Health information exchange and patient safety

Kaelber, David C.; Bates, David W.

doi:10.1016/j.jbi.2007.08.011

Cited by 170 publications

(122 citation statements)

References 52 publications

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“…In primary care, 15.6% of all reported errors involve missing clinical information with clinicians viewing the majority of errors as harmful; in addition, a study of emergency physicians found that 15.3% of patient emergency visits had information missing that likely resulted in patient harm (Smith et al, 2005). An estimated 770,000 adverse drug events (ADE) occur annually with 18% of the errors attributed to a lack of information at the time of medication decisions (Kaelber & Bates, 2007).…”

Section: Emergency Physicians Are Key Users Of Health Information Excmentioning

confidence: 99%

“…With more information and more people exchanging health information, patient safety will improve because more data provides a better clinical picture (Kaelber & Bates, 2007). Missing clinical information has been implicated in 15.6% of reported errors in primary care; one study reported that important clinical information is missing in one out of every seven visits (Smith et al, 2005).…”

Section: Data Availabilitymentioning

confidence: 99%

“…An estimated 770,000 adverse drug events (ADE) occur annually with 18% of the errors attributed to a lack of information at the time of medication decisions (Kaelber & Bates, 2007). Kaelber and Bates (2007) reported that HIEs have the potential to influence patient safety by increasing information at the point of care or near the patient, which improves:…”

Section: Chapter 1 Introductionmentioning

confidence: 99%

“…9. Public health information, which promotes surveillance of infectious diseases, biohazards, environmental exposures, and drugs post marketing (Kaelber & Bates, 2007). …”

mentioning

confidence: 99%

“…Health care providers need the ability to access timely patient data when the data are needed (Shapiro et al, 2006) since patient safety is dependent on the right information available to the right person at the right time (Kaelber & Bates, 2007). Because patients use the ED for urgent and unplanned visits, the right information at the time of the patient visit is not always available and emergency physicians order treatment without understanding the patient's complete medical history (Hripcsak, Sengupta, Wilcox, & Green, 2007).…”

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confidence: 99%

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Emergency Physicians' Perspectives on the Usability of Health Information Exchange

Thorn¹

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Emergency physicians are key users of health information exchanges (HIE).Understanding their perspectives on the usability of HIE is important if the full potential of the HIE is to be achieved. The literature identified that emergency physician experiences with HIEs are unexplored areas requiring further studies. The purpose of this study using grounded theory methods was to understand the perspectives of emergency physicians concerning the usability of HIEs. The fundamental question was how do emergency physicians use the HIE in making clinical decisions?Rich and thick data were collected from 15 emergency physicians in four urban hospitals in the mid-south using theoretical sampling and unstructured face-to face interviews. Concepts from the coded segments were developed into categories and an overarching theoretical scheme visualized in a conceptual framework. A substantive theory emerged that using the HIE among emergency physicians is the process of rationalizing non-use and reconciling challenges and benefits. The antecedent of usability was a typical day in the emergency department and why participants accessed the HIE and under what conditions. Six major themes emerged: using the HIE, influencing clinical decisions, struggling with challenges and barriers, recognizing benefits, current views, and rationalizing not using or reduced-use of the HIE.Emergency physicians gave good reasons why the HIE is not being used for the majority of patients while reconciling the challenges and benefits of using the HIE to explain the role of HIEs in making clinical decisions. There was a disconnect in the necessity of using the HIE to make clinical decisions and any negative outcomes that may occur in patients from not using the HIE. Generally, emergency physicians viewed the HIE as not being user-friendly and that they probably do not use the HIE as much as they could for making clinical decisions. The perspective of the emergency physicians was the emergency environment is too busy and because the HIE is less than user-friendly as needed by physicians to practice emergency medicine, the HIE disrupts workflow and is a deterrent to consistent usage in making clinical decisions.A better understanding of how emergency physicians decided to use the HIE in making clinical decisions gives insights about how to achieve HIE usability. Satisfied end-users who view the HIE as effective and efficient should use the HIE more. However, this requires removing challenges and barriers while recognizing more benefits to using the HIE, and addressing the underlying reasons for not using the HIE. Understanding the complexities of using the HIE and providing solutions to increase usability of the HIE is necessary to influence greater use of the HIE in clinical decisions with demonstrated positive outcomes for patients.v Medicine, 2006). A nationwide health information network (NHIN) providing health information exchange (HIE) brings patient health data to the point of care, which according to an Institute of Medicine (IOM) Comm...

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Section: Emergency Physicians Are Key Users Of Health Information Excmentioning

confidence: 99%

Section: Data Availabilitymentioning

confidence: 99%

Section: Chapter 1 Introductionmentioning

confidence: 99%

“…9. Public health information, which promotes surveillance of infectious diseases, biohazards, environmental exposures, and drugs post marketing (Kaelber & Bates, 2007). …”

mentioning

confidence: 99%

mentioning

confidence: 99%

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Emergency Physicians' Perspectives on the Usability of Health Information Exchange

Thorn¹

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Enhancing Clinical Decision Support Through Information Processing Capabilities and Strategic IT Alignment

Wetering

2019

Business Information Systems Workshops

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Hospitals heavily invest in Healthcare IT to improve the efficiency of hospital operations, improve practitioner performance and to enhance patient care. The literature suggests that decision support systems may contribute to these benefits in clinical practice. By building upon the resource-based view of the firm (RBV), we claim that hospitals that invest in a so-called information processing capacity (IPC)-the ability to gather complete patient data and information and enhance clinical processes-will substantially enhance their clinical decision support capability (CDSC). After controlling for common method bias, we use Partial Least Squares SEM to analyze our primary claim. Following the resource and capability-based view of the firm, we test our hypotheses on a crosssectional data sample of 720 European hospitals. We find that there is a positive association between a hospital's IPC and clinical decision support capability (CDSC). IT alignment moderates this relationship. All included control variables showed nonsignificant results. Extant research has not been able to identify those IT-enabled capabilities that strengthen CDSC in hospital practice. This study contributes to this particular gap in the literature and advances our understanding of how to efficaciously deploy CDSC in clinical practice.

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Patient Safety and Patient Privacy When Patient Reading Their Medical Records

Åhlfeldt

Huvala

2014

Communications in Computer and Information Science

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Health information exchange and patient safety

Cited by 170 publications

References 52 publications

Emergency Physicians' Perspectives on the Usability of Health Information Exchange

Emergency Physicians' Perspectives on the Usability of Health Information Exchange

Enhancing Clinical Decision Support Through Information Processing Capabilities and Strategic IT Alignment

Patient Safety and Patient Privacy When Patient Reading Their Medical Records

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