concerns (1) Myers et al. Equipment USA inpatient All HIT 120 Patient R: investigations completed 12 technical problems related to software (2011) (27) failure & harm by Informatics Patient functionality and system downtime. (216) hazards including Safety Office of the Veterans Consequences reported including delays in reported to injury, Health Administration diagnosis or treatments, unnecessary or the FDA disability emergency procedures and/or treatment. HIT: and deaths - Sittig and Singh’s noted but sociotechnical model - phases of EHR number not implementation specified C: not examined Samaranayake Hong Kong inpatient, CPOE 243 11 (none R: ad hoc Most medication errors related to et al. (2012) outpatient EHR reported) prescribing and were caused by human (103) (60) incident AutoDisp, HIT: ad hoc factors issues. While, most were detected reporting before reaching the patient, 11% of system C: reporter classified, local medication errors reached the patient. 6.1% coding scheme of the errors reached patients causing minor injury and temporary morbidity requiring intervention. Santell et al. US USA inpatient, CPOE 43 (3) R: MEDMARX, Uni of Study focussed on medication errors in (2009) (28) outpatient, Pittsburgh Medical Centre hybrid systems where manual systems were (54) long-term used in combination with CPOE to process MEDMARX care HIT: ad hoc medication orders. Use errors such as partial/omitted typing and rule violations C: reporter classified, were reported to be the leading cause of National Coordinating prescribing errors.
concerns (1) Myers et al. (2011) (27) (216) Equipment failure & hazards reported to the FDA USA inpatient All HIT 120 Patient harm including injury, disability and deaths noted but number not specified R: investigations completed by Informatics Patient Safety Office of the Veterans Health Administration HIT: - Sittig and Singh’s sociotechnical model - phases of EHR implementation C: not examined 12 technical problems related to software functionality and system downtime. Consequences reported including delays in diagnosis or treatments, unnecessary or emergency procedures and/or treatment. Samaranayake et al. (2012) (103) (60) incident reporting system Hong Kong inpatient, outpatient CPOE EHR AutoDisp, 243 11 (none reported) R: ad hoc HIT: ad hoc C: reporter classified, local coding scheme Most medication errors related to prescribing and were caused by human factors issues. While, most were detected before reaching the patient, 11% of medication errors reached the patient. 6.1% of the errors reached patients causing minor injury and temporary morbidity requiring intervention. Santell et al. (2009) (28) (54) US MEDMARX USA inpatient, outpatient, long-term care CPOE 43 (3) R: MEDMARX, Uni of Pittsburgh Medical Centre HIT: ad hoc C: reporter classified, National Coordinating Study focussed on medication errors in hybrid systems where manual systems were used in combination with CPOE to process medication orders. Use errors such as partial/omitted typing and rule violations were reported to be the leading cause of prescribing errors.