Registered nurses' and medical doctors' experiences of patient safety in health information exchange during interorganizational care transitions: a qualitative review.

Piia Hyvämäki; Maria Kääriäinen; Anna-Maria Tuomikoski; Minna Pikkarainen; Miia Jansson

Review

Registered nurses' and medical doctors' experiences of patient safety in health information exchange during interorganizational care transitions: a qualitative review.

November 10, 2021

Hyvämäki P, Kääriäinen M, Tuomikoski A-M, et al. J Patient Saf. 2022;18(3):210-224.

View more articles from the same authors.

Previous studies have demonstrated health information exchanges (HIE) can improve the quality and safety of care by improving diagnostic concordance and reducing medication errors. This review synthesizes physicians’ and nurses’ perspectives on patient safety related to use of HIE in interorganizational care transitions. Several advantages of and challenges with HIE are detailed.

PubMed citation

Available at

Related Resources From the Same Author(s)

Interorganizational health information exchange-related patient safety incidents: a descriptive register-based qualitative study.

May 24, 2023

Patient safety strategies in psychiatry and how they construct the notion of preventable harm: a scoping review.

November 3, 2021

Validation of the second victim experience and support tool-revised in the neonatal intensive care unit.

January 12, 2022

A review of adverse event reports from emergency departments in the Veterans Health Administration.

March 18, 2020

Feelings of trust and of safety are related facets of the patient's experience in surgery: a descriptive qualitative study in 80 patients.

August 24, 2022

Critical care clinicians' experiences of patient safety during the COVID-19 pandemic.

November 30, 2022

The morbidity and mortality conference: opportunities for enhancing patient safety.

February 9, 2022

Measurement and monitoring patient safety in prehospital care: a systematic review.

February 24, 2021

Toward the development of the perfect medical team: critical components for adaptation.

March 17, 2021

Impact of teamwork and communication training interventions on safety culture and patient safety in emergency departments: a systematic review.

January 26, 2022

Communication patterns during routine patient care in a pediatric intensive care unit: the behavioral impact of in situ simulation.

May 11, 2022

Ambulatory virtual care during a pandemic: patient safety considerations.

March 9, 2022

Safety checklists for emergency response driving and patient transport: experiences from emergency medical services.

July 7, 2021

Analysis of risk factors for patient safety events occurring in the emergency department.

October 7, 2020

Personality traits and traumatic outcome symptoms in registered nurses in the aftermath of a patient safety incident.

July 22, 2020

Patient and family involvement in serious incident investigations from the perspectives of key stakeholders: a review of the qualitative evidence.

August 17, 2022

Teamwork before and during COVID-19: the good, the same, and the ugly….

August 24, 2022

Review of reported adverse events occurring among the homeless veteran population in the Veterans Health Administration.

November 17, 2021

The patients' perspective: hematological cancer patients' experiences of adverse events as part of care.

August 18, 2021

Institution of just culture physician peer review in an academic medical center.

October 13, 2021

Redeployment of health care workers in the COVID-19 pandemic: a qualitative study of health system leaders' strategies.

May 19, 2021

Identifying health information technology usability issues contributing to medication errors across medication process stages.

July 7, 2021

Critical care simulation education program during the COVID-19 pandemic.

November 10, 2021

Evolving factors in hospital safety: a systematic review and meta-analysis of hospital adverse events.

September 29, 2021

High-risk medication in home care nursing: a Delphi study.

September 7, 2022

Communication during interhospital transfers of emergency general surgery patients: a qualitative study of challenges and opportunities.

October 26, 2022

Long-term care nurses' experiences with patient safety incident management: a qualitative study.

August 4, 2021

The impact of the built environment on patient falls in hospital rooms: an integrative review.

June 16, 2021

Exploring care left undone in pediatric nursing.

September 28, 2022

Root cause analysis using the prevention and recovery information system for monitoring and analysis method in healthcare facilities: a systematic literature review.

June 8, 2022

Impact of the COVID-19 pandemic on the experiences of hospitalized patients: a scoping review.

February 22, 2023

Engineering care transitions: clinician perceptions of barriers to safe medication management during transitions of patient care.

May 19, 2021

Compelled disclosure of confidential information in patient safety research.

April 21, 2021

Is there a mismatch between the perspectives of patients and regulators on healthcare quality? A survey study.

October 6, 2021

An international perspective on definitions and terminology used to describe serious reportable patient safety incidents: a systematic review.

December 8, 2021

Evaluating the impact of radio frequency identification retained surgical instruments tracking on patient safety: literature review.

August 18, 2021

February 2, 2022

Implementing high-reliability organization principles into practice: a rapid evidence review.

November 11, 2020

'Doing the best we can': Registered nurses' experiences and perceptions of patient safety in intensive care during COVID-19.

September 7, 2022

Association of implementation and social network factors with patient safety culture in medical homes: a coincidence analysis.

September 2, 2020

Expert consensus on currently accepted measures of harm.

September 9, 2020

Support for healthcare professionals after surgical patient safety incidents: a qualitative descriptive study in 5 teaching hospitals.

May 26, 2021

Care coordination strategies and barriers during medication safety incidents: a qualitative, cognitive task analysis.

March 10, 2021

Interventions into reliability-seeking health care organizations: a systematic review of their goals and measuring methods.

November 30, 2022

Pharmacist-led program to improve transitions from acute care to skilled nursing facility care.

July 8, 2020

Patient misidentification events in the Veterans Health Administration: a comprehensive review in the context of high-reliability health care.

October 21, 2020

Preventing medication errors in pediatric anesthesia: a systematic scoping review.

November 9, 2022

Emergency physician perceptions of electronic health record usability and safety.

May 12, 2021

Patient safety issues from information overload in electronic medical records.

September 14, 2022

Understanding the second victim experience among multidisciplinary providers in obstetrics and gynecology.

May 19, 2021

Understanding the "Swiss cheese model" and its application to patient safety.

July 21, 2021

Adverse event reporting priorities: an integrative review.

June 29, 2022

Test-retest reliability of an experienced Global Trigger Tool review team.

October 27, 2021

Patient safety monitoring in acute care in a decentralized national health care system: conceptual framework and initial set of actionable indicators.

July 28, 2021

Patient perceptions of hospital experiences: implications for innovations in patient safety.

March 16, 2022

Medication reconciliation during hospitalization and in hospital-home interface: an observational retrospective study.

April 7, 2021

Nurse managers' leadership, patient safety, and quality of care: a systematic review.

September 21, 2022

Hearing impairment and the amelioration of avoidable medical error: a cross-sectional survey.

April 28, 2021

Education initiatives in cognitive debiasing to improve diagnostic accuracy in student providers: a scoping review.

November 11, 2020

Hemodialysis bleeding events and deaths: an 18-year retrospective analysis of patient safety and root cause analysis reports in the Veterans Health Administration.

November 24, 2021

Enhancing high alert medication knowledge among pharmacy, nursing, and medical staff.

June 2, 2021

Rates of adverse events in hospitalized patients after summer-time resident changeover in the United States: is there a July effect?

August 25, 2021

Simulation-based education enhances patient safety behaviors during central venous catheter placement.

September 15, 2021

A systematic review of methods for medical record analysis to detect adverse events in hospitalized patients.

March 2, 2022

The impact of health information management professionals on patient safety: a systematic review.

December 22, 2021

Examining causes and prevention strategies of adverse events in deceased hospital patients: a retrospective patient record review study in the Netherlands.

June 16, 2021

National and institutional trends in adverse events over time: a systematic review and meta-analysis of longitudinal retrospective patient record review studies.

March 3, 2021

Defining diagnostic error: a scoping review to assess the impact of the National Academies' report Improving Diagnosis in Health Care.

May 25, 2022

Patient harm during COVID-19 pandemic: using a human factors lens to promote patient and workforce safety.

December 23, 2020

Hospital cultural competency and attributes of patient safety culture: a study of U.S. hospitals.

November 17, 2021

Errors during resuscitation: the impact of perceived authority on delivery of care.

March 25, 2020

Pediatric transport safety collaborative: adverse events with parental presence during pediatric critical care transport.

November 10, 2021

A theoretical model of flow disruptions for the anesthesia team during cardiovascular surgery.

September 22, 2021

What do patients and their carers do to support the safety of cancer treatment and care? A scoping review.

December 14, 2022

Relationships between comprehensive characteristics of nurse work schedules and adverse patient outcomes: a systematic literature review.

March 24, 2021

Analyzing diagnostic errors in the acute setting: a process-driven approach.

October 20, 2021

Burnout, engagement, and dental errors among U.S. dentists.

December 22, 2021

Pediatric trainee perspectives on the decision to disclose medical errors.

March 30, 2022

What contributes to diagnostic error or delay? A qualitative exploration across diverse acute care settings in the United States.

May 26, 2021

Health literacy-related safety events: a qualitative study of health literacy failures in patient safety events.

July 28, 2021

Usability and accessibility of publicly available patient safety databases.

June 1, 2022

The impact of critical incidents on nurses and midwives: a systematic review.

February 10, 2021

Prescribing errors with low-molecular-weight heparins.

October 13, 2021

Frequency and nature of communication and handoff failures in medical malpractice claims.

April 6, 2022

The psychological experience of obstetric patients and health care workers after implementation of universal SARS-CoV-2 testing.

September 2, 2020

Encouraging patients to speak up about problems in cancer care.

January 12, 2022

A report of information technology and health deficiencies in U.S. nursing homes.

September 8, 2021

Triggers contributing to health care clinicians' disruptive behaviors.

September 16, 2020

Effectiveness of pharmacist intervention to reduce medication errors and health-care resources utilization after transitions of care: a meta-analysis of randomized controlled trials.

July 19, 2017

Addressing patient safety hazards using critical incident reporting in hospitals: a systematic review.

January 18, 2023

Medication safety in mental health hospitals: a mixed-methods analysis of incidents reported to the National Reporting and Learning System.

August 4, 2021

The barriers and enhancers to trust in a just culture in hospital settings: a systematic review.

August 17, 2022

The use of anatomical side markers in general radiology: a systematic review of the current literature.

August 26, 2020

Descriptive analysis of patient misidentification from incident report system data in a large academic hospital federation.

October 20, 2021

Medicines reconciliation using a shared electronic health care record.

September 14, 2011

Factors causing variation in World Health Organization surgical safety checklist effectiveness-a rapid scoping review.

December 14, 2022

A high-reliability organization framework for health care: a multiyear implementation strategy and associated outcomes.

November 4, 2020

A machine learning approach to reclassifying miscellaneous patient safety event reports.

July 29, 2020

Intersystem medical error discovery: a document analysis of ethical guidelines.

January 12, 2022

Content analysis of patient safety incident reports for older adult patient transfers, handovers, and discharges: do they serve organizations, staff, or patients?

January 8, 2020

Related Resources

Patient Safety Primers

Inpatient Transitions of Care: Challenges and Safety Practices

March 27, 2024

Identifying and mapping measures of medication safety during transfer of care in a digital era: a scoping literature review.

December 6, 2023

Medication management of COVID-19 patients during transition to virtual models of care: a qualitative study.

December 6, 2023

A scoping review of clinical handover mnemonic devices.

October 18, 2023

Long-term sustainability and adaptation of I-PASS handovers.

September 13, 2023

Work system barriers and facilitators of a team health information technology.

September 13, 2023

Perioperative handoff enhancement opportunities through technology and artificial intelligence: a narrative review.

June 14, 2023

The effects of electronic nursing handover on patient safety in the general (non-COVID-19) and COVID-19 intensive care units: a quasi-experimental study.

June 14, 2023

Patient Safety Innovations

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

May 31, 2023

Interview

In Conversation with... Susan McGrath, PhD and George Blike, MD about Surveillance Monitoring

April 26, 2023

Perspective

Surveillance Monitoring to Improve Patient Safety in Acute Hospital Care Units

April 26, 2023

Potential uses of AI for perioperative nursing handoffs: a qualitative study.

April 12, 2023

Closed-loop communication in interprofessional emergency teams: a cross-sectional observation study on the use of closed-loop communication among anesthesia personnel.

March 22, 2023

Implementation of the I-PASS handoff program in diverse clinical environments: a multicenter prospective effectiveness implementation study.

November 16, 2022

Patient handoffs.

June 15, 2022

WebM&M Cases

Check Twice, Transport Once

May 16, 2022

Artificial intelligence for identifying the prevention of medication incidents causing serious or moderate harm: an analysis using incident reporters' views.

November 24, 2021

Descriptive analysis of patient misidentification from incident report system data in a large academic hospital federation.

October 20, 2021

Facilitators and barriers of care transitions - comparing the perspectives of hospital and community healthcare staff.

June 16, 2021

Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure injuries and medication administration errors: an integrative review.

June 9, 2021

Smartphone distraction during nursing care: systematic literature review.

April 7, 2021

Association between paediatric intraoperative anaesthesia handover and adverse postoperative outcomes.

January 20, 2021

Lost in translation--silent reporting and electronic patient records in nursing handovers: an ethnographic study.

November 18, 2020

Information concerning ICU patients’ families in the handover—the clinicians’ “game of whispers”: a qualitative study.

October 14, 2020

Longitudinal medication reconciliation at hospital admission, discharge and post-discharge.

August 26, 2020

Bridging the gap between culture and safety in a critical care context: the role of work debate spaces.

August 26, 2020

Implementation and sustainability of a medication reconciliation toolkit: a mixed methods evaluation.

August 5, 2020

Impact of multidisciplinary team huddles on patient safety: a systematic review and proposed taxonomy.

May 6, 2020

Information transfer at hospital discharge: a systematic review.

April 15, 2020

Soft factors, smooth transport? The role of safety climate and team processes in reducing adverse events during intrahospital transport in intensive care.

March 11, 2020

See More About The Topic

Hospitals

Hospital Medicine

Nurse Care

Discontinuities, Gaps, and Hand-Off Problems

Epidemiology of Errors and Adverse Events

Registered nurses' and medical doctors' experiences of patient safety in health information exchange during interorganizational care transitions: a qualitative review.

Inpatient Transitions of Care: Challenges and Safety Practices

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Registered nurses' and medical doctors' experiences of patient safety in health information exchange during interorganizational care transitions: a qualitative review.

Inpatient Transitions of Care: Challenges and Safety Practices

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

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