Towards a framework for managing risk associated with technology-induced error.

Elizabeth M. Borycki; Andre W. Kushniruk

Commentary

Towards a framework for managing risk associated with technology-induced error.

April 5, 2017

Borycki EM, Kushniruk AW. Stud Health Technol Inform. 2017;234:42-48.

View more articles from the same authors.

Enterprise risk management focuses on managing risk at the system rather than the unit or incident level. This commentary discusses an enterprise risk management framework to assess and address problems associated with implementing technology. The authors outline potential risks present at the time of purchasing the technology and during pre- and post-implementation phases.

PubMed citation

Free full text

Related Resources From the Same Author(s)

Health technology, quality and safety in a learning health system.

February 15, 2023

A safety maturity model for technology-induced errors.

February 9, 2022

Are personal health records (PHRs) facilitating patient safety? A scoping review.

June 15, 2022

Technology induced error and usability: the relationship between usability problems and prescription errors when using a handheld application.

September 7, 2005

National efforts to improve health information system safety in Canada, the United States of America and England.

January 30, 2013

All consumer medication information is not created equal: implications for medication safety.

April 19, 2017

Trends in health information technology safety: from technology-induced errors to current approaches for ensuring technology safety.

August 7, 2013

Business Intelligence dashboards for patient safety and quality: a narrative literature review.

June 22, 2022

Medication reconciliation: barriers and facilitators from the perspectives of resident physicians and pharmacists.

August 24, 2011

Consumer-directed technologies to improve medication management and safety.

April 24, 2019

Moving beyond implicit bias in antiracist academic medicine initiatives.

September 7, 2022

Safety in office-based anesthesia: an updated review of the literature from 2016 to 2019

December 4, 2019

Patient safety climate: a study of Southern California healthcare organizations.

September 5, 2018

Using simulation to prepare nursing staff for the move to a new building.

April 26, 2017

Implementation and evaluation of a laboratory safety process improvement toolkit.

May 22, 2019

Evaluating the implementation and impact of a pharmacy technician-supported medicines administration service designed to reduce omitted doses in hospitals: a qualitative study.

June 12, 2019

Improving diagnosis by feedback and deliberate practice: one-on-one coaching for diagnostic maturation.

June 2, 2021

Nurse burnout syndrome and work environment impact patient safety grade.

August 25, 2021

Facilitating and impeding factors for physicians' error disclosure: a structured literature review.

March 29, 2006

What makes hospitalized patients more vulnerable and increases their risk of experiencing an adverse event?

September 21, 2011

Nurses' perceptions of subspecialization in pediatric cardiac intensive care unit: quality and patient safety implications.

October 21, 2009

Errors with concentrated epinephrine in otolaryngology.

September 3, 2008

Recognition and management of potential drug-drug interactions in patients on internal medicine wards.

November 21, 2007

Discussion of medical errors in morbidity and mortality conferences.

March 6, 2005

React, reframe and engage. Establishing a receiver mindset for more effective safety negotiations.

November 8, 2023

The influence of professional identity on how the receiver receives and responds to a speaking up message: a cross-sectional study.

March 29, 2023

Clinical outcomes of a home-based medication reconciliation program after discharge from a skilled nursing facility.

May 7, 2008

Process failures that increase the risk of infection through respiratory droplets: a study of patient safety events reported by hospitals across Pennsylvania.

October 7, 2020

Patient harm resulting from medication reconciliation process failures: a study of serious events reported by Pennsylvania hospitals.

March 24, 2021

A handoff is not a telegram: an understanding of the patient is co-constructed.

March 7, 2012

Using a risk assessment approach to determine which factors influence whether partially bilingual physicians rely on their non-English language skills or call an interpreter.

August 22, 2012

Patient perspectives of patient–provider communication after adverse events.

August 10, 2005

Nurses' perceptions of safety culture in long-term care settings.

July 8, 2009

Measurement is essential for improving diagnosis and reducing diagnostic error: a report from the Institute of Medicine.

November 25, 2015

Blind obedience and an unnecessary workup for hypoglycemia: a teachable moment.

December 6, 2017

Reporting near-miss events in nursing homes.

April 19, 2006

Contemporary evidence about hospital strategies for reducing 30-day readmissions: a national study.

November 7, 2012

Impact of a computerized physician order entry system on compliance with prescription accuracy requirements.

August 5, 2009

Separate medication preparation rooms reduce interruptions and medication errors in the hospital setting: a prospective observational study.

February 15, 2017

Physician scores on a national clinical skills examination as predictors of complaints to medical regulatory authorities.

September 19, 2007

Differential safety between top-ranked cancer hospitals and their affiliates for complex cancer surgery.

April 24, 2019

Quality of clinical aspects of call handling at Dutch out of hours centres: cross sectional national study.

October 1, 2008

Medical harm: patient perceptions and follow-up actions.

December 10, 2014

Impact of laws aimed at healthcare-associated infection reduction: a qualitative study.

September 30, 2015

Adverse events in hospitals: the patient's point of view.

April 14, 2010

Impact of a drug shortage on medication errors and clinical outcomes in the pediatric intensive care unit.

February 3, 2016

A piece of my mind. Coping with fallibility.

March 6, 2005

Incidence of adverse events related to health care in Spain: results of the Spanish National Study of Adverse Events.

December 3, 2008

Improving safety and quality of care with enhanced teamwork through operating room briefings.

July 23, 2014

An analysis of the structure and content of dashboards used to monitor patient safety in the inpatient setting.

December 8, 2021

An empirically derived taxonomy of factors affecting physicians' willingness to disclose medical errors.

September 6, 2006

Experience feedback committees: a way of implementing a root cause analysis practice in hospital medical departments.

August 15, 2018

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

Effect of computerisation on the quality and safety of chemotherapy prescription.

January 3, 2007

The challenges of electronic health records and diabetes electronic prescribing: implications for safety net care for diverse populations.

February 22, 2017

Parent perceptions of children's hospital safety climate.

April 17, 2013

Prevalence of adverse events in the hospitals of five Latin American countries: results of the 'Iberoamerican Study of Adverse Events' (IBEAS).

August 10, 2011

Prescription opioid use, misuse, and use disorders in U.S. adults: 2015 National Survey on Drug Use and Health.

August 16, 2017

Clinician mindfulness and patient safety.

December 15, 2010

Close calls in patient safety: should we be paying closer attention?

May 15, 2013

A qualitative study examining the influences on situation awareness and the identification, mitigation and escalation of recognised patient risk.

January 29, 2014

Relationship between tort claims and patient incident reports in the Veterans Health Administration.

April 21, 2005

The urgent need to improve health care quality. Institute of Medicine National Roundtable on Health Care Quality.

March 27, 2005

Developing team cognition: a role for simulation.

May 31, 2017

A health system–wide initiative to decrease opioid-related morbidity and mortality.

September 26, 2018

A nurse-led approach to developing and implementing a collaborative count policy.

February 22, 2012

The effect of clinical history on accuracy of electrocardiograph interpretation among doctors working in emergency departments.

September 26, 2012

Safety perceptions of health care leaders in 2 Canadian academic acute care centers.

June 7, 2017

Resident and family engagement in medication management in aged care facilities: a systematic review.

July 7, 2021

Changes in rates of autopsy-detected diagnostic errors over time: a systematic review.

March 27, 2005

Crisis management during anaesthesia: the development of an anaesthetic crisis management manual.

June 22, 2005

If only...: failed, missed and absent error recovery opportunities in medication errors.

March 10, 2010

Training situational awareness to reduce surgical errors in the operating room.

February 25, 2015

Patient safety in dentistry: dental care risk management plan.

January 26, 2011

Identification and description of randomized controlled trials and systematic reviews on patient safety published in medical journals.

February 20, 2013

Error in intensive care: psychological repercussions and defense mechanisms among health professionals.

October 29, 2014

Gender bias in risk management reports involving physicians in training - a retrospective qualitative study.

November 9, 2022

Large-scale implementation of the I-PASS handover system at an academic medical centre.

March 22, 2017

Nursing resources and patient outcomes in intensive care: a systematic review of the literature.

November 14, 2007

Occupational therapy utilization in veterans with dementia: a retrospective review of root cause analyses of falls leading to adverse events.

April 6, 2022

Piloting a patient safety and quality improvement co-curriculum.

January 17, 2018

Simulation-based training for patient safety: 10 principles that matter.

March 26, 2008

Medication communication: a concept analysis.

March 31, 2010

Effects of interdisciplinary collaboration in hospitals on medication errors: an integrative review.

February 28, 2018

The WakeWings journey: creating a patient safety program.

July 13, 2016

Communication relating to family members' involvement and understandings about patients' medication management in hospital.

January 6, 2016

Detection of medication-related problems in hospital practice: a review.

October 2, 2013

From the school of nursing quality and safety officer: nursing students' use of safety reporting tools and their perception of safety issues in clinical settings.

May 1, 2013

Medical devices and patient safety.

August 22, 2012

Communication in the perioperative setting.

September 14, 2011

Nursing student medication errors: a snapshot view from a school of nursing's quality and safety officer.

February 26, 2014

Notes on healing after a missed diagnosis.

October 19, 2022

Safety events impacting hospitalized patients following motor vehicle crashes: a qualitative study of reports from Pennsylvania hospitals.

October 6, 2021

Computerized physician order entry in the critical care environment: a review of current literature.

February 23, 2011

The novice nurse and clinical decision-making: how to avoid errors.

May 11, 2011

On resident duty hour restrictions and neurosurgical training: review of the literature.

November 25, 2015

Improving electronic health record usability and safety requires transparency.

December 12, 2018

Health apps and health policy: what is needed?

October 24, 2018

Difficult diagnosis in the ICU: making the right call but beware uncertainty and bias.

March 22, 2023

What practices will most improve safety? Evidence-based medicine meets patient safety.

April 12, 2006

Related Resources

A "Do No Harm" novel safety checklist and research approach to determine whether to launch an artificial intelligence-based medical technology: introducing the Biological-Psychological, Economic, and Social (BPES) Framework.

July 5, 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

Perspectives on Safety

Annual Perspective

Technology as a Tool for Improving Patient Safety

March 29, 2023

Journal Article

Study

Reducing hospital harm: establishing a command centre to foster situational awareness.

March 29, 2023

Health technology, quality and safety in a learning health system.

February 15, 2023

Bending the patient safety curve: how much can AI help?

February 1, 2023

Assessment of the use of patient vital sign data for preventing misidentification and medical errors.

January 25, 2023

Digital health technology-specific risks for medical malpractice liability.

December 7, 2022

Improving diagnostic decision support through deliberate reflection: a proposal.

November 9, 2022

An evolution of reporting: identifying the missing link.

August 10, 2022

Business Intelligence dashboards for patient safety and quality: a narrative literature review.

June 22, 2022

Mitigating racial bias in machine learning.

June 22, 2022

Diagnostic errors, health disparities, and artificial intelligence: a combination for health or harm.

September 1, 2021

Enabling a learning healthcare system with automated computer protocols that produce replicable and personalized clinician actions.

August 4, 2021

Safe opioid prescribing: a prognostic machine learning approach to predicting 30-day risk after an opioid dispensation in Alberta, Canada.

June 16, 2021

Considering the safety and quality of artificial intelligence in health care.

September 16, 2020

Latent bias and the implementation of artificial intelligence in medicine.

July 15, 2020

Artificial intelligence in health care: accountability and safety.

June 3, 2020

Empowering patients and reducing inequities: is there potential in sharing clinical notes?

April 15, 2020

Conspicuous by its absence: diagnostic expert testing under uncertainty.

March 25, 2020

Commissioning simulations to test new healthcare facilities: a proactive and innovative approach to healthcare system safety.

September 11, 2019

Advances in Human Factors and Ergonomics in Healthcare and Medical Devices.

September 11, 2019

From box ticking to the black box: the evolution of operating room safety.

September 4, 2019

Controversies in diagnosis: contemporary debates in the diagnostic safety literature.

July 17, 2019

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

Health Professions Education.

June 12, 2019

Accuracy of a popular online symptom checker for ophthalmic diagnoses.

May 22, 2019

Intensive care medicine in 2050: preventing harm.

May 1, 2019

See More About The Topic

Hospitals

Health Care Providers

Information Professionals

Medicine

Epidemiology of Errors and Adverse Events

Towards a framework for managing risk associated with technology-induced error.

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

Reducing hospital harm: establishing a command centre to foster situational awareness.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Towards a framework for managing risk associated with technology-induced error.

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

Reducing hospital harm: establishing a command centre to foster situational awareness.

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