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The Resource Safety of Health IT : Clinical Case Studies

Safety of Health IT : Clinical Case Studies

Label
Safety of Health IT : Clinical Case Studies
Title
Safety of Health IT
Title remainder
Clinical Case Studies
Creator
Subject
Language
eng
Cataloging source
MiAaPQ
Literary form
non fiction
Nature of contents
dictionaries
Safety of Health IT : Clinical Case Studies
Label
Safety of Health IT : Clinical Case Studies
Link
http://libproxy.rpi.edu/login?url=https://ebookcentral.proquest.com/lib/rpi/detail.action?docID=4620109
Publication
Copyright
Related Contributor
Related Location
Related Agents
Related Authorities
Related Subjects
Carrier category
online resource
Carrier category code
cr
Carrier MARC source
rdacarrier
Color
multicolored
Content category
text
Content type code
txt
Content type MARC source
rdacontent
Contents
  • Dedication -- Acknowledgements -- Contents -- Contributors -- Chapter 1: First Do No Harm: An Overview of HIT and Patient Safety -- Introduction -- Unintended Consequences and Safety Risks of Health Information Technology -- The Sociotechnical Context of Health Information Technology -- Why This Book? -- The Road Ahead -- References -- Chapter 2: An Overview of HIT-Related Errors -- Introduction -- HIT Generates Errors That Can Harm Patients -- Evidence About Patient Harms Associated with HIT Is Mounting -- HIT Errors Are Linked to System Design, Implementation and Use -- Classification of HIT Errors -- Conclusion -- References -- Part I: Errors Related to Various Types of Health Information Technologies -- Chapter 3: Errors Related to CPOE -- Introduction -- Case Study -- Clinical Summary -- Analysis -- Solutions -- Consumers -- Vendors and Institutional Developers -- Discussion -- Key Lessons Learned -- References -- Chapter 4: Errors Related to Alert Fatigue -- Introduction -- Case Study 1: International Normalized Ratio (INR) Overshoot -- Clinical Summary -- Analysis -- What Happened? -- Why Did It Happen? -- Lack of Knowledge -- Severity Unclear from Alert Text -- Severity Rating Similar -- Severity Unclear from Alert Pop-Up -- Too Many Alerts -- Overriding Default Option -- Different Specialties -- Summary of Causes -- Solutions -- Case Study 2: An Overdose of Paracetamol -- Clinical Summary -- Background Information -- Analysis -- What Happened? -- Why Did It Happen? -- Lack of Knowledge -- Alert Pop-Up Too Complicated -- Too Many Alerts -- Trust in Checks by Other People -- Default is "Adjusting the Order" -- Summary of Causes -- Solutions -- Discussion -- Key Lessons Learned -- References -- Chapter 5: Errors Related to Bar Code-Assisted Medication Administration -- Introduction -- Clinical Case Studies -- Case 1 -- Clinical Summary
  • Analysis -- Solutions -- Case 2 -- Clinical Summary -- Analysis -- Solutions -- Case 3 -- Clinical Summary -- Analysis -- Solutions -- Discussion -- Key Lessons Learned -- References -- Chapter 6: Errors Related to Outpatient E-Prescribing -- Introduction -- Case Studies -- Case Study 1: Retrieving Incorrect E-Prescriptions -- Clinical Summary -- Analysis -- Communication Lapses -- Insufficient Doctor-Patient Communication -- Inadequate Clinic-Pharmacy Communication -- Training on E-Prescribing Capabilities -- Solutions -- Case Study 2: Incorrect Drug Quantity Detected in Community Pharmacy -- Clinical Summary -- Analysis -- Detection of Medication Errors in E-Prescribing -- E-Prescription System Design -- Provider Interaction with E-Prescribing Systems -- Solutions -- Summary -- Key Lessons Learned -- References -- Chapter 7: Errors Related to Alarms and Monitors -- Background -- Alarm-Related Harm Data -- Contributing Factors to Alarm-Related Patient Harm -- Alarm Hazards and Potential Failures -- Alarm Activation -- Alarm Load -- Alarm Notification Process -- Alarm Content -- Alarm Escalation/Backup -- Policies, Practice, and Education -- Case Study 1: Middleware Failure -- Steps in FMEA -- Map the Process -- Hazard Analysis -- Action Plan -- Case Summary -- Case Study 2: ECG Bedside Monitoring Signal Disruption -- Observation Unit Signal Loss -- Identifying the Issue -- Investigation -- Data Collection -- Analysis and Action -- Case Summary of ECG Signal Failure -- Key Lessons -- References -- Chapter 8: Errors Related to Personal Mobile Technology -- Introduction -- Infection Control Risks -- Emerging Risk: Privacy -- Clinical Summary of Case Study 1 About Privacy Risks -- Case 1 -- Analysis -- Solutions -- Increase Knowledge Around Privacy Requirements -- Design Technology to Support Clinical Communication Needs
  • Consultant with Clearer Limits on Span of Responsibility and Practice Location -- Major Risk: Interruption and Distraction -- Clinical Summary of Case Study 2 Regarding Distraction Risk -- Case 2 -- Analysis -- A Variation on Case Study 2 About Distraction Risks -- Solutions -- Technical -- Education -- An Example of Cognitive Limitations -- Conclusion and Key Lessons Learned -- Key Lessons -- References -- Part II: Health Information Technology Implementation Issues -- Chapter 9: Improving Clinical Documentation Integrity -- Introduction -- Clinical Case Studies -- Case Study 1: Copy-Paste -- Case Study 2: Inadequate Discharge Summary -- Discussion/Analysis -- Latent Conditions -- Execution Errors -- Planning Errors -- Corrective Actions/Risk Mitigation Strategies -- Addressing Latent Conditions -- Addressing Execution Failures -- Addressing Planning Failures -- A Different Solution -- Key Lessons -- References -- Chapter 10: EHR and Physician-Patient Communication -- Introduction -- EHRs and the Rise of the "iPatient" -- Exam Room Computing Through the Lens of Human Factors -- Situation Awareness -- Interaction Complexity -- Ergonomics -- EHRs and Communication -- Recommendations -- Conclusion -- References -- Chapter 11: Patient Identification Errors and HIT: Friend or Foe? -- Introduction -- Case Studies -- A. Orders Placed on the Wrong Patient -- Results of the Patient Picture and Order Verification Process -- B. Documentation in the Wrong Patient's Chart -- C. Bedside Errors in Medication Administration -- Conclusion -- References -- Chapter 12: Errors Related to Health Information Exchange -- Introduction -- Errors Related to Patient Identification and Matching -- Case Study -- Clinical Summary -- Analysis -- Solutions -- Errors Related to Efforts to Protect Patient Privacy -- Case Study -- Clinical Summary 1 -- Clinical Summary 2 -- Analysis
  • Solutions -- Key Lessons Learned -- Policy Efforts to Avoid Patient Safety Failures from HIE -- Provider Organization Efforts to Avoid Patient Safety Failures from HIE -- References -- Part III: Specialty Considerations -- Chapter 13: Safety Considerations in Radiation Therapy -- Introduction -- Case Studies -- Clinical Case #1 -- Clinical Summary -- Analysis -- Solutions and Lessons Learned -- Clinical Case #2 -- Analysis -- Solutions -- Key Lessons Learned -- References -- Chapter 14: Safety Considerations in Pediatric Informatics -- Introduction -- Case Study 1 -- Clinical Summary -- Analysis -- Solutions -- Case Study 2 -- Clinical Summary -- Analysis -- Solutions -- Case Study 3 -- Clinical Summary -- Analysis -- Solutions -- Miscellaneous Factors Affecting Safety of HIT in Pediatrics -- Key Lessons Learned -- References -- Chapter 15: Safety Considerations in Ambulatory Care Informatics -- Introduction -- Case 1: Temporal Ambiguity Leading to Inaccurate Plans for Preventive Care -- Clinical Summary -- Case Analysis -- Proposed Solutions -- Case 2: Terminology Idiosyncrasies Leading to Population Management Failure -- Clinical Summary -- Case Analysis -- Proposed Solutions -- Conclusion -- References -- Part IV: Organizational Considerations -- Chapter 16: HIT and Medical Liability Risks -- Introduction -- Clinical Case Studies -- Case Study 1: Clinical Summary -- Analysis -- Solutions -- Case Study 2: Clinical Summary -- Analysis -- Solutions -- Key Lessons Learned -- References -- Chapter 17: Improving HIT Safety Through Enterprise Risk Management -- Introduction -- Technology-Induced Errors: A Concern for Health Care Organizations -- Understanding the Origins and Contributing Factors to Technology-Induced Errors -- Managing the Risk of Technology-Induced Errors -- Clinical Simulations -- Case Study -- Clinical Summary -- Analysis
  • Solutions -- Key Lessons Learned -- References -- Chapter 18: Managing HIT Contract Process for Patient Safety -- Introduction -- Key HIT Contract Provisions that Impact Patient Safety -- "Entire Agreement" Clause Excludes Anything Not in the Agreement -- Disclaimer of Warranties -- Term of Support and Transition Services After Termination -- Understanding Backup and Possible Exclusion of Damages for "Lost Data" -- Indemnification -- Confidentiality and Non-disclosure Agreements (NDAs) -- Conclusion -- References -- Chapter 19: Improving Safety of Medical Device Use Through Training -- Introduction -- Case Studies -- Smart Infusion Pump -- PCA Pump -- Physiological Monitor -- Solutions -- Select Wisely -- Develop Training to Supplement That Provided by the Vendor -- Determine What Needs to Be Trained -- Standardize Training -- Obtain Assistance from External Resources -- Embedded Training -- Assess Competency -- Discussion -- Vendor Supplied Training -- New Forms of Training Delivery -- Key Lessons Learned -- References -- Index
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Dimensions
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{'f': 'http://opac.lib.rpi.edu/record=b4385797'}
Extent
1 online resource (255 pages)
Form of item
online
Isbn
9783319311234
Media category
computer
Media MARC source
rdamedia
Media type code
c
Sound
unknown sound
Specific material designation
remote

Library Locations

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