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Characterizing patient details-related challenges from health information technology-related incident reports from Swedish healthcare
Linnaeus University, Faculty of Health and Life Sciences, Department of Medicine and Optometry. University of Bradford, UK. (DISA;DISA-IDP)ORCID iD: 0000-0003-0197-8716
University of Bradford, UK.
Linnaeus University, Faculty of Health and Life Sciences, Department of Medicine and Optometry. Linnaeus University, Linnaeus Knowledge Environments, Sustainable Health. Linnaeus University, Linnaeus Knowledge Environments, Digital Transformations. (DISA;DISA-IDP)ORCID iD: 0000-0002-4497-8313
2024 (English)In: Frontiers in Digital Health, E-ISSN 2673-253X, Vol. 6, article id 1260521Article in journal (Refereed) Published
Sustainable development
SDG 3: Ensure healthy lives and promote well-being for all at all ages
Abstract [en]

Introduction: Despite many benefits offered by Health Information Technology (HIT) systems, new technology brings new and unforeseen risks to healthcare quality and patient safety if they're not properly planned, designed, implemented, and managed. This study examined health information technology-related (HIT) incidents to identify patient details-related issues, their association with contributing factors, and outcomes. 

Methods: Sources of information comprised retrospectively collected incident reports (n=95) using two sampling methods, i.e., purposive and snowball sampling. The incident reports were analyzed using both the inductive method (thematic analysis) and the deductive approach using an existing framework, i.e., the International Classification for Patient Safety. 

Results: The studies identified 90 incidents with 120 patient details-related issues—categorized as either information-related (48%) or documentation-related (52%) problems; around two-thirds of the 120 issues were characterized by human factors. Of the total sample, 87 contributing factors were identified, of which "medical device/system" (45%) and "documentation" (20%) were the most common contributing factors. Of 90 incidents, more than half (59%) comprised patient-related outcomes—patient inconvenience (47%) and patient harm (12%) and the remaining 41% (n=37) included staff or organization-related outcomes. 

Discussion: More than half of the incidents resulted in patient-related outcomes, namely patient inconvenience and patient harm, including disease risks, severe health deterioration, injury, and even patient death. Incidents associated with patient details can cause deleterious effects; therefore, characterizing them should be a routine part of clinical practice to improve the constantly changing healthcare system.

Place, publisher, year, edition, pages
Frontiers Media S.A., 2024. Vol. 6, article id 1260521
Keywords [en]
training and education, system design, patient safety, healthcare quality, quality improvement
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Research subject
Health and Caring Sciences, Health Informatics
Identifiers
URN: urn:nbn:se:lnu:diva-127737DOI: 10.3389/fdgth.2024.1260521ISI: 001169718800001Scopus ID: 2-s2.0-85185298030OAI: oai:DiVA.org:lnu-127737DiVA, id: diva2:1837154
Available from: 2024-02-13 Created: 2024-02-13 Last updated: 2025-02-11Bibliographically approved

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Characterizing patient details-related challenges from health information technology-related incident reports from Swedish healthcare(2587 kB)317 downloads
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Rahman Jabin, MD ShafiqurNilsson, Evalill

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