Errors and adverse consequences as a result of information technology use in healthcare : an integrated review of the literature

dc.contributor.advisorJones, Josette F.
dc.contributor.authorKiess, Christopher
dc.contributor.otherSaleem, Jason
dc.contributor.otherSchilling, Katherine
dc.date.accessioned2013-12-10T21:19:48Z
dc.date.available2013-12-10T21:19:48Z
dc.date.issued2013-12-10
dc.degree.date2012en_US
dc.degree.disciplineSchool of Informaticsen_US
dc.degree.grantorIndiana Universityen_US
dc.degree.levelM.S.en_US
dc.descriptionIndiana University-Purdue University Indianapolis (IUPUI)en_US
dc.description.abstractHealth Information Technology (HIT) has become an integral component of healthcare today. The HITECH Act (2009) and Meaningful Use objectives stand to bring wide-sweeping adoption and implementations of HIT in small, medium and large sized healthcare organizations across the country. Though recent literature has provided evidence for the benefits of HIT in the profession, there have also been a growing number of reports exploring the adverse effects of HIT. There has not, however, yet been a systematic account of the adverse effects of HIT in the healthcare system. The current push for HIT coupled with a lack of critical appraisal of the potential risks of implementation and deployment within the medical literature has led to a general unquestioning and unregulated acceptance of the implementation of technology in medicine and healthcare as a positive addition with little or no risk. While the benefits of HIT are clear, a review of the existing studies in the literature would provide a holistic vision of the adverse effects of HIT as well as the types and impact within the nation’s health care system to inform future HIT development and implementation. The development of a general understanding of these adverse effects can serve as a review and summary for the use of informatics professionals and clinicians implementing HIT as well as providing future direction for the industry in HIT implementations. Additionally, this study has value for moving forward in informatics to develop frameworks for implementation and guidelines and standards for development and regulation of HIT at a federal level. This study involves the use of an integrative literature review to identify and classify the adverse effects of HIT as reported in the literature. The purpose of this study is to perform an integrative review of the literature to 1) identify and classify the adverse effects of HIT; 2) determine the impact and prevalence of these effects; 3) identify the recommended actions and best practices to address the negative effects of HIT. This study analyzed 18 articles for HIT-induced error and adverse consequences. In the process, 228 errors and/or adverse consequences were identified, classified and represented in an operational taxonomic schema. The taxonomic representation consisted of 8 master categories and 30 subcategories. Additionally, the prevalence and impact of these errors were evaluated as well as recommendations and best practices in future systems design. This study builds on previous work in the medical literature pertaining to HIT-induced errors and adverse consequences and offers a unique perspective in analyzing existing studies in the literature using the integrative review model of research. It is the first work in combining studies across healthcare technologies and analyzing the adverse consequences across 18 studies to form a cohesive classification of these events in healthcare technology.en_US
dc.identifier.urihttps://hdl.handle.net/1805/3750
dc.identifier.urihttp://dx.doi.org/10.7912/C2/927
dc.language.isoen_USen_US
dc.subjectHealth Informatics, Human-Computer Interaction, Medical Errors, Health Information Technologyen_US
dc.subject.lcshInformation storage and retrieval systems -- Medical careen_US
dc.subject.lcshElectronic records -- United States -- Managementen_US
dc.subject.lcshUnited States. Health Information Technology for Economic and Clinical Health Acten_US
dc.subject.lcshMedical care -- Information technology -- Government policy -- United Statesen_US
dc.subject.lcshInformation storage and retrieval systems -- Researchen_US
dc.subject.lcshHuman-computer interaction -- Researchen_US
dc.subject.lcshMedical errors -- Preventionen_US
dc.subject.lcshManagement information systems -- Human factorsen_US
dc.subject.lcshMedical informatics -- United States -- Quality controlen_US
dc.subject.lcshHealth services administration -- Information technology -- Law and legislation -- United Statesen_US
dc.titleErrors and adverse consequences as a result of information technology use in healthcare : an integrated review of the literatureen_US
dc.typeThesisen
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