Conclusions:The overall assessment of the safety plans was approximately 65%. The strengths of the safety plans include identifying support and coping skills. The safety plan template used on the inpatient unit does not include a line about means restriction, which automatically caused each plan to receive a zero in that category. We recommend that means restriction information be added to the discharge. Lower quality safety plans were more likely to have increased CPEP presentations/hospital readmissions. Safety plans that had more robust responses for "people patients can ask for support" and "warning signs" were less likely to have CPEP presentations or admissions. This suggests that these are key elements in helping to support patients in the community.

SummaryObjective: To select the best of the 2015 published papers on unintended consequences of healthcare information technology (HIT). Method: Literature searches in several areas of scholarship, including IT, human factors, evaluation studies, medical errors, medical informatics, and implementation science. Also, because the specific terms "unintended consequences" were not often included in abstracts and titles, a more nuanced search algorithm was developed. Results: We identified 754 papers that had some empirical research on unintended consequences of HIT. An initial screen of titles and abstracts reduced this to 171 papers of potential interest. We then further filtered out papers that did not meet the following criteria: 1) the paper had to report an original empirical investigation, and 2) the impact reported had to be not negligible, i.e., in quantitative studies, the results related to unintended consequences were statistically significant; and in qualitative studies the relevant themes emerged were prominent. This resulted in 33 papers of which 15 were selected as best paper candidates. Each of these 15 papers was then separately evaluated by four reviewers. The final selection of four papers was made jointly by the external reviewers and the two section editors. Conclusions: There is a growing awareness of the importance of HIT's unintended consequences-be they generated by the HIT vendors, the implementation process, the consultants,