Unintended Consequences

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

In this paper, we use a case study involving a project on missed/delayed follow-up of test results to discuss real-world challenges in using EHR data for patient safety research. We identify three types of challenges that pose as barriers to advance patient safety improvement research, and discuss the complexity of these challenges, all of which are unlikely to be unique to this project, and outline some key next steps that must be taken to support research that uses EHR data to improve safety.

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