retrieval were linked to wrong (76%, n = 26), partial (44%, n = 15), missing (35%, n = 12), and delayed (3%, n = 1) information. Great read, thanks for putting this together. The search query used was (“health information technology” OR HIT OR “health IT” OR “electronic health record” OR “electronic medical record” OR “decision support” OR CPOE OR “technology induced” OR “computer related”) AND (“medication error*” OR error* OR incident* OR “unintended adverse consequence*” OR consequence* OR “incident report*” OR “patient outcome”) AND (data OR analysis OR qualitative OR quantitative).
Containing records for any patient registered at a healthcare organization, an MPI allows that facility’s different departments to all share data simultaneously.
Wyatt
The types of IT problems were similar to those described in earlier classifications of safety problems associated with health IT. RK
The chain assists in identifying which process is impacted by an IT problem, but also shows the many stages through which information errors can then propagate. A total of 70% involved 2 or more sociotechnical dimensions: (1) hardware and software, 76; (2) clinical content, 38; (3) human-computer interface, 29; (4) people, 20; (5) workflow and communication, 35; (6) internal organizational features, 6; (7) external rules and regulations, 2; (8) system measurement and monitoring, 1. WG
The majority of studies were incident analyses, which are useful to understand the types and consequences of safety problems with IT and examine typical patterns along the value chain. Twenty-two CPOE-related mechanisms for medication errors were identified and broadly categorized by information errors and human-machine interface flaws. Franklin
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Learn how health IT wields influence on overall patient care, with EHRs and data analytics as core elements.