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Defining Health Information Technology–Related Errors

Defining Health Information Technology–Related Errors SPECIAL ARTICLE HEALTH CARE REFORM Defining Health Information Technology–Related Errors New Developments Since To Err Is Human Dean F. Sittig, PhD; Hardeep Singh, MD, MPH espite the promise of health information technology (HIT), recent literature has re- vealed possible safety hazards associated with its use. The Office of the National Co- ordinator for HIT recently sponsored an Institute of Medicine committee to synthe- D size evidence and experience from the field on how HIT affects patient safety. To lay the groundwork for defining, measuring, and analyzing HIT-related safety hazards, we propose that HIT-related error occurs anytime HIT is unavailable for use, malfunctions during use, is used incorrectly by someone, or when HIT interacts with another system component incorrectly, re- sulting in data being lost or incorrectly entered, displayed, or transmitted. These errors, or the de- cisions that result from them, significantly increase the risk of adverse events and patient harm. We describe how a sociotechnical approach can be used to understand the complex origins of HIT errors, which may have roots in rapidly evolving technological, professional, organizational, and policy initiatives. Arch Intern Med. 2011;171(14):1281-1284 Two Institute of Medicine (IOM) reports safety. Given the national impact of HIT, have recommended http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Internal Medicine American Medical Association

Defining Health Information Technology–Related Errors

JAMA Internal Medicine , Volume 171 (14) – Jul 25, 2011

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Publisher
American Medical Association
Copyright
Copyright 2011 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6106
eISSN
2168-6114
DOI
10.1001/archinternmed.2011.327
pmid
21788544
Publisher site
See Article on Publisher Site

Abstract

SPECIAL ARTICLE HEALTH CARE REFORM Defining Health Information Technology–Related Errors New Developments Since To Err Is Human Dean F. Sittig, PhD; Hardeep Singh, MD, MPH espite the promise of health information technology (HIT), recent literature has re- vealed possible safety hazards associated with its use. The Office of the National Co- ordinator for HIT recently sponsored an Institute of Medicine committee to synthe- D size evidence and experience from the field on how HIT affects patient safety. To lay the groundwork for defining, measuring, and analyzing HIT-related safety hazards, we propose that HIT-related error occurs anytime HIT is unavailable for use, malfunctions during use, is used incorrectly by someone, or when HIT interacts with another system component incorrectly, re- sulting in data being lost or incorrectly entered, displayed, or transmitted. These errors, or the de- cisions that result from them, significantly increase the risk of adverse events and patient harm. We describe how a sociotechnical approach can be used to understand the complex origins of HIT errors, which may have roots in rapidly evolving technological, professional, organizational, and policy initiatives. Arch Intern Med. 2011;171(14):1281-1284 Two Institute of Medicine (IOM) reports safety. Given the national impact of HIT, have recommended

Journal

JAMA Internal MedicineAmerican Medical Association

Published: Jul 25, 2011

References