scholarly journals Understanding Unintended Consequences and Health Information Technology

2016 ◽  
Vol 25 (01) ◽  
pp. 53-60 ◽  
Author(s):  
R. Randell ◽  
E. M. Borycki ◽  
C. E. Kuziemsky
Keyword(s):  
Information Technology ◽  
Literature Review ◽  
Health Information Technology ◽  
Health Information ◽  
Mixed Methods Research ◽  
Social Issues ◽  
Data Extraction ◽  
Unintended Consequences ◽  
Search Terms ◽  
Model Study

SummaryObjective: No framework exists to identify and study unintended consequences (UICs) with a focus on organizational and social issues (OSIs). To address this shortcoming, we conducted a literature review to develop a framework for considering UICs and health information technology (HIT) from the perspective of OSIs.Methods: A literature review was conducted for the period 2000-2015 using the search terms “unintended consequences” and “health information technology”. 67 papers were screened, of which 18 met inclusion criteria. Data extraction was focused on the types of technologies studied, types of UICs identified, and methods of data collection and analysis used. A thematic analysis was used to identify themes related to UICs.Results: We identified two overarching themes. One was the definition and terminology of how people classify and discuss UICs. Second was OSIs and UICs. For the OSI theme, we also identified four sub-themes: process change and evolution, individual-collaborative interchange, context of use, and approaches to model, study, and understand UICs.Conclusions: While there is a wide body of research on UICs, there is a lack of overall consensus on how they should be classified and reported, limiting our ability to understand the implications of UICs and how to manage them. More mixed-methods research and better proactive identification of UICs remain priorities. Our findings and framework of OSI considerations for studying UICs and HIT extend existing work on HIT and UICs by focusing on organizational and social issues.

scholarly journals Health Informatics in Developing Countries: A Review of Unintended Consequences of IT Implementations, as They Affect Patient Safety and Recommendations on How to Address Them

2016 ◽  
Vol 25 (01) ◽  
pp. 70-72 ◽  
Author(s):  
A. Almerares ◽  
D. Luna ◽  
A. Marcelo ◽  
M. Househ ◽  
H. Mandirola ◽  
...  
Keyword(s):  
Information Technology ◽  
Developing Countries ◽  
Patient Safety ◽  
Health Information Technology ◽  
Health Information ◽  
Health Informatics ◽  
Healthcare Organization ◽  
Unintended Consequences ◽  
Alert Fatigue ◽  
Available Information

SummaryBackground: Patient safety concerns every healthcare organization. Adoption of Health information technology (HIT) appears to have the potential to address this issue, however unanticipated and undesirable consequences from implementing HIT could lead to new and more complex hazards. This could be particularly problematic in developing countries, where regulations, policies and implementations are few, less standandarized and in some cases almost non-existing.Methods: Based on the available information and our own experience, we conducted a review of unintended consequences of HIT implementations, as they affect patient safety in developing countries.Results: We found that user dependency on the system, alert fatigue, less communications among healthcare actors and workarounds topics should be prioritize. Institution should consider existing knowledge, learn from other experiences and model their implementations to avoid known consequences. We also recommend that they monitor and communicate their own efforts to expand knowledge in the region.

scholarly journals A Survey of the Literature on Unintended Consequences Associated with Health Information Technology: 2014–2015

2016 ◽  
Vol 25 (01) ◽  
pp. 13-29 ◽  
Author(s):  
J. Abraham ◽  
L. L. Novak ◽  
T. L. Reynolds ◽  
A. Gettinger ◽  
K. Zheng
Keyword(s):  
Information Technology ◽  
Time Series ◽  
Health Information Technology ◽  
Health Information ◽  
Unintended Consequences ◽  
Adverse Outcomes ◽  
Future Research ◽  
Health It ◽  
Recorded Data ◽  
The Impact

SummaryObjective: To summarize recent research on unintended consequences associated with implementation and use of health information technology (health IT). Included in the review are original empirical investigations published in English between 2014 and 2015 that reported unintended effects introduced by adoption of digital interventions. Our analysis focuses on the trends of this steam of research, areas in which unintended consequences have continued to be reported, and common themes that emerge from the findings of these studies.Method: Most of the papers reviewed were retrieved by searching three literature databases: MEDLINE, Embase, and CINAHL. Two rounds of searches were performed: the first round used more restrictive search terms specific to unintended consequences; the second round lifted the restrictions to include more generic health IT evaluation studies. Each paper was independently screened by at least two authors; differences were resolved through consensus development.Results: The literature search identified 1,538 papers that were potentially relevant; 34 were deemed meeting our inclusion criteria after screening. Studies described in these 34 papers took place in a wide variety of care areas from emergency departments to ophthalmology clinics. Some papers reflected several previously unreported unintended consequences, such as staff attrition and patients’ withholding of information due to privacy and security concerns. A majority of these studies (71%) were quantitative investigations based on analysis of objectively recorded data. Several of them employed longitudinal or time series designs to distinguish between unintended consequences that had only transient impact, versus those that had persisting impact. Most of these unintended consequences resulted in adverse outcomes, even though instances of beneficial impact were also noted. While care areas covered were heterogeneous, over half of the studies were conducted at academic medical centers or teaching hospitals. Conclusion: Recent studies published in the past two years represent significant advancement of unintended consequences research by seeking to include more types of health IT applications and to quantify the impact using objectively recorded data and longitudinal or time series designs. However, more mixed-methods studies are needed to develop deeper insights into the observed unintended adverse outcomes, including their root causes and remedies. We also encourage future research to go beyond the paradigm of simply describing unintended consequences, and to develop and test solutions that can prevent or minimize their impact.

scholarly journals Are We There Yet? Human Factors Knowledge and Health Information Technology – the Challenges of Implementation and Impact

2017 ◽  
Vol 26 (01) ◽  
pp. 84-91 ◽  
Author(s):  
P. Turner ◽  
A. Kushniruk ◽  
C. Nohr
Keyword(s):  
Information Technology ◽  
Human Factors ◽  
Health Information Technology ◽  
Health Information ◽  
System Development ◽  
Evidence Base ◽  
Unintended Consequences ◽  
Active Involvement ◽  
Usability Problems ◽  
Development Life Cycle

Summary Objective: To review the developments in human factors (HF) research on the challenges of health information technology (HIT) implementation and impact given the continuing incidence of usability problems and unintended consequences from HIT development and use. Methods: A search of PubMed/Medline and Web of Science® identified HF research published in 2015 and 2016. Electronic health records (EHRs) and patient-centred HIT emerged as significant foci of recent HF research. The authors selected prominent papers highlighting ongoing HF and usability challenges in these areas. This selective rather than systematic review of recent HF research highlights these key challenges and reflects on their implications on the future impact of HF research on HIT. Results: Research provides evidence of continued poor design, implementation, and usability of HIT, as well as technology-induced errors and unintended consequences. The paper highlights support for: (i) strengthening the evidence base on the benefits of HF approaches; (ii) improving knowledge translation in the implementation of HF approaches during HIT design, implementation, and evaluation; (iii) increasing transparency, governance, and enforcement of HF best practices at all stages of the HIT system development life cycle. Discussion and Conclusion: HF and usability approaches are yet to become embedded as integral components of HIT development, implementation, and impact assessment. As HIT becomes ever-more pervasive including with patients as end-users, there is a need to expand our conceptualisation of the problems to be addressed and the suite of tactics and strategies to be used to calibrate our pro-active involvement in its improvement.

scholarly journals KAJIAN LITERATUR: PERANAN TEKNOLOGI INFORMASI KESEHATAN PADA PERAWATAN DIABETES MELLITUS [LITERATURE REVIEW: THE ROLE OF HEALTH INFORMATION TECHNOLOGY IN THE CARE OF DIABETES MELLITUS]

2020 ◽  
Vol 8 (1) ◽  
pp. 47
Author(s):  
Pina Pudiyanti ◽  
Tuti Afriani
Keyword(s):  
Diabetes Mellitus ◽  
Information Technology ◽  
Literature Review ◽  
Health Information Technology ◽  
Health Information ◽  
Health Workers ◽  
Research Articles ◽  
Prisma Statement ◽  
Patients With Diabetes

<p><em>People with diabetes mellitus must take responsibility for their own care to improve their quality of life. People with diabetes mellitus often need a set of services and support ranging from glucose monitoring, insulin and other treatment management, psychotherapy and social support, physical activity, nutritional counseling and others. Diabetes mellitus patients can play a more active role in treating their diabetes with health information technology. This literature review uses the PRISMA statement as a guide to search for research articles from two databases, Ebsco and Scopus. The results of the analysis of nine selected research articles indicate that information technology provides patient education and support for patients with diabetes mellitus. Information technology has been used to improve the quality of care for patients with diabetes mellitus, enable health workers to more effectively manage patients and to help patients manage their own illnesses so that research and related publications are needed to improve the care of patients with diabetes mellitus at home.</em></p><p><strong>BAHASA INDONESIA ABSTRAK: </strong>Penderita diabetes mellitus harus bertanggung jawab atas perawatan mereka sendiri untuk meningkatkan kualitas hidupnya. Penderita diabetes mellitus seringkali membutuhkan seperangkat layanan dan dukungan mulai dari pemantauan glukosa, insulin dan manajemen pengobatan lainnya, psikoterapi dan dukungan sosial, aktivitas fisik, konseling gizi dan lain-lain. Pasien diabetes mellitus bisa memainkan peran lebih aktif dalam perawatan diabetesnya dengan teknologi informasi kesehatan. Kajian pustaka ini menggunakan <em>PRISMA statement </em>sebagai panduan pencarian artikel penelitian dari dua database yaitu <em>Ebsco</em> dan <em>Scopus. </em>Hasil analisis sembilan artikel penelitian terpilih menunjukkan bahwa teknologi informasi memberikan pasien pendidikan dan dukungan pada pasien diabetes mellitus. Teknologi informasi telah digunakan untuk meningkatkan kualitas asuhan pasien diabetes mellitus,   memungkinkan tenaga kesehatan lebih efektif mengelola pasien dan untuk membantu pasien mengelola sendiri penyakitnya sehingga penelitian dan publikasi terkait diperlukan untuk meningkatkan perawatan pasien diabetes mellitus di rumah.</p>

scholarly journals Digital Waste? Unintended Consequences of Health Information Technology

2019 ◽  
Author(s):  
Petri Bockerman ◽  
Mika Kortelainen ◽  
Liisa T. Laine ◽  
Mikko Nurminen ◽  
Tanja Saxell
Keyword(s):  
Information Technology ◽  
Health Information Technology ◽  
Health Information ◽  
Unintended Consequences

scholarly journals Gambaran Penggunaan Teknologi Informasi Kesehatan Pada Pasien Tuberkulosis Paru

2021 ◽  
Vol 1 ◽  
pp. 1915-1924
Author(s):  
Rendra Setiawan ◽  
I Irnawati
Keyword(s):  
Information Technology ◽  
Literature Review ◽  
Health Information Technology ◽  
Health Information ◽  
Mobile Health ◽  
Critical Appraisal ◽  
Text Messages ◽  
Tuberculosis Patients ◽  
Pubmed Database ◽  
Voice Calls

AbstractLong treatment for tuberculosis, which is 6 months, often makes patients feel bored and forgets to take medicine and causes non-compliance. The development of increasingly high use of smartphones, along with the use of information technology in health, especially for tuberculosis patients, makes many things accessible to patients. By using smartphones, the patients can access the MHealth application, DCC (Drugs Consumption Calendar), SMS gateway, voice calls, and video calls which provide health information and care for tuberculosis patients. It also can make patients obedient to taking medication to increase the TB cure rate. To describe the use of health information technology in pulmonary tuberculosis patients. The design of this study used a literature review of five articles from the PubMed database and Google Scholar. The instrument critical appraisal in this research used Strobe. There were 791 tuberculosis patients (76%) who used information technology in the form of mobile phones. The types of information used included Short Massage Service (SMS) (31% or 246 patients), using the telephone (17.4% or 221 tuberculosis patients), and using video calls (25, 1% or 199 patients). The health information. generally, were a schedule for taking medication and control, reminder to take medication, reporting if there were side effects that occur during treatment, prevention, transmission, food, and patient diet and counseling. The use of health information technology is very helpful in the treatment of TB patients starting from text messages, video calls, and voice calls to improve medication adherence in tuberculosis patients.Keywords: Mobile Health App, SMS, Tuberculosis, Information Technologv, Video Call AbstrakPengobatan tuberkulosis yang lama yaitu 6 bulan sering membuat pasien jenuh dan lupa untuk meminum obat serta menimbulkan ketidak patuhan. Perkembangan pengunaan smartphone yang semakin tinggi, diiringi dengan teknologi informasi dalam kesehatan khususnya pada pasien tuberculosis mulai banyak bermunculan yang dapat diakses menggunakan smartphone diantaranya adalah aplikasi M-Health, DCC (Drugs Consumption Calender), SMS gateway, pangilan suara, video call yang dapat memberikan informasi kesehatan serta perawatan bagi pasien tuberkulosis dan dapat membuat pasien TB patuh minum obat sehingga meningkatkan angka kesembuhan TB. Untuk mengetahui gambaran pengunaan teknologi informasi kesehatan pada pasien tuberculosis paru. Desain penelitian ini menggunakan literature review terhadap lima artikel dari data database PubMed dan Google Scholarinstrument critical appraisal penelitian ini menggunakan Strobe. Sebanyak 791 pasien tuberkulosis (76%) menggunakan teknologi informasi berupa handphone. Jenis informasi yang digunakan antara lain Short Massage Service (SMS) 246 pasien tuberkulosis (31%), penggunaan telefon 221 atau (17,4 %) pasien tuberkulosis, dan yang menggunkan video call sebanyak 199 pasien tuberculosis paru (25,1%). Informasi kesehatan yang diperoleh dari masing-masing artikel umumnya berisi jadwal pengambilan obat dan kontrol, menginggatkan minum obat, melaporkan jika ada efek samping yang timbul pada saat pengobatan, pencegahan, penularan, makanan dan diet pasien serta penyuluhan.Pengunaan teknologi informasi kesehatan sangat membantu dalam pengobatan pasien TB mulai dari pesanteks, pangilan video dan pangilan suara meningkatkan kepatuhan pengobatan pada pasien Tuberkulosis.Kata kunci: Mobile Health App; SMS, Tuberkulosis; Teknologi Informasi; Video Call

scholarly journals Troubled Waters: Navigating Unintended Consequences of Health Information Technology

2016 ◽  
Vol 25 (01) ◽  
pp. 5-6 ◽  
Author(s):  
C. U. Lehmann ◽  
B. Séroussi ◽  
M.-C. Jaulent
Keyword(s):  
Information Technology ◽  
Health Information Technology ◽  
Health Information ◽  
Care Quality ◽  
Unintended Consequences ◽  
Editorial Team ◽  
Special Topic ◽  
Health It ◽  
Great Expectations ◽  
Many Sources

SummaryObjectives: To provide an introduction to the 2016 IMIA Yearbook of Medical Informatics by the editors.Methods: We present a brief overview of the 2016 special topic “Unintended consequences of Health IT: new problems, new solutions”, we review our choice of special topic section editors, and discuss the transitions in the editorial team for next year.Results: This edition of the Yearbook acknowledges the fact that implementation and use of Health Information Technology (HIT) may result in unintended consequences, which may lead to both adverse and sometimes beneficial outcomes. However to date, in the literature, undesired outcomes are emphasized with a focus on the complex causes and the many sources that may generate them. The growing awareness of the importance of HIT’s unintended consequences and their increasing documentation reflect a wider acceptance of HIT by users (more use generating more consequences) and and a new type of users (a shift from early adopters to late adopters and laggards), whith great expectations regarding the improvement of care quality through HIT solutions. Different points of view on new problems and new solutions of unintended consequences of Health IT are presented through the keynote paper, survey papers, and the working group contributions.Conclusions: The regular 2016 issue of the IMIA yearbook focuses on new unintended consequences of Health IT – brought on by wider adoption and different types of users as well as solutions to addressing them.

scholarly journals Unintended consequences of health information technology: A need for biomedical informatics

2010 ◽  
Vol 43 (5) ◽  
pp. 828-830 ◽  
Author(s):  
Elmer V. Bernstam ◽  
William R. Hersh ◽  
Ida Sim ◽  
David Eichmann ◽  
Jonathan C. Silverstein ◽  
...  
Keyword(s):  
Information Technology ◽  
Health Information Technology ◽  
Health Information ◽  
Biomedical Informatics ◽  
Unintended Consequences
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