Leaving patients to their own devices? Smart technology, safety and therapeutic relationships.

Anita Ho; Oliver Quick

Commentary

Emerging Classic

Leaving patients to their own devices? Smart technology, safety and therapeutic relationships.

March 21, 2018

Ho A, Quick O. BMC Med Ethics. 2018;19(1):18.

View more articles from the same authors.

Although use of smart technologies for self-diagnosis and care management offers patients convenience, cost-savings, and expediency, they may also contribute to poor decision-making and harm. This commentary explores the impact of direct-to-consumer monitoring devices and smartphone applications on care and the therapeutic relationship. The authors advocate for regulation and assessment regarding accuracy of these tools.

PubMed citation

Free full text

Related Resources From the Same Author(s)

Why do hundreds of US women die annually in childbirth?

March 27, 2019

Putting safety on the curriculum.

October 7, 2009

The girl who cried pain: a bias against women in the treatment of pain.

January 2, 2001

Nurses' perceptions of multidisciplinary team work in acute health-care.

February 21, 2007

"Sign right here and you're good to go": a content analysis of audiotaped emergency department discharge instructions.

June 8, 2011

ASK ME!-Routine measurement of patient experience with patient safety in ambulatory care: a mixed-mode survey

December 22, 2021

Inadequate preoperative team briefings lead to more intraoperative adverse events.

May 27, 2015

Eight CT lessons that we learned the hard way: an analysis of current patterns of radiological error and discrepancy with particular emphasis on CT.

May 20, 2009

The evolving literature on safety WalkRounds: emerging themes and practical messages.

October 1, 2014

The effectiveness of management-by-walking-around: a randomized field study.

April 23, 2014

Operational failures and interruptions in hospital nursing.

June 14, 2006

Why and how to approach user experience in safety-critical domains: the example of health care.

September 8, 2021

Understanding complaints made about surgical departments in a UK district general hospital.

August 4, 2021

Clinical risk management in hospitals: strategy, central coordination and dialogue as key enablers.

April 18, 2012

Content analysis of nurses' reflections on medication errors in a regional hospital.

July 26, 2023

How much and what local adaptation is acceptable? A comparison of 24 surgical safety checklists in Switzerland.

March 24, 2021

The consequences of whistle-blowing: an integrative review.

July 26, 2017

Teaching a 'good' ward round.

April 22, 2015

Stop the noise: a quality improvement project to decrease electrocardiographic nuisance alarms.

August 19, 2015

Association between operative autonomy of surgical residents and patient outcomes.

March 23, 2022

The perception of patient safety in an alternate site of care for elective surgery during the first wave of the novel coronavirus pandemic in the United Kingdom: a survey of 158 patients.

March 24, 2021

Timeout procedure in paediatric surgery: effective tool or lip service? A randomised prospective observational study.

March 24, 2021

A protocol for the safe use of hazardous drugs in the OR.

March 25, 2020

Prescribers' perspectives on including reason for use information on prescriptions and medication labels: a qualitative thematic analysis,

March 10, 2021

Simulation exercises as a patient safety strategy: a systematic review.

March 20, 2013

Postoperative adverse events inconsistently improved by the World Health Organization surgical safety checklist: a systematic literature review of 25 studies.

May 25, 2016

Timely follow-up of abnormal outpatient test results: perceived barriers and impact on patient safety.

November 19, 2008

Racial bias in pain assessment and treatment recommendations, and false beliefs about biological differences between blacks and whites.

April 4, 2016

Influence of perceived difficulty of cases on student osteopaths' diagnostic reasoning: a cross sectional study.

January 31, 2018

The effect of bedrails on falls and injury: a systematic review of clinical studies.

June 11, 2008

Sentinel events, serious reportable events, and root cause analysis.

March 25, 2015

Is one-pen, one-patient achievable in the hospital? A quality improvement project to reduce risks of inadvertent insulin pen sharing at a large academic medical center.

January 29, 2020

Hospital acquired infections in surgical patients: impact of COVID-19-related infection prevention measures.

April 20, 2022

A quality improvement initiative using peer audit and feedback to improve compliance with the surgical safety checklist.

July 27, 2022

Front-line staff perspectives on opportunities for improving the safety and efficiency of hospital work systems.

June 18, 2008

Patient safety informatics: criteria development for assessing the maturity of digital patient safety in hospitals.

June 29, 2022

Taking ergonomics to the bedside—a multi-disciplinary approach to designing safer healthcare.

November 27, 2013

Surgical adverse events: a systematic review.

June 26, 2013

Patient safety on the otolaryngology service: the role of an established rapid response system.

January 6, 2010

A systematic proactive risk assessment of hazards in surgical wards: a quantitative study.

May 2, 2012

Fighting MRSA infections in hospital care: how organizational factors matter.

August 17, 2016

Integrating adverse event reporting into a free-text mobile application used in daily workflow increases adverse event reporting by physicians.

January 8, 2020

Type 1 diabetes defined by severe insulin deficiency occurs after 30 years of age and is commonly treated as type 2 diabetes.

May 22, 2019

Organisational strategies to implement hospital pressure ulcer prevention programmes: findings from a national survey.

September 21, 2016

Resident perceptions of the impact of work hour limitations.

May 16, 2007

"It's like two worlds apart": an analysis of vulnerable patient handover practices at discharge from hospital.

November 21, 2012

Prevalence and factors associated with patient-requested corrections to the medical record through use of a patient portal: findings from a national survey.

March 9, 2022

Falls in English and Welsh hospitals: a national observational study based on retrospective analysis of 12 months of patient safety incident reports.

January 7, 2009

Is the maturity of hospitals' quality improvement systems associated with measures of quality and patient safety?

February 15, 2012

Improving communication and response to clinical deterioration to increase patient safety in the intensive care unit.

October 19, 2022

Acceptability and feasibility of the Leapfrog computerized physician order entry evaluation tool for hospitals outside the United States.

July 22, 2015

User-testing guidelines to improve the safety of intravenous medicines administration: a randomised in situ simulation study.

July 29, 2020

The courage to speak out: a study describing nurses' attitudes to report unsafe practices in patient care.

August 14, 2019

Interprofessional collaboration among care professionals in obstetrical care: are perceptions aligned?

April 4, 2018

Understanding safety culture in long-term care: a case study.

March 26, 2014

Impact of a team and leaders-directed strategy to improve nurses' adherence to hand hygiene guidelines: a cluster randomised trial.

May 22, 2013

The impact of a standardized incident reporting system in the perioperative setting: a single center experience on 2,563 'near-misses' and adverse events.

February 25, 2015

The effectiveness of interruptive prescribing alerts in ambulatory CPOE to change prescriber behaviour and improve safety.

May 5, 2021

Use of paediatric early warning systems in Great Britain: has there been a change of practice in the last 7 years?

February 26, 2014

Escalation of care in surgery: a systematic risk assessment to prevent avoidable harm in hospitalized patients.

June 18, 2014

Accuracies of diagnostic methods for acute appendicitis.

April 3, 2013

Observational study of drug formulation manipulation in pediatric versus adult inpatients.

January 13, 2021

Hospital medication errors: a cross sectional study.

December 23, 2020

The impact of internal service quality on preventable adverse events in hospitals.

March 27, 2019

Empowering telemetry technicians and enhancing communication to improve in-hospital cardiac arrest survival.

October 4, 2023

Incidence of clinically relevant medication errors in the era of electronically prepopulated medication reconciliation forms: a retrospective chart review.

May 17, 2017

Diagnostic inaccuracy of smartphone applications for melanoma detection.

January 30, 2013

Physicians failed to write flawless prescriptions when computerized physician order entry system crashed.

May 6, 2015

A qualitative content analysis of retained surgical items: learning from root cause analysis investigations.

May 27, 2020

2018 update on pediatric medical overuse: a review.

February 27, 2019

Implementation of an integrated computerized prescriber order-entry system for chemotherapy in a multisite safety-net health system.

April 25, 2018

Patient safety incidents in hospice care: observations from interdisciplinary case conferences.

November 20, 2013

The effect of a checklist on the quality of post-anaesthesia patient handover: a randomized controlled trial.

April 3, 2013

Patient safety for people experiencing advanced dementia in hospital: a video reflexive ethnography.

July 19, 2023

Doing the right things and doing them the right way: association between hospital guideline adherence, dosing safety, and outcomes among patients with acute coronary syndrome.

June 3, 2015

Using OrgAhead, a computational modeling program, to improve patient care unit safety and quality outcomes.

August 10, 2005

2019 update on pediatric medical overuse: a systematic review.

March 4, 2020

Effect of health information exchange on recognition of medication discrepancies is interrupted when data charges are introduced: results of a cluster-randomized controlled trial.

December 6, 2017

Containing COVID-19 in the emergency department: the role of improved case detection and segregation of suspect cases.

June 10, 2020

Barriers and facilitators to implementing interventions for reducing avoidable hospital readmission: systematic review of qualitative studies.

August 30, 2023

Checklist usage decreases critical task omissions when training residents to separate from simulated cardiopulmonary bypass.

October 22, 2014

Evaluating a mobile application for improving clinical laboratory test ordering and diagnosis.

May 23, 2018

Separating residents' inpatient and outpatient responsibilities: improving patient safety, learning environments, and relationships with continuity patients.

August 19, 2015

An inpatient fall prevention initiative in a tertiary care hospital.

January 30, 2005

Adverse events in patients with return emergency department visits.

January 14, 2015

Assessing distractors and teamwork during surgery: developing an event-based method for direct observation.

October 29, 2014

The influence of context on the effectiveness of hospital quality improvement strategies: a review of systematic reviews.

September 16, 2015

The Lawrence D. Dorr Surgical Techniques & Technologies Award: "Running two rooms" does not compromise outcomes or patient safety in joint arthroplasty.

September 12, 2018

Potentially inappropriate opioid prescribing, overdose, and mortality in Massachusetts, 2011–2015.

October 3, 2018

The impact of transition to a digital hospital on medication errors (TIME study).

August 16, 2023

Cold debriefings after in-hospital cardiac arrest in an international pediatric resuscitation quality improvement collaborative.

September 2, 2020

Assessment of automating safety surveillance from electronic health records: analysis for the quality and safety review system.

September 20, 2017

Can patient safety be measured by surveys of patient experiences?

April 30, 2008

Patient education to prevent falls among older hospital inpatients: a randomized controlled trial.

December 1, 2010

Incidence and characteristics of errors detected by a short team briefing in pediatric anesthesia.

August 24, 2022

A combined teamwork training and work standardisation intervention in operating theatres: controlled interrupted time series study.

February 4, 2015

Effectiveness of facilitated introduction of a standard operating procedure into routine processes in the operating theatre: a controlled interrupted time series.

November 19, 2014

Racial and ethnic bias in the diagnosis of alcohol use disorder in veterans.

July 19, 2023

Do work condition interventions affect quality and errors in primary care? Results from the Healthy Work Place Study.

September 28, 2016

A cluster randomized trial of interventions to improve work conditions and clinician burnout in primary care: results from the Healthy Work Place (HWP) study.

January 27, 2016

Related Resources

Widespread misinterpretation of advance directives and Portable Orders for Life-Sustaining Treatments threatens patient safety and causes undertreatment and overtreatment.

July 12, 2023

Family involvement, patient safety and suicide prevention in mental healthcare: ethnographic study.

April 19, 2023

Using Machine Learning to Improve Patient Safety in the Home or Remote Setting for Adults.

February 15, 2023

Better off at home--how we fail children with complex medical conditions.

January 25, 2023

Medication errors: the year in review: January through December 2021.

January 11, 2023

Digital health technology-specific risks for medical malpractice liability.

December 7, 2022

Developing strategic recommendations for implementing smart pumps in advanced healthcare systems to improve intravenous medication safety.

November 16, 2022

Safety considerations for challenges when using smart infusion pumps.

November 2, 2022

Families’ experiences of central-line infection in children: a qualitative study.

September 7, 2022

The diagnostic and triage accuracy of digital and online symptom checker tools: a systematic review.

August 31, 2022

The impact of drug error reduction software on preventing harmful adverse drug events in England: a retrospective database study.

August 24, 2022

Patient Safety Innovations

Pharmacist-led mobile health intervention and transplant medication safety: a randomized controlled clinical trial.

April 7, 2022

Remote patient monitoring during COVID-19: an unexpected patient safety benefit.

March 23, 2022

Using smart IV infusion pumps outside of patient rooms.

February 2, 2022

Nursing interventions to reduce medication errors in paediatrics and neonates: systematic review and meta-analysis.

December 8, 2021

Impact of smart pump-electronic health record interoperability on patient safety and finances at a community hospital

August 25, 2021

Patient Safety Innovations

Project BOOST Increases Patient Understanding of Treatment and Follow-up Care

May 26, 2021

Virtual urgent care quality and safety in the time of Coronavirus.

January 20, 2021

Effects of interorganisational information technology networks on patient safety: a realist synthesis.

December 9, 2020

The Life and Death of Elizabeth Dixon: A Catalyst for Change.

December 9, 2020

Integrating and evaluating the data quality and utility of smart pump information in detecting medication administration errors: evaluation study.

November 4, 2020

Twelve-month review of infusion pump near-miss medication and dose selection errors and user-initiated "good save" corrections: retrospective study.

November 4, 2020

Artificial intelligence in health care: accountability and safety.

June 3, 2020

Using social and behavioural science to support COVID-19 pandemic response.

June 3, 2020

Zero harm in health care.

March 18, 2020

February 26, 2020

Patient Safety

February 26, 2020

Analysis of paediatric long-term ventilation incidents in the community

January 22, 2020

Intravenous infusion administration: a comparative study of practices and errors between the United States and England and their implications for patient safety.

July 10, 2019

Strategies to identify patient risks of prescription opioid addiction when initiating opioids for pain: a systematic review.

June 19, 2019

See More About The Topic

Home Care

Health Care Providers

Information Professionals

Medicine

Epidemiology of Errors and Adverse Events

Leaving patients to their own devices? Smart technology, safety and therapeutic relationships.

Pharmacist-led mobile health intervention and transplant medication safety: a randomized controlled clinical trial.

Project BOOST Increases Patient Understanding of Treatment and Follow-up Care

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Leaving patients to their own devices? Smart technology, safety and therapeutic relationships.

Pharmacist-led mobile health intervention and transplant medication safety: a randomized controlled clinical trial.

Project BOOST Increases Patient Understanding of Treatment and Follow-up Care

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site