Using patient safety-event report data to assess health-IT safety: benefits and challenges

Howe, Jessica L.; Hettinger, A. Zachary; Ratwani, Raj M.

doi:10.1016/s2589-7500(19)30060-3

Cited by 6 publications

(10 citation statements)

References 8 publications

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“…51,52 There might be a recognition that good communication skills are still required, in terms of supporting the accuracy and safety of the technology. 9 However at the same time there is an acknowledged lack of confidence in using the communication technology among nurses 52,53 and a lack of preparation among undergraduates. 51 Furthermore some studies indicate that technology use impedes communication, although this could be due to a lack of confidence or unfamiliarity.…”

Section: Itemsmentioning

confidence: 99%

“…7 As such there is also a tendency to over-rely on technological skills as a replacement for good communication and relational skills, with recent concerns emerging about the risks associated with the modern technological communication environment. 8,9 Indeed gaps in health care communication could be magnified rather than reduced by the use of technology. [7][8][9] For example, electronic health care records have extenuated errors at the cost of millions in the USA.…”

Section: Introductionmentioning

confidence: 99%

“…8,9 Indeed gaps in health care communication could be magnified rather than reduced by the use of technology. [7][8][9] For example, electronic health care records have extenuated errors at the cost of millions in the USA. 8 Therefore, requirements for good health care communication are more pertinent now than ever before.…”

Section: Introductionmentioning

confidence: 99%

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Nurses’ views of fundamental relational skills used in clinical practice: a cross-sectional pilot study

Timmins

Vries

Muldowney

et al. 2021

Frontiers of Nursing

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Objective Effective communication skills are one of the core competencies of nursing curricula internationally. Nurses are generally regarded as proficient. Despite our complete trust in the profession, deficiencies and gaps exist. However, it is not clear to which extent nurses use key communication skills in practice, and whether or not confident in using these skills compounds environmental issues that occur. This study explored nurse's confidence and application of relational skills competencies in nursing practice. Methods A 13-item online survey was used to collect data. Results Being self-aware on key areas where there was more uncertainty. Nurses also lacked confidence in exploring the impact of their personal feelings and values on their interactions. Nurses were also less confident on responding appropriately to instances of unsafe or unprofessional practice and using information and communication systems and technology. Conclusions Given the potential impact of poor relational skills on quality client care, an increased emphasis on caring and compassion, and the ever-expanding use of communication technologies, there is a need to explore the need for reflective practice to enhance continuous professional development for nurses to enhance their relational skills.

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Section: Itemsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Nurses’ views of fundamental relational skills used in clinical practice: a cross-sectional pilot study

Timmins

Vries

Muldowney

et al. 2021

Frontiers of Nursing

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“…[6][7][8][9][10][11][12][13] Health information technology patient safety event data collected and reported to state agencies are typically derived from hospital safety event reporting systems. 6,7,10,14,15 In a voluntary reporting system, a HIT event may be identified by the person reporting the event, or categorized as HIT related on the back end by a clinical staff member who reviews the event. However, this process is not standardized.…”

mentioning

confidence: 99%

“…Methods, such as trigger tools (e.g., “retract/reorder”), have been more focused on specific error modes 16–20 . Other approaches include the use of natural language processing of safety reported data to capture and characterize various types of errors 6,7,10,15 . To identify HIT-related hazards, our study adapted the latter approach.…”

mentioning

confidence: 99%

Classification of Health Information Technology Safety Events in a Pediatric Tertiary Care Hospital

Khan

Karavite²,

Muthu

et al. 2023

J Patient Saf

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Objective: State agencies have developed reporting systems of safety events that include events related to health information technology (HIT). These data come from hospital reporting systems where staff submit safety reports and nurses, in the role of safety managers, review, and code events. Safety managers may have varying degrees of experience with identifying events related to HIT. Our objective was to review events potentially involving HIT and compare those with what was reported to the state. Methods:We performed a structured review of 1 year of safety events from an academic pediatric healthcare system. We reviewed the free-text description of each event and applied a classification scheme derived from the AHRQ Health IT Hazard Manager and compared the results with events reported to the state as involving HIT.Results: Of 33,218 safety events for a 1-year period, 1247 included key words related to HITand/or were indicated by safety managers as involving HIT. Of the 1247 events, the structured review identified 769 as involving HIT. In comparison, safety managers only identified 194 of the 769 events (25%) as involving HIT. Most events, 353 (46%), not identified by safety managers were documentation issues. Of the 1247 events, the structured review identified 478 as not involving HIT while safety managers identified and reported 81 of these 478 events (17%) as involving HIT. Conclusions:The current process of reporting safety events lacks standardization in identifying health technology contributions to safety events, which may minimize the effectiveness of safety initiatives.

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The Effect of a System-Level Tiered Huddle System on Reporting Patient Safety Events: An Interrupted Time Series Analysis

Adapa

Ivester²,

Shea³

et al. 2022

The Joint Commission Journal on Quality and Patient Safety

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Using patient safety-event report data to assess health-IT safety: benefits and challenges

Cited by 6 publications

References 8 publications

Nurses’ views of fundamental relational skills used in clinical practice: a cross-sectional pilot study

Nurses’ views of fundamental relational skills used in clinical practice: a cross-sectional pilot study

Classification of Health Information Technology Safety Events in a Pediatric Tertiary Care Hospital

The Effect of a System-Level Tiered Huddle System on Reporting Patient Safety Events: An Interrupted Time Series Analysis

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