In 2012, the Institute of Medicine recommended that information produced by HIT-related patient safety incidents should be used to improve patient safety. Incident reporting aims to detect problems and investigate underlying causes as a result, there is a possibility of using organizational learning to prevent such incidents from happening again. The patient safety incident reporting system is fundamental to obtaining and processing patient safety–related information for improving work. Many EHR errors are latent and involve technological features, user behavior, and regulations, thereby making error anticipation challenging while underscoring the importance of identifying vulnerable areas. Risks associated with EHRs have been identified as being related to technologies, apps, and their use. Many researchers share the view that technology-induced errors arise from several sources in a complex health care environment. Varied patient safety issues related to EHRs and documented in research include poor usability, inadequate communication of laboratory test results, EHR downtime, system-to-system interface incompatibilities, drug overdoses, inaccurate patient identification, care-related timing errors, and incorrect graphical display of test results. ĭata on error types specifically for high-maturity EHRs remain scarce, and available studies have focused on EHRs from the earlier development stages otherwise, the development stage is not described in detail. EHR adoption may cause unintended consequences, safety risks, and other outcomes. Despite evidence that improvements have helped with the adoption and implementation of EHR systems, EHR adaptation is not without obstacles or challenges. The literature indicates that HIT can improve patient safety and quality of care. The key components of health information technology (HIT) and electronic health records (EHRs) play a crucial role in patient management, care interventions, and effective health care services. The interrater agreement during the blinded review was 97.7%. During the classification work, 14.8% (74/501) of reports of the original sample were rejected because of insufficient information, even though the reports were deemed to be related to EHRs. Altogether, 20.8% (89/427) of reports were related to medication section problems, and downtime problems were rare (n=8). Of the 427 classified patient safety incidents, interface problems accounted for 96 (22.5%) incident reports, usability problems for 73 (17.1%), documentation problems for 60 (14.1%), and clinical workflow problems for 33 (7.7%). Error types were adapted iteratively after several test rounds to develop a classification for reporting patient safety incidents in the clinical use of a high-maturity EHR system. The literature identified new error types that were added to the emerging classification. The number of EHR-related patient safety incidents during the implementation period (n=501) was five-fold when compared with the preimplementation period (n=82).
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