Navigation Links
Unanticipated consequences of health-care information technology
Date:9/18/2007

PHILADELPHIA -- Researchers at the University of Pennsylvania School of Medicine and the Agency for Healthcare Research and Quality (AHRQ) have developed a framework to help hospital managers, physicians, and nurses handle the tough challenges of implementing health information technology (HIT) by directly addressing the unintended consequences that undermine safety and quality.

As documented in a 2005 JAMA article by Penns Ross Koppel, PhD, computerized physician order entries, CPOE for short, reduce medication errors due to transcription or hand-writing deficiencies but produce many unintended consequences. For example, in some CPOE systems, physicians must enter the patients weight before ordering some types of medications. Physicians will often insert an estimated weight just to order the desired medication, without being able to indicate it as an estimation. That number is then used by subsequent physicians for medications requiring more careful weight measurements. Koppel is the Principal Investigator of an AHRQ-supported study of hospital workplace culture and medication error at Penns Center for Clinical Epidemiology and Biostatistics and a faculty member in Penns Sociology Department.

In this new paper, co-authors Koppel, AHRQs Michael I. Harrison, PhD, and Shirly Bar-Lev, PhD, from the Ruppin Academic Center, Israel, show managers and clinicians how to avoid or catch unintended consequences before they cause lasting harm. This study appears in the September issue of the Journal of American Medical Informatics Association JAMIA.

Use of sophisticated HIT in hospitals is increasing dramatically. In addition to CPOE, other examples in which unintended consequences can occur are decision support systems and electronic medical records. Health care facilities are investing millions of dollars in health care information technology as they seek to improve patient care, safety, efficiency, and cost savings. Yet the results are often disappointing, say the researchers.

Managers and clinicians need to prevent more undesirable side effects and recognize unforeseeable consequences early on, says lead author Harrison. Then they can take steps to remedy them before damage mounts.

The authors demonstrate how new HIT changes workplace processes and how practitioners alter these technologies during use. The authors call their new paradigm Interactive Sociotechnical Analysis.

We are strong proponents of HIT, say Harrison and Koppel. But introducing HIT is not like adding a fax machine. HIT involves a whole set of activities and interactions with existing IT, people, the built environment, and with other systems. These interactions generate unpredictable developments. We map these developments to inspire greater awareness of IT implementation problems and increased action to improve new IT systems.

Decision makers are taking unnecessary risks if they wait for HIT projects to run for a year or two before doing a post-hoc evaluation, observes Harrison. Real time evaluations can reveal unintended consequences as they emerge, allowing remedial action to be taken.


'/>"/>

Contact: Karen Kreeger
karen.kreeger@uphs.upenn.edu
215-349-5658
University of Pennsylvania School of Medicine
Source:Eurekalert

Related medicine news :

1. The Consequences Of Stopping Physical Activity
2. WHO Steps Up To Create A Public Awareness About The Consequences Of Exposure To Radon
3. Risk Attitudes And Consequences Of College Drinking
4. Consequences Of Smoking On Fractures & Ligament Injuries
5. More Women Opting for Caesarean, Unaware of Consequences
6. ‘Unpredictability’ Should Mark Health-Care Inspections &Targes
7. Quebecers To Choose Private Health-Care Insurance
8. Rae unveils Health-care Strategy
9. Private Health-care Clinics Mushroom in Ontario
10. Health-Care Workers Exposed to HIV on Job Need Preventive Treatment
11. Chronic Diseases- Lion’s Share of Canada’s Health-care Coss
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:5/2/2016)... ... May 02, 2016 , ... Summit BHC (Summit), a leading ... Twin Lakes Recovery Center. Located east of Atlanta in Monroe, Georgia, the ... residential facility is set on 34 acres of beautiful, secluded property that will ...
(Date:5/1/2016)... ... May 02, 2016 , ... Avid collector, Andrew Hawley from ... Pavilion in Columbia, Maryland concert posters. Dail Beeghley hit a poster design achievement ... August 16. According to Hawley, “The Pavilion was built to host the National ...
(Date:5/1/2016)... , ... May 01, 2016 , ... Outdoor Growing Bans ... marijuana industry, has put the law in the hands of the local communities ... 1, 2016, California voted to allow counties to vote on growing regulations by 3/1/2016 ...
(Date:4/30/2016)... ... 2016 , ... Powerful tools of hypnosis, hypnotherapy and ... What is hypnosis and hypnotherapy and why after centuries, it is now scientifically ... and acute), birthing processes and medical procedures, depression, anxiety, fear reactions, anxiety attacks, ...
(Date:4/30/2016)... ... April 30, 2016 , ... A ... use of the HyProCure sinus tarsi implant. ( http://www.cbc.ca/news/canada/ottawa/banned-quebec-dentist-pierre-dupont-working-as-chiropodist-in-ottawa-1.3515494 ) The ... minimally invasive procedure performed, when indicated, to correct the partial displacement of ...
Breaking Medicine News(10 mins):
(Date:4/29/2016)... ISELIN, New Jersey , April 29, 2016 ... Omnichannel Software Suite for Life Sciences, Product Development ... and Global Life Science Customer Base . ... healthcare solutions provider, today announced the acquisition of ... is a global leader in adaptive sales enablement ...
(Date:4/29/2016)... India , April 29, 2016 ... the life science laboratory due to the growing demands ... by advance technology, contemporary automated systems are already adept ... performed by slow, tedious and manual labor. Instrumentation continues ... were not even conceivable just a few years ago. ...
(Date:4/28/2016)... DUBLIN , April 28, 2016 ... the "Global Plastic Surgery Products Market 2016-2020" ... http://photos.prnewswire.com/prnh/20160330/349511LOGO ) , The global plastic ... CAGR of 9.47% during the period 2016-2020. , ,The ... factor leading to the growth of the market. Lasers ...
Breaking Medicine Technology: