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Cases & Commentaries
- Web M&M
Arpana Vidyarthi, MD; March 2004
Due to a series of incomplete signouts, information about a patient's post-operative leg pain and chest discomfort is not conveyed to the primary team. A PE is discovered post-mortem.
Journal Article > Study
Improving general practice computer systems for patient safety: qualitative study of key stakeholders.
Avery AJ, Savelyich BSP, Sheikh A, Morris CJ, Bowler I, Teasdale S. Qual Saf Health Care. 2007;16:28-33.
Enhanced information technology (IT) has been identified as a key component of improving patient safety, but development and implementation of health care IT systems have sometimes led to unintended consequences. In this study, the authors interviewed 31 health care IT stakeholders, ranging from IT developers to frontline clinicians, to identify priority areas for improving IT in the primary care setting. Interviewees voiced a strong interest in using IT for decision support but were frustrated with a perceived lack of attention to human factors engineering in current IT systems.
Legislation/Regulation > Government Resource
Federal Register. Washington, DC: Office of the National Coordinator for Health Information Technology, Department of Health and Human Services. 2016;81:72404-72471.
Requirements are needed to manage risks associated with health information technology systems. This final rule provides a framework for government review of technologies certified by the ONC Health IT Certification Program. The rule also covers certification guidance for testing laboratories. The regulations go into effect December 19, 2016.
Journal Article > Commentary
He J, Baxter SL, Xu J, Xu J, Zhou X, Zhang K. Nat Med. 2019;25:30-36.