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2012 HSR&D/QUERI National Conference Abstract

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2012 National Meeting

2015 — Research Needs in Health Information Technology Safety Based on Case Studies from the VA National Center for Patient Safety

Hoover DM, VA National Center for Patient Safety; Laxmisan A, Houston HSR&D Center of Excellence, Michael E. DeBakey VA Medical Center; Sittig DF, University of Texas School of Biomedical Informatics at Houston; Singh H, Houston HSR&D Center of Excellence, Michael E. DeBakey VA Medical Center;

Workshop Objectives:
This session will introduce researchers to emerging areas of health information technology (HIT) safety that are currently understudied including methodologies and implementation techniques. Case studies of patient harm from HIT (e-iatrogenesis) in facilities across VA that range from a near miss to patient death that have been reported to the VA National Center for Patient Safety (NCPS) will be used to illustrate the areas of research needing further study. At the end of the session, participants should be able to analyze errors/harm related to health IT using an eight-dimensional sociotechnical model as a guide.

The session will open with a general background of health information technology safety systems in VA. We will then go over the current VA resources/strategies used to study HIT safety in VA that are available to researchers. The majority of the session will use qualitative data from reports in the NCPS Root Cause Analysis (RCA) SPOT database where HIT was a contributing factor to patient harm. A new 8-dimension, socio-technical model of safe and effective EHR will be used for our analysis. This model provides a comprehensive framework for studying HIT safety within the complex, adaptive healthcare system. It spans the entire socio-technical spectrum: hardware and software; clinical content; user interfaces; personnel; workflow and communication; internal organizational policies, procedures, and culture; external rules and regulations; and the measurement and monitoring strategies that are required to study each of the other 7 dimensions. We will close with a list of potential next steps for researchers interested in health informatics safety.

Target Audience:
Target audience is researchers and operations personnel in medical informatics, quality improvement, systems engineering, and anyone with a broad interest in patient safety, health information technology, and use of new technologies and devices.

Assumed Audience Familiarity with Topic:
This is a beginner-level workshop where the target audience is assumed to be familiar with use and/or applications of electronic health records (CPRS) and basic information technology terminology/concepts.

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