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B. Gage, A. Bass, Hannah Lin, Hannah Lin, S. Woller, S. Woller, S. Stevens, S. Stevens, N. Al-Hammadi, Juan Li, Tomás Rodríguez, J. Miller, G. McMillin, R. Pendleton, A. Jaffer, Cristi King, B. Whipple, R. Porche-Sorbet, L. Napoli, Kerri Merritt, Anna Thompson, Anna Thompson, G. Hyun, G. Hyun, Jeffrey Anderson, Jeffrey Anderson, W. Hollomon, R. Barrack, R. Nunley, Gerard Moskowitz, V. Davila-Roman, C. Eby (2017)
Effect of Genotype-Guided Warfarin Dosing on Clinical Events and Anticoagulation Control Among Patients Undergoing Hip or Knee Arthroplasty: The GIFT Randomized Clinical TrialJAMA, 318
Letters Table 2. Frequency of Clinical Process and Usability Issues Identified in the Possible Patient Harm Reports, 2013-2016 Usability Category, No. of Possible Patient Harm Events (%) System Clinical Availability Automation Workflow Processes Issues of Information Alerting and Defaults Data Entry Visual Display Interoperability Support Total Documentation 6 (1.1) 2 (0.4) 2 (0.4) 33 (5.9) 2 (0.4) 3 (0.5) 2 (0.4) 50 (9) b b Medication 13 (2.3) 77 (13.8) 22 (3.9) 44 (7.9) 22 (3.9) 19 (3.4) 10 (1.8) 207 (37.2) administration b b b Order placement 25 (4.5) 35 (6.3) 19 (3.4) 56 (10.1) 18 (3.2) 38 (6.8) 22 (3.9) 213 (38.2) Review of results 6 (1.1) 8 (1.4) 0 19 (3.4) 10 (1.8) 42 (7.5) 2 (0.4) 87 (15.6) Total 50 (9) 122 (21.9) 43 (7.7) 152 (27.3) 52 (9.3) 102 (18.3) 36 (6.5) 557 (100) Data were from the Pennsylvania Patient Safety Authority Database and a large multihospital academic health care system in the mid-Atlantic, outside of Pennsylvania. Value greater than 5%. Patient safety reports contain limited information mak- 2. International Organization for Standardization. ISO/IEC 25010:2011—Systems and software engineering—Systems and Software Quality Requirements ing it difficult to identify causal factors and may be subject to
JAMA – American Medical Association
Published: Mar 27, 2018
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