Unintended Consequences


Challenges in patient safety improvement research in the era of electronic health records

Electronic health record (EHR) data repositories contain large volumes of aggregated, longitudinal clinical data that could allow patient safety researchers to identify important safety issues and conduct comprehensive evaluations of health care delivery outcomes. However, few health systems have successfully converted this abundance of data into useful information or knowledge […]


New Unintended Adverse Consequences of Electronic Health Records

Although the health information technology industry has made considerable progress in the design, development, implementation, and use of electronic health records (EHRs), the lofty expectations of the early pioneers have not been met. In 2006, the Provider Order Entry Team at Oregon Health & Science University described a set of […]


Timothy Kelley writes in “Managed Care” re: Can Computers ‘Do No Harm’?

Health information technology is improving patient safety. It can also help to create new kinds of errors, which may potentially harm patients in a phenomenon some are calling “e-iatrogenesis.” These known incidents may be just the tip of a large iceberg. Lawsuits, real or worried about, mean some reports may […]


Avoiding EHR-Related Unintended Consequences

Video presentation on “Avoiding EHR-Related Unintended Consequences” at the Children’s Hospital of Pennsylvania in 2012. Click to see the video: Avoiding EHR-Related Unintended Consequences