Evidence map›Paper›PMID 38037171›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2024

Methods for studying medication safety following electronic health record implementation in acute care: a scoping review.

Nichole Pereira, Jonathan P Duff, Tracy Hayward, Tamizan Kherani, Nadine Moniz, Chrystale Champigny, Andrew Carson-Stevens, Paul Bowie, Rylan Egan

Abstract readScoping Review
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. Article
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

9 authors.

Nichole PereiraFaculty of Health Sciences, Health Quality Program, Queen's University, Kingston, ON K7L 3N6, Canada.ORCID 0000-0001-5710-0457
Jonathan P DuffPediatric Intensive Care Unit, Alberta Health Services, Edmonton, AB T6G 2B7, Canada.
Tracy HaywardDepartment of Patient Safety, Covenant Health, Edmonton, AB T5R 4H5, Canada.
Tamizan KheraniDepartment of Pediatrics, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB T6G 1C9, Canada.
Nadine MonizStroke Program, Alberta Health Services, Edmonton, AB T6G 2J3, Canada.
Chrystale ChampignyPrimary Health Care, Alberta Health Services, Edmonton, AB T6G 2B7, Canada.
Andrew Carson-StevensFaculty of Health Sciences, Health Quality Program, Queen's University, Kingston, ON K7L 3N6, Canada.
Paul BowieFaculty of Health Sciences, Health Quality Program, Queen's University, Kingston, ON K7L 3N6, Canada.
Rylan EganFaculty of Health Sciences, Health Quality Program, Queen's University, Kingston, ON K7L 3N6, Canada.

Funding

Canadian Nurses FoundationCanadian Nurses Foundation Dr. Kathryn J Hannah Nursing InformaticsMarie Curie MCCC-FCO-11-C
6 · The paper itself

Abstract

objectivesThe objective of this scoping review is to map methods used to study medication safety following electronic health record (EHR) implementation. Patterns and methodological gaps can provide insight for future research design. MATERIALS AND

methodsWe used the Joanna Briggs Institute scoping review methodology and a custom data extraction table to summarize the following data: (1) study demographics (year, country, setting); (2) study design, study period, data sources, and measures; (3) analysis strategy; (4) identified limitations or recommendations; (5) quality appraisal; and (6) if a Safety-I or Safety-II perspective was employed.

resultsWe screened 5879 articles. One hundred and fifteen articles met our inclusion criteria and were assessed for eligibility by full-text review. Twenty-seven articles were eligible for extraction. DISCUSSION AND

conclusionWe found little consistency in how medication safety following EHR implementation was studied. Three study designs, 7 study settings, and 10 data sources were used across 27 articles. None of the articles shared the same combination of design, data sources, study periods, and research settings. Outcome measures were neither defined nor measured consistently. It may be difficult for researchers to aggregate and synthesize medication safety findings following EHR implementation research. All studies but one used a Safety-I perspective to study medication safety. We offer a conceptual model to support a more consistent approach to studying medication safety following EHR implementation.

Indexed as

Critical CareElectronic Health RecordsHumansconceptual frameworkelectronic health recordmedication safetyresilience engineeringsafety-II

Identifiers

PMID38037171
PMCPMC10797275

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.