Difference between revisions of "Unintended Consequences of HIT"

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[[Unintended Consequences]] associated with Health Information Technology implementations abound. Over the past few years there have been several highly-publicized articles, for example:
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#REDIRECT [[Unintended consequences]]
* [[Han YY, Carcillo JA, Venkataraman ST, Clark RSB, Watson RS, Nguyen TC, Bayir H, Orr RA. Unexpected increased mortality after implementation of a commercially sold computerized physician order entry system. Pediatrics. 2005 Dec; 116(6): 1506-12]];
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* [[Koppel R, Metlay JP, Cohen A, Abaluck B, Localio AR, Kimmel SE, Strom BL. Role of computerized physician order entry systems in facilitating medication errors. JAMA. 2005 Mar 9; 293(10): 1197-203]];
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* [[Campbell EM, Sittig DF, Ash JS, Guappone KP, Dykstra RH. Types of unintended consequences related to computerized provider order entry. J Am Med Inform Assoc. 2006 Sep-Oct; 13(5): 547-556]]
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These articles described specific cases in which HIT implementations have run up against severe unanticipated and unintended consequences. The goal of this section of the ClinfoWiki is to provide a forum for individuals to describe specific unintended consequences of HIT implementations that they have experienced.
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Other non-peer-reviewed examples of unintended consequences:
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# [[Flashing light used to notify nurses of new laboratory alerts]]
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# [[Medical students write orders that residents will co-sign later]]
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# [[Confusion over meaning of "cervical mass" e.g., re: cervix or cervical vertebrae]]
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# [[Use of common, floor-level computer login for clinical results review]]
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# [[Emergency department transfer orders canceled by system upon transfer to floor]]
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# [[X-Ray technician in room taking X-Ray before nurse is aware of order]]
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# [[Orders on paper missed in system with hybrid electronic/paper systems]]
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# [[Without some notification system, nurses don't know orders have been entered]]
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# [[Medications administered before pharmacy verification, because verification takes too long]]
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# [[Add your example here...]]
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Latest revision as of 17:45, 21 October 2011