scholarly journals Health information systems´ usability-related use errors in patient safety incidents

2017 ◽  
Vol 9 (1) ◽  
pp. 6 ◽  
Author(s):  
Eija Hautamäki ◽  
Ulla-Mari Kinnunen ◽  
Sari Palojoki

Health information systems contain usability issues that cause use errors, which may pose a risk to patient safety. The aim of this study was to identify what kind of usability issues in information systems cause use errors that lead to patient safety incidents. Patient safety incidents reported into an incident reporting system in a Finnish hospital district during the year 2014 (n=2500) were analyzed from the perspectives of usability and use errors. An inductive content analysis was carried out in order to gather information about the usability issues that may have led to a use error, thus causing patient safety incidents. The results showed that the main usability issues are the distribution of information into multiple views, identification problems with the selected patient, and basic daily tasks' reliance on users' memory. The results show that the relationship between usability, use errors, and patient safety should be understood and considered in the health information system design.

2010 ◽  
Vol 4 (1) ◽  
pp. 181-187 ◽  
Author(s):  
E.M Borycki ◽  
A.W Kushniruk

The purpose of this paper is to argue for an integration of cognitive and socio-technical approaches to assessing the impact of health information systems. Historically, health informatics research has examined the cognitive and socio-technical aspects of health information systems separately. In this paper we argue that evaluations of health information systems should consider aspects related to cognition as well as socio-technical aspects including impact on workflow (i.e. an integrated view). Using examples from the study of technology-induced error in healthcare, we argue for the use of simulations to evaluate the cognitive-socio-technical impacts of health information technology [36]. Implications of clinical simulations and analysis of cognitive-social-technical impacts are discussed within the context of the system development life cycle to improve health information system design, implementation and evaluation.


Author(s):  
Khin Than Win ◽  
Peter Croll

Effective and appropriate implementation of health information systems assists with an organization’s knowledge management. To enhance a user’s trustworthiness and full adoption, a health information system needs to be dependable. This chapter reviews the different development methodologies available for engineering dependable solutions and their application by citing two case studies as an example. Health information systems cover a diverse set of applications. The focus in this chapter is on the development of electronic health record systems, the importance of dependability, and the relationship between dependability and data quality of the health record systems.


2012 ◽  
Vol 21 (01) ◽  
pp. 56-64 ◽  
Author(s):  
F. M. S. Househ ◽  
A. W. Kushniruk ◽  
C. Nohr ◽  
H. Takeda ◽  
E. M. Borycki

SummaryThe objectives of this paper are to explore issues and perspectives from four regions of the world where health information systems are contributing to patient empowerment and influencing patient safety.Members of the IMIA Working Group for Health Information Systems Safety came together to explore global issues at the intersection of health information systems safety, patient empowerment and patient safety. The group carried out a review and synthesis of the empirical and grey literature in four different regions/countries of the world that have differing health information system safety priorities.Regions/countries from differing parts of the world are developing: (1) high quality, safe information for individuals to use in their health related decision making, (2) patient portals and testing them for their safety, (3) methods for identifying unsafe health information system features and functions, and (4) ways of engaging citizens in identifying unsafe features and functions of health information systems.Internationally, there has been a rise in the number of health information systems and technologies that are being developed to support patient care. The amount of health information available on the World Wide Web (WWW), and the use of mobile phone software to support consumer health behaviours and self-management of chronic illnesses has also grown. The use of some of these health informationsystems and technologies has helped citizens to improve their health status (e.g. patient portals, mobile phones). However, the safety of these systems and technologies has come into question. As a result, there is a need to refine these systems and ensure theirsafetywhentheyareusedbypatientsandtheirfamilies.


2009 ◽  
Vol 12 (sp) ◽  
pp. 49-54 ◽  
Author(s):  
Christopher Carvalho ◽  
Elizabeth Borycki ◽  
Andre Kushniruk

Author(s):  
Andrea Claudi ◽  
Paolo Sernani ◽  
Aldo Franco Dragoni

One of the key challenges in the healthcare sector is to adapt Health Information Systems to requirements coming from changing societies. In recent years, governments and international healthcare organizations defined a series of requirements for new generation Health Information Systems: they have to preserve past investments on legacy systems, but must also integrate new technologies, include the patient among their users, and ensure that clinical information are available at all times, even in places far from where information are physically stored. This paper proposes a multi agent-oriented architecture for Health Information Systems, which uses international standards for communication and management of clinical documents. The architecture tries to effectively model a generic healthcare organization, and aims at being easily extensible and adaptable to the particularities of specific healthcare systems. The authors present two experimental scenarios to test the proposed multi-agent health information system. In the first, they show how to model a specific use case, a radiology workflow, using agents and well-known standards; in the second one the authors demonstrate how a mobile application can use the services provided by the agents to support the medical staff in an emergency situation.


2021 ◽  
Vol 7 (1) ◽  
pp. 1-4
Author(s):  
Teungku Nih Farisni ◽  

Health Information System is an integrated system that used to manage data and public information. Babahrot Health Center, has problems in the field of health information system and the health center of integrated recording and reporting system especially the system toddler health information


Respati ◽  
2017 ◽  
Vol 9 (27) ◽  
Author(s):  
Mostafa Abobaker ◽  
Selo Sulistyo ◽  
Adhistya Erna Permanasari

The health care system in Libya in recent years does not change significantly, less developed and modernized. This problem is further exacerbated by the revolution that occurred in Libya. The revolution that occurred in 2011 has caused the health care system into collapse. In this study conducted a review for the development of health information systems in Libya by using OpenMRS Framework.At the stage of gathering information using questionnaires concluded that the majority of respondents (about 95.35%) wanted the development of a new system that can resolve the main problems that occurred in Libya, the health information system ineffective and inefficient in which this system has led to wastage of time and increased operating costs. Based on analysis of system vulnerabilities using PIECES method could also be concluded that the current system is not used effectively and efficiently. In this study is also presented on how to implement OpenMRS.Based on the results of the discussion it can be concluded that OpenMRS is a solution that can be taken for the development of a health information system that is fast, low cost, and is an open source application that only requires a little setting in the system of patient management and care. OpenMRS can be implemented to support the health services of a small clinic to the health services with enterprise scale. Therefore, OpenMRS could be the answer to the development of health information systems in various countries around the world, including Libya.


Author(s):  
Felipe Mejia Medina ◽  
Zenaida Cucaita Vergara ◽  
Ruben Dario Castro Acuña ◽  
Jair Tellez

Patient safety is one of the most important challenges facing healthcare organizations in the world. Patient safety programs aim to avoid the events caused to the patient during their care, through strategies aimed at guaranteeing infection control, safe use of medications, equipment, clinical practice and environment. However, errors in health care are often due to weak information systems and their causes can be corrected by identifying the incidents and events presented during the care. Each country must have solid and reliable health information systems (HIS) to generate its own data, in order to monitor the different health programs and thus report on their management. In many countries, SISs are weak, incomplete and fragmented, with problems related to infrastructure, interoperability, connectivity, lack of training and availability to health care personnel. The objective of this study was to conduct a rapid systematic review of the literature about the experiences reported by users or health professionals with the Health Information Systems of Patient Safety Programs (PSP). 98 articles were identified in the Medline database, of which 5 articles with a qualitative approach were included. The results showed problems with the definition of concepts related to patient safety, fear of professionals to report events or incidents, reluctance to use SIS due to interoperability or communication problems. The qualitative studies related to HIS of the PSP are scarce and the publications found have been carried out in countries such as Iran, Taiwan, Austria, Spain and the Netherlands.


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