Information technology and patient safety in nursing practice: an international perspective

Castle, Barbara Van de; Kim, Jeongeun; Peterlini, Maria Angélica Sorgini; Silva, Abel; Goossen, William; Bates, David W.

doi:10.1016/j.ijmedinf.2004.04.007

Cited by 40 publications

(22 citation statements)

References 24 publications

(30 reference statements)

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“…The role and impact of information technology (IT) has a direct link to patient safety in the healthcare setting [24][25][26]. A difficult-to-use interface in the clinical setting may hamper efficiency, clinical productivity, and increase the probability of human error, ultimately compromising patient safety [27].…”

Section: Emars and Patient Safetymentioning

confidence: 99%

Usability Evaluation of An Electronic Medication Administration Record (eMAR) Application

Guo¹,

Iribarren²,

Kapsandoy³

et al. 2011

Appl Clin Inform

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SummaryBackground: Electronic medication administration records (eMARs) have been widely used in recent years. However, formal usability evaluations are not yet available for these vendor applications, especially from the perspective of nurses, the largest group of eMAR users. Objective: To conduct a formal usability evaluation of an implemented eMAR. Methods: Four evaluators examined a commercial vendor eMAR using heuristic evaluation techniques. The evaluators defined seven tasks typical of eMAR use and independently evaluated the application. Consensus techniques were used to obtain 100% agreement of identified usability problems and severity ratings. Findings were reviewed with 5 clinical staff nurses and the Director of Clinical Informatics who verified findings with a small group of clinical nurses. Results: Evaluators found 60 usability problems categorized into 233 heuristic violations. Match, Error, and Visibility heuristics were the most frequently violated. Administer Medication and Order and Modify Medications tasks had the highest number of heuristic violations and usability problems rated as major or catastrophic. Conclusion:The high number of usability problems could impact the effectiveness, efficiency and satisfaction of nurses' medication administration activities and may include concerns about patient safety. Usability is a joint responsibility between sites and vendors. We offer a call to action for usability evaluations at all sites and eMAR application redesign as necessary to improve the user experience and promote patient safety.

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Section: Emars and Patient Safetymentioning

confidence: 99%

Usability Evaluation of An Electronic Medication Administration Record (eMAR) Application

Guo¹,

Iribarren²,

Kapsandoy³

et al. 2011

Appl Clin Inform

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“…33 If EHT is to improve patient safety, nurses must be involved in its development and implementation. 29,34 We will return to these issues after first describing the study methods.…”

Section: Nurses and Ehtmentioning

confidence: 99%

Barriers to the use of e-health technology in nurse practitioner_patient consultations

Adams

Thorogood

et al. 2007

Journal of Innovation in Health Informatics

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Purpose This paper examines primary care nurse practitioners' (NPs') use of information available via e-health technology (EHT) within consultations. It explores which information resources NPs use in clinical decision making, their comparative use of electronic versus paper-based and human information resources, the reasons behind their choices and how the use of different resources impacts on patient interactions. Methods Semi-structured interviews were undertaken with 12 NPs recruited from 11 different general practitioner (GP) practices and five primary care trusts (PCTs) within the West Midlands South Strategic Health Authority, UK. Findings The key finding was that for NPs an effective information resource is one that provides sufficient information to generate a patient management plan rapidly. Speed, familiarity and trust are vital ingredients for regular use. Paper-based information resources therefore retain a significant role, and together with human information resources are still more frequently used than most electronic, and particularly web-based, resources. The latter are not yet well established within the context of patient consultations. Electronic clinical support systems (such as Mentor, PRODIGY and GPnotebook) are regularly used, however, because they are often linked electronically to patient records, and generate brief information in a form accessible to both nurses and patients. By contrast, searching for information from web-based resources was considered time-consuming, technically difficult and disruptive to patients. All NPs reported some negative effects on patients of using computers: mostly disrupted rapport and longer consultations. However, the majority had developed ways of working to overcome these difficulties and that helped them to maintain their patient-centred focus. Conclusions Study NPs had received only very limited information technology (IT) training, but nevertheless were enthusiastic about computer use. This suggests that with further training they could adapt their practice to embrace more EHT, which would enhance their ability to be more autonomous and to base their practice on sound clinical evidence.

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“…Such incidents can result in the loss of company/organisational reputation and customer confidence, legal issues, a loss of productivity and direct financial losses [6]. The focus in Healthcare lessons learned and information exchange has been on safety [7][8][9][10][11][12][13] rather than security [14][15][16].…”

Section: Introductionmentioning

confidence: 99%

Improving the redistribution of the security lessons in healthcare: An evaluation of the Generic Security Template

Johnson

2015

International Journal of Medical Informatics

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Information technology and patient safety in nursing practice: an international perspective

Cited by 40 publications

References 24 publications

Usability Evaluation of An Electronic Medication Administration Record (eMAR) Application

Usability Evaluation of An Electronic Medication Administration Record (eMAR) Application

Barriers to the use of e-health technology in nurse practitioner_patient consultations

Improving the redistribution of the security lessons in healthcare: An evaluation of the Generic Security Template

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