Towards safe electronic health records: A socio-technical perspective and the need for incident reporting

被引:13
作者
Aarts, Jos [1 ]
机构
[1] Erasmus Univ, Inst Hlth Policy & Management, NL-3000 DR Rotterdam, Netherlands
关键词
PHYSICIAN ORDER ENTRY; HUMAN-COMPUTER INTERACTION; INFORMATION-SYSTEMS; HUMAN ERROR; FAILURE; IMPLEMENTATION; MORTALITY; POLICY;
D O I
10.1016/j.hlpt.2012.01.008
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Health information technology is widely accepted to increase patient safety and reduce medical errors. The widespread implementation makes it evident that health information technology has become a complex socio-technical system that is health care. Design and implementation may result in a failure; even health information technology can lead to adverse events instead of mitigating them. This paper seeks to outline the complexity of health information technology as a part of a socio-technical system, describes two failures at different organizational levels, and presents a model of how risks can occur. This research extends our knowledge on health information technology failure and potential adverse effects, which contributes to the many anecdotal accounts. The IT industry market is highly unregulated and recent reports propose some form of regulation. This paper proposes how, as a first step, proper and mandatory reporting can lead to better knowledge of failures of health information technology as part of a socio-technical system and improve deployment in the coming years. (C) 2012 Fellowship of Postgraduate Medicine. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码:8 / 15
页数:8
相关论文
共 41 条
  • [1] Understanding implementation: The case of a computerized physician order entry system in a large dutch university medical center
    Aarts, J
    Doorewaard, H
    Berg, M
    [J]. JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION, 2004, 11 (03) : 207 - 216
  • [2] Implementation Of Computerized Physician Order Entry In Seven Countries
    Aarts, Jos
    Koppel, Ross
    [J]. HEALTH AFFAIRS, 2009, 28 (02) : 404 - 414
  • [3] [Anonymous], 2011, HLTH IT PAT SAF BUIL
  • [4] The impact of computerized physician order entry on medication error prevention
    Bates, DW
    Teich, JM
    Lee, J
    Seger, D
    Kuperman, GJ
    Ma'Luf, N
    Boyle, D
    Leape, L
    [J]. JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION, 1999, 6 (04) : 313 - 321
  • [5] Human error and information systems failure: the case of the London ambulance service computer-aided despatch system project
    Beynon-Davies, P
    [J]. INTERACTING WITH COMPUTERS, 1999, 11 (06) : 699 - 720
  • [6] Anticipating and addressing the unintended consequences of health IT and policy: a report from the AMIA 2009 Health Policy Meeting
    Bloomrosen, Meryl
    Starren, Justin
    Lorenzi, Nancy M.
    Ash, Joan S.
    Patel, Vimla L.
    Shortliffe, Edward H.
    [J]. JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION, 2011, 18 (01) : 82 - 90
  • [7] Human-computer interaction: Psychology as a science of design
    Carroll, JM
    [J]. INTERNATIONAL JOURNAL OF HUMAN-COMPUTER STUDIES, 1997, 46 (04) : 501 - 522
  • [8] Ciborra C., 2002, LABYRINTHS INFORM CH
  • [9] The dangerous decade
    Coiera, Enrico
    Aarts, Jos
    Kulikowski, Casimir
    [J]. JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION, 2012, 19 (01) : 2 - 5
  • [10] Dutch virtual integration of healthcare information
    de Graaf, J. C.
    Aug, A. E.
    van Boven, G. J.
    [J]. METHODS OF INFORMATION IN MEDICINE, 2007, 46 (04) : 458 - 462