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Avoiding Errors in HIT Systems

Learn about the different types of errors in HIT systems and how to prevent them through improved design and usability. This material provides valuable insights and practical tips for healthcare professionals working with HIT systems.

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Avoiding Errors in HIT Systems

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  1. Unit 6b: HIT Facilitated Error – Cause and Effect Component 7: “Working with HIT Systems” This material was developed by Johns Hopkins University, funded by the Department of Health and Human Services, Office of the National Coordinator for Health Information Technology under Award Number IU24OC000013.

  2. Error Vocabulary • Omission • Commission • Slips/Lapses • Mistakes !!STOP!! Do not disturb! Passing medications “Silent Cockpit” Health IT Workforce Curriculum Version 2.0/Spring 2011

  3. Technology Induced or Facilitated Error • “Oh Schnocks!” The state of healthcare technology in 2009: http://www.youtube.com/watch?v=WxQLzdLjwp4 Health IT Workforce Curriculum Version 2.0/Spring 2011

  4. Addressing the Issue “Human Factors” • Human Factors in Surgery Video • From the Mayo Clinic http://www.youtube.com/watch?v=xR78dXTYy9c Ergonomics (or human factors) is the scientific discipline concerned with the understanding of interactions among humans and other elements of a system, and the profession that applies theory, principles, data, and other methods to design in order to optimize human well-being and overall system performance. Health IT Workforce Curriculum Version 2.0/Spring 2011

  5. Finishing out – Helping to Avoid Error In HIT • Computer screens/layouts/systems that are: • Easy to read • Easy to understand • Logical • Support cognition – not thwart • Agile & flexible • Help to prevent error • Make the right thing the easiest thing Health IT Workforce Curriculum Version 2.0/Spring 2011

  6. In Summary Health IT Workforce Curriculum Version 2.0/Spring 2011

  7. The End This completes the slide deck for Unit 6: HIT Facilitated Error Cause & Effect Component 7 “Working With HIT Systems” Health IT Workforce Curriculum Version 2.0/Spring 2011

  8. References • AHRQ Web M&M: Glossary. Available from: http://www.webmm.ahrq.gov/popup_glossary.aspx?name=mistakes • Ash J, Sittig D, Campbell E, Guappone K, Dykstra R. Some Unintended Consequences of Clinical Decision Support Systems. 2007. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2813668/ • Ash J, Berg M, Coiera E. Some Unintended Consequences of Information Technology in Health Care: The Nature of Patient Care Information System-related Errors. 2004. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC353015/ • Graham TAD, Kushniruk AW, Bullard MJ, Holroyd BR, Meurer DP, Rowe BH. How Usability of a Web-Based Clinical Decision Support System Has the Potential to Contribute to Adverse Medical Events. 2008. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2655970/ • Joint Commission. c2011. Available from: http://www.jointcommission.org/sentinelevents/se_glossary.htm • Oh Shnocks! The state of healthcare technology in “09” medGadget. 4 November 2009. Available from: http://www.medgadget.com/archives/2009/11/oh_shnocks_the_state_of_healthcare_technology_in_09.html Health IT Workforce Curriculum Version 2.0/Spring 2011

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