ArticleYearbook of medical informatics2016
The Unintended Consequences of Health Information Technology Revisited.
Article in Yearbook of medical informatics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 6 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
48 citing papers in PubMed, 6 syntheses or guidelines pooled it, 107 citations in OpenAlex.
- Planning for the Unexpected and Unintended Effects of mHealth Interventions: Systematic Review.Journal of medical Internet research · 2025Pooled it
- A systematic review of the use of telehealth to facilitate a diagnosis for children with developmental concerns.Research in developmental disabilities · 2022Pooled it
- Effectiveness of ICT-based intimate partner violence interventions: a systematic review.BMC public health · 2020Pooled it
- Mobile technologies to support healthcare provider to healthcare provider communication and management of care.The Cochrane database of systematic reviews · 2020Pooled it
- Conversational agents in healthcare: a systematic review.Journal of the American Medical Informatics Association : JAMIA · 2018Pooled it
- Are We There Yet? Human Factors Knowledge and Health Information Technology - the Challenges of Implementation and Impact.Yearbook of medical informatics · 2017Pooled it
- Engaging hospital patients in the medication reconciliation process using tablet computers.Journal of the American Medical Informatics Association : JAMIA · 2018Trial
- Exploring perceptions of digital patient reported outcome measures: a multi-site qualitative case study in four European oncology outpatient clinics.Health and quality of life outcomes · 2026Article
- The ESCAPE Framework: A Practical Two-Phase Mixed-Methods Approach for Usability Evaluation of Interoperable Health IT.Studies in health technology and informatics · 2026Article
- Why health information technology safety problems remain invisible.Frontiers in digital health · 2026Article
- Optimising digital advance care planning implementation in palliative and end-of-life care: a multi-phase mixed-methods national research programme and recommendations.BMC medicine · 2025Article
- Exploring the contextual assumptions, interventions and outcomes of digital advance care planning systems: A theory of change approach to understand implementation and evaluation.Palliative medicine · 2024Article
- Article
- Obstetric Emergency Supply Chain Dynamics and Information Flow Among Obstetric Emergency Supply Chain Employees: Key Informant Interview Study.JMIR formative research · 2024Article
- When rules turn into tools: An activity theory-based perspective on implementation processes and unintended consequences.Healthcare management forum · 2024Article
- Clinical Informatics Team Members' Perspectives on Health Information Technology Safety After Experiential Learning and Safety Process Development: Qualitative Descriptive Study.JMIR formative research · 2024Article
- The last resort: reducing avoidable employee harm by improving the application of the disciplinary policy and process.Frontiers in psychology · 2024Article
- The Role of Human and Organizational Factors in the Pursuit of One Digital Health.Yearbook of medical informatics · 2023Article
- Underestimated Factors Regarding the Use of Technology in Daily Practice of Long-Term Care: Qualitative Study Among Health Care Professionals.JMIR nursing · 2023Article
- Implementation of Health Information Systems to Improve Patient Identification.International journal of environmental research and public health · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe introduction of health information technology into clinical settings is associated with unintended negative consequences, some with the potential to lead to error and patient harm. As adoption rates soar, the impact of these hazards will increase.
objectiveOver the last decade, unintended consequences have received great attention in the medical informatics literature, and this paper seeks to identify the major themes that have emerged.
resultsRich typologies of the causes of unintended consequences have been developed, along with a number of explanatory frameworks based on socio-technical systems theory. We however still have only limited data on the frequency and impact of these events, as most studies rely on data sets from incident reporting or patient chart reviews, rather than undertaking detailed observational studies. Such data are increasingly needed as more organizations implement health information technologies. When outcome studies have been done in different organizations, they reveal different outcomes for identical systems. From a theoretical perspective, recent advances in the emerging discipline of implementation science have much to offer in explaining the origin, and variability, of unintended consequences.
conclusionThe dynamic nature of health care service organizations, and the rapid development and adoption of health information technologies means that unintended consequences are unlikely to disappear, and we therefore must commit to developing robust systems to detect and manage them.
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What OpenQuestion holds
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.