Identifying patient safety problems associated with information technology in general practice: an analysis of incident reports: Table 1

摘要: Objective To identify the categories of problems with information technology (IT), which affect patient safety in general practice. Design General practitioners (GPs) reported incidents online or by telephone between May 2012 and November 2013. Incidents were reviewed against an existing classification for associated IT clinical process impacted. Participants setting 87 GPs across Australia. Main outcome measure Types problems, consequences processes. Results 90 involving had observable impact on delivery care, including actual harm as well near miss events. Practice systems medications most affected processes. Problems disrupted workflow, wasted time caused frustration. Issues user interfaces, routine updates to software packages drug databases, migration records from one package another generated errors that unique IT; some could many patients at once. Human factors issues gave rise have always existed paper but are more likely occur cause IT. Such linked slips concentration, multitasking, distractions interruptions. identification hybrid principle no different records. Conclusions include perennial risks records, additional disruptions workflow hazards IT, occasionally affecting multiple patients. Surveillance such may utility, particularly context migrating historical new systems.