Some Unintended Consequences of Information Technology in Health Care: The Nature of Patient Care Information System-related Errors
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Open Access
- 21 November 2003
- journal article
- Published by Oxford University Press (OUP) in Journal of the American Medical Informatics Association
- Vol. 11 (2), 104-112
- https://doi.org/10.1197/jamia.m1471
Abstract
Medical error reduction is an international issue, as is the implementation of patient care information systems (PCISs) as a potential means to achieving it. As researchers conducting separate studies in the United States, The Netherlands, and Australia, using similar qualitative methods to investigate implementing PCISs, the authors have encountered many instances in which PCIS applications seem to foster errors rather than reduce their likelihood. The authors describe the kinds of silent errors they have witnessed and, from their different social science perspectives (information science, sociology, and cognitive science), they interpret the nature of these errors. The errors fall into two main categories: those in the process of entering and retrieving information, and those in the communication and coordination process that the PCIS is supposed to support. The authors believe that with a heightened awareness of these issues, informaticians can educate, design systems, implement, and conduct research in such a way that they might be able to avoid the unintended consequences of these subtle silent errors.Keywords
This publication has 39 references indexed in Scilit:
- Computer decision support as a source of interpretation error: the case of electrocardiogramsJournal of the American Medical Informatics Association, 2003
- Sociotechnical Requirements Analysis for Clinical SystemsMethods of Information in Medicine, 2003
- A Cross-site Qualitative Study of Physician Order EntryJournal of the American Medical Informatics Association, 2003
- The Era of Patient Safety: Implications for Nursing Informatics CurriculaJournal of the American Medical Informatics Association, 2002
- Crossing the Quality Chasm: A New Health System for the 21st CenturyJournal for Healthcare Quality, 2002
- A Computerized Reminder System to Increase the Use of Preventive Care for Hospitalized PatientsThe New England Journal of Medicine, 2001
- Assessment of Decision Support for Blood Test Ordering in Primary CareAnnals of Internal Medicine, 2001
- The nature and extent of drug‐related hospitalisations in AustraliaJournal of Quality In Clinical Practice, 1999
- Computer-based Physician Order Entry: The State of the ArtJournal of the American Medical Informatics Association, 1994
- Reminders to Physicians from an Introspective Computer Medical RecordAnnals of Internal Medicine, 1984