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Informatics
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role and what can be done to prevent a similar event from happening in the future.
A proactive approach to process
improvement should be implemented to continually assess for
health IT-related patient safety risks.
This approach includes comprehensive testing of health IT hardware
and software to ensure that its free
from malfunctions; configuring the
system to allow clinicians to clearly
identify patients and maximize use
of the EHR to prescribe medications, tests, and procedures; and
providing patients with access to
their electronic records via portals
to enable them to review those
records for accuracy. For example,
organizations participating in the
OpenNotes project are seeing
improvements in quality and
safety over the 5 years of the study,
including enhanced error reporting,
more effective catching of medication errors, and improved care
coordination.3
Additional actions suggested by
The Joint Commission to reduce
risks emphasize the importance of
leadership and oversight of health
IT planning, implementation, and
evaluation. This oversight involves
examining workflow processes for
inefficiencies, choosing and optimizing systems that align with the
work of clinicians, continually
improving system interoperability,
and monitoring system effectiveness
according to established metrics.
But the ultimate responsibility for
minimizing the potential negative
impact of health IT lies with the end
users who should be aware of
potential risks to patients in any
clinical situation.
Another resource that offers a
plan for protecting patient safety
and improving care quality is the
recently published Office of the
National Coordinator for Health
www.nursingmanagement.com
rity failure due to incorrect or missing data in EHRs and other health IT
systems. Examples of data integrity
failures as listed in the ECRI Top 10
Health Technology Hazards for 2015
report include the following:
appearance of one patients data
in another patients record
missing data or delayed data
delivery
clock synchronization errors
between medical devices and IT
systems
Safety solutions
or out-of-date information can end up
in a patients record, potentially leading to incorrect treatment decisions or
ultimately causing patient harm.
Informatics
www.nursingmanagement.com