Points of Failure: A Systematic Review of information-flow using Medication Use Cases

Date
2020-01-07
Authors
Hermon, Rebecca
Williams , Professor Patricia
Journal Title
Journal ISSN
Volume Title
Publisher
Abstract
Background: Medication errors pose a significant problem in the clinical environment, causing adverse events which impact patient safety. Problem: The introduction of electronic information and clinical systems have reduced medication errors but have also been identified as creating new types of errors. Method: Using the previously developed Hermon model, this research aimed to identify and understand medication errors due to clinical information-flow in the Australian General Practice (primary care) setting. The research used existing general practice medication error report cases from the Threat to Patient Safety (TAPS) Study to map against the Hermon model, and validated this mapping through consultations with general practitioners. Findings: The findings informed the refinement of the Hermon Model, and assisted in identifying medication errors points of information-flow failure in general practice information-flow. Impact: This study has significance to improve patient safety and inform the development of general practice desktop systems through identification and understanding of information-flow points of failure which result in medication errors.
Description
Keywords
Unintended Negative Consequences of IT Implementations in Healthcare, gp desktop systems, hermon model, information-flow, information-flow mapping, medication errors, threat to patient safety (taps) study
Citation
Rights
Access Rights
Email libraryada-l@lists.hawaii.edu if you need this content in ADA-compliant format.