Evidence map›Paper›PMID 30537881›Full record

ArticleHealth informatics journal2020

Current challenges in health information technology-related patient safety.

Dean F Sittig, Adam Wright, Enrico Coiera, Farah Magrabi, Raj Ratwani, David W Bates, Hardeep Singh

Abstract read
In one paragraph

Article in Health informatics journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

59 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Dean F SittigThe University of Texas Health Science Center at Houston (UTHealth), USA.
Adam WrightHarvard Medical School, USA.
Enrico Coiera
Farah MagrabiMacquarie University, Australia.
Raj RatwaniNational Center for Human Factors in Healthcare, MedStar Health, USA.
David W BatesHarvard Medical School, USA; Harvard T.H. Chan School of Public Health, USA.
Hardeep SinghCenter for Innovations in Quality, Effectiveness and Safety, Michael E DeBakey Veterans Affairs Medical Center and Baylor College of Medicine, Houston, Texas, USA.

Funding

Caregiver innovations to reduce harm in Neonatal Intensive CareP30HS024459 · AHRQ · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI THOMAS, ERIC J · 2015 to 2018
$4.0M
Improving clinical decision support reliability using anomaly detection methodsR01LM011966 · NLM · VANDERBILT UNIVERSITY MEDICAL CENTER · PI WRIGHT, ADAM T · 2014 to 2017
$2.4M
Decision Making and Clinical Work of Test Result Follow-up in Health IT SettingsR01HS022087 · AHRQ · BAYLOR COLLEGE OF MEDICINE · PI SINGH, HARDEEP · 2013 to 2016
$2.0M
Developing Evidence- based User Centered Design and Implementation Guidelines to Improve Health Information Technology UsabilityR01HS023701 · AHRQ · MEDSTAR HEALTH RESEARCH INSTITUTE · PI RATWANI, RAJ M · 2015 to 2019
$1.2M
AHRQ HHS P30 HS024459AHRQ HHS R01 HS022087AHRQ HHS R01 HS023701NLM NIH HHS R01 LM011966
6 · The paper itself

Abstract

We identify and describe nine key, short-term, challenges to help healthcare organizations, health information technology developers, researchers, policymakers, and funders focus their efforts on health information technology-related patient safety. Categorized according to the stage of the health information technology lifecycle where they appear, these challenges relate to (1) developing models, methods, and tools to enable risk assessment; (2) developing standard user interface design features and functions; (3) ensuring the safety of software in an interfaced, network-enabled clinical environment; (4) implementing a method for unambiguous patient identification (1-4 Design and Development stage); (5) developing and implementing decision support which improves safety; (6) identifying practices to safely manage information technology system transitions (5 and 6 Implementation and Use stage); (7) developing real-time methods to enable automated surveillance and monitoring of system performance and safety; (8) establishing the cultural and legal framework/safe harbor to allow sharing information about hazards and adverse events; and (9) developing models and methods for consumers/patients to improve health information technology safety (7-9 Monitoring, Evaluation, and Optimization stage). These challenges represent key "to-do's" that must be completed before we can expect to have safe, reliable, and efficient health information technology-based systems required to care for patients.

Indexed as

Medical InformaticsPatient SafetyHumansInformation Systemselectronic health recordshealthcare policyinformation and knowledge managementinformation technology design and development methodologiesorganizational change and information technology

Identifiers

PMID30537881
PMCPMC7510167

What OpenQuestion holds

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Registered trials

None linked

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.