ArticleJournal of the American Medical Informatics Association : JAMIA2014
Classification of medication incidents associated with information technology.
Article in Journal of the American Medical Informatics Association : JAMIA, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.
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Who cites it
21 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Problems with health information technology and their effects on care delivery and patient outcomes: a systematic review.Journal of the American Medical Informatics Association : JAMIA · 2017Pooled it
- Interventions for reducing medication errors in children in hospital.The Cochrane database of systematic reviews · 2015Pooled it
- Influencing factors of self-reported near-miss in clinical nursing information system tasks among nurses: a multicenter cross-sectional study.BMC nursing · 2025Article
- Safety and Precision AI for a Modern Digital Health System.Yearbook of medical informatics · 2024Review
- Exploring the Use of Persuasive System Design Principles to Enhance Medication Incident Reporting and Learning Systems: Scoping Reviews and Persuasive Design Assessment.JMIR human factors · 2024Article
- The need for a refined classification system and national incident reporting system for health information technology-related incidents.Frontiers in digital health · 2024Article
- Perceptual Gaps Between Clinicians and Technologists on Health Information Technology-Related Errors in Hospitals: Observational Study.JMIR human factors · 2021Article
- Assessing automated product selection success rates in transmissions between electronic prescribing and community pharmacy platforms.Journal of the American Medical Informatics Association : JAMIA · 2021Article
- Development of a Taxonomy for Medication-Related Patient Safety Events Related to Health Information Technology in Pediatrics.Applied clinical informatics · 2020Article
- Opportunities for changes in the drug product design to enhance medication safety in older people: Evaluation of a national public portal for medication incidents.British journal of clinical pharmacology · 2020Article
- Factors associated with workarounds in barcode-assisted medication administration in hospitals.Journal of clinical nursing · 2020Observational
- Patient Safety: A Deep Concern to Caregivers.Innovations in pharmacy · 2019Article
- Understanding Health Information Technology Induced Medication Safety Events by Two Conceptual Frameworks.Applied clinical informatics · 2019Article
- Medication audit and feedback by a clinical pharmacist decrease medication errors at the PICU: An interrupted time series analysis.Health science reports · 2018Article
- Preventing dispensing errors by alerting for drug confusions in the pharmacy information system-A survey of users.PloS one · 2018Article
- Clinical Informatics Researcher's Desiderata for the Data Content of the Next Generation Electronic Health Record.Applied clinical informatics · 2017Article
- Technology-induced errors associated with computerized provider order entry software for older patients.International journal of clinical pharmacy · 2017Observational
- Association Between Workarounds and Medication Administration Errors in Bar Code-Assisted Medication Administration: Protocol of a Multicenter Study.JMIR research protocols · 2017Article
- Initializing and Growing a Database of Health Information Technology (HIT) Events by Using TF-IDF and Biterm Topic Modeling.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2017Article
- EHR-related medication errors in two ICUs.Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management · 2017Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionInformation technology (IT) plays a pivotal role in improving patient safety, but can also cause new problems for patient safety. This study analyzed the nature and consequences of a large sample of IT-related medication incidents, as reported by healthcare professionals in community pharmacies and hospitals.
methodsThe medication incidents submitted to the Dutch central medication incidents registration (CMR) reporting system were analyzed from the perspective of the healthcare professional with the Magrabi classification. During classification new terms were added, if necessary. MAIN MEASURES: The principal source of the IT-related problem, nature of error. Additional measures: consequences of incidents, IT systems, phases of the medication process.
resultsFrom March 2010 to February 2011 the CMR received 4161 incidents: 1643 (39.5%) from community pharmacies and 2518 (60.5%) from hospitals. Eventually one of six incidents (16.1%, n=668) were related to IT; in community pharmacies more incidents (21.5%, n=351) were related to IT than in hospitals (12.6%, n=317). In community pharmacies 41.0% (n=150) of the incidents were about choosing the wrong medicine. Most of the erroneous exchanges were associated with confusion of medicine names and poor design of screens. In hospitals 55.3% (n=187) of incidents concerned human-machine interaction-related input during the use of computerized prescriber order entry. These use problems were also a major problem in pharmacy information systems outside the hospital.
conclusionsA large sample of incidents shows that many of the incidents are related to IT, both in community pharmacies and hospitals. The interaction between human and machine plays a pivotal role in IT incidents in both settings.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.