Working with Health IT Systems HIT Facilitated Error

Working with Health IT Systems HIT Facilitated Error – Cause and Effect Lecture b This material (Comp 7 Unit 6) was developed by Johns Hopkins University, funded by the Department of Health and Human Services, Office of the National Coordinator for Health Information Technology under Award Number IU 24 OC 00013. This material was updated by The University of Texas Health Science Center at Houston under Award Number 90 WT 0006. This work is licensed under the Creative Commons Attribution-Non. Commercial-Share. Alike 4. 0 International License. To view a copy of this license, visit http: //creativecommons. org/licenses/by-nc-sa/4. 0/.

HIT Facilitated Error – Cause and Effect Learning Objectives – Lecture b • Cite examples of situations where HIT systems could increase the potential for user error • Analyze sources of HIT facilitated errors and suggest realistic solutions 2

Error Vocabulary • • Omission Commission Slips/Lapses Mistakes CC BY-NC-ND 2. 0 by Wis. Guard Pics Image courtesy of Dr. Patricia Abbott 3

Technology Induced or Facilitated Error • “Oh Schnocks!” The state of healthcare technology in 2009: http: //www. youtube. co m/watch? v=Wx. QLzd. L jwp 4 Mccluskey, 2010, CC-BY-NC-SA 2. 0 4

Addressing the Issue Human Factors • Ergonomics (or human factors) is the scientific discipline concerned with the understanding of interactions among humans and other elements of a system, and the profession that applies theory, principles, data, and other methods to design in order to optimize human well-being and overall system performance. ” (Human Factors Definition, 2000) Human Factors in Surgery Video From the Mayo Clinic http: //www. youtube. com/watch? v=x. R 78 d. XTYy 9 c 5

Finishing Out – Helping to Avoid Error In HIT • Computer screens/layouts/systems that are: – Easy to read – Easy to understand – Logical – Support cognition – not thwart – Agile & flexible – Help to prevent error – Make the right thing the easiest thing 6

Unit 6: HIT Facilitated Error – Cause and Effect Summary – Lecture b • Knowledge of how HIT can prevent errors is just as important as understanding how it facilitates error • As HIT professionals help users make the best decisions 7

HIT Facilitated Error – Cause and Effect References – Lecture b References AHRQ Web M&M: Glossary. Available from: http: //www. webmm. ahrq. gov/popup_glossary. aspx? name=mistakes Joan S. Ash, R. (2007). Some Unintended Consequences of Clinical Decision Support Systems. AMIA Annual Symposium Proceedings, 2007, 26. Retrieved from http: //www. ncbi. nlm. nih. gov/pmc/articles/PMC 2813668/ Timothy A. D. Graham, B. (2008). How Usability of a Web-Based Clinical Decision Support System Has the Potential to Contribute to Adverse Medical Events. AMIA Annual Symposium Proceedings, 2008, 257. Retrieved from http: //www. ncbi. nlm. nih. gov/pmc/articles/PMC 2655970/ Human Factors Definition (2000). Available from: http: //www. hfes. org/Web/Educational. Resources/HFEdefinitionsmain. html Joint Commission. c 2011. Available from: http: //www. jointcommission. org/sentinelevents/se_glossary. htm Healthcare. HF, . (2009). Oh Shnocks! The state of healthcare technology in '09. Retrieved from https: //www. youtube. com/watch? v=Wx. QLzd. Ljwp 4 Mayo Clinic, . (2008). Human Factors in Surgery-Mayo Clinic. Retrieved from https: //www. youtube. com/watch? v=x. R 78 d. XTYy 9 c 8

HIT Facilitated Error – Cause and Effect References – Lecture b Images Slide 2: Image 1: Corpsman Giving Shot to Female Patient. Available from: http: //farm 5. static. flickr. com/4125/5094485790_dde 2 e 1 b 735. jpg Image 2: " !!STOP!! Do Not Disturb! Passing Medications. Created by Dr. Patricia Abbott. Slide 4: Mccluskey, A. (2010). Frustration. [Online Image]. Retrieved June 14, 2016 from http: //www. flickr. com/photos/14511253@N 04/4411497087/sizes/m/in/photostream/ 9

Working with Health IT Systems HIT Facilitated Error – Cause and Effect Lecture b This material was developed by Johns Hopkins University, funded by the Department of Health and Human Services, Office of the National Coordinator for Health Information Technology under Award Number IU 24 OC 00013. This material was updated by The University of Texas Health Science Center at Houston under Award Number 90 WT 0006. 10