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

dc.contributor.author Hermon, Rebecca
dc.contributor.author Williams , Professor Patricia
dc.date.accessioned 2020-01-04T07:57:33Z
dc.date.available 2020-01-04T07:57:33Z
dc.date.issued 2020-01-07
dc.description.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.
dc.format.extent 9 pages
dc.identifier.doi 10.24251/HICSS.2020.472
dc.identifier.isbn 978-0-9981331-3-3
dc.identifier.uri http://hdl.handle.net/10125/64214
dc.language.iso eng
dc.relation.ispartof Proceedings of the 53rd Hawaii International Conference on System Sciences
dc.rights Attribution-NonCommercial-NoDerivatives 4.0 International
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subject Unintended Negative Consequences of IT Implementations in Healthcare
dc.subject gp desktop systems
dc.subject hermon model
dc.subject information-flow
dc.subject information-flow mapping
dc.subject medication errors
dc.subject threat to patient safety (taps) study
dc.title Points of Failure: A Systematic Review of information-flow using Medication Use Cases
dc.type Conference Paper
dc.type.dcmi Text
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