Understanding Unintended Consequences and Health Information Technology
Understanding Unintended Consequences and Health Information Technology
复制标题
了解意外后果和健康信息技术
DOI：
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复制
发表时间：
2016
影响因子：
--
通讯作者：
E. Borycki
中科院分区：
文献类型：
--
作者：
C. Kuziemsky;R. Randell;E. Borycki
摘要目标：目前还没有框架来识别和研究关注组织和社会问题的意外后果（uic）。为了解决这一缺陷，我们进行了文献综述，以建立一个从sis角度考虑UICs和健康信息技术（HIT）的框架。方法：使用检索词“意外后果”和“卫生信息技术”对2000-2015年期间的文献进行综述。共筛选67篇论文，其中18篇符合纳入标准。数据提取的重点是研究的技术类型、确定的uic类型以及使用的数据收集和分析方法。主题分析用于确定与uic相关的主题。结果：我们确定了两个总体主题。一个是人们如何分类和讨论uic的定义和术语。其次是OSIs和uic。对于OSI主题，我们还确定了四个子主题：过程变化和演变、个人-协作交换、使用背景以及建模、研究和理解uic的方法。结论：虽然对uic进行了广泛的研究，但对于如何分类和报告uic缺乏总体共识，这限制了我们理解uic的影响以及如何管理它们的能力。更多的混合方法研究和更好的主动识别uic仍然是优先事项。通过关注组织和社会问题，我们的研究结果和OSI考虑框架扩展了现有的HIT和uic工作。
Summary Objective: No framework exists to identify and study unintended consequences (UICs) with a focus on organizational and social issues (OSIs). To address this shortcoming, we conducted a literature review to develop a framework for considering UICs and health information technology (HIT) from the perspective of OSIs. Methods: A literature review was conducted for the period 2000-2015 using the search terms “unintended consequences” and “health information technology”. 67 papers were screened, of which 18 met inclusion criteria. Data extraction was focused on the types of technologies studied, types of UICs identified, and methods of data collection and analysis used. A thematic analysis was used to identify themes related to UICs. Results: We identified two overarching themes. One was the definition and terminology of how people classify and discuss UICs. Second was OSIs and UICs. For the OSI theme, we also identified four sub-themes: process change and evolution, individual-collaborative interchange, context of use, and approaches to model, study, and understand UICs. Conclusions: While there is a wide body of research on UICs, there is a lack of overall consensus on how they should be classified and reported, limiting our ability to understand the implications of UICs and how to manage them. More mixed-methods research and better proactive identification of UICs remain priorities. Our findings and framework of OSI considerations for studying UICs and HIT extend existing work on HIT and UICs by focusing on organizational and social issues.
用药安全小组指导5家养老院实施电子用药管理记录。
DOI：
10.1016/s1553-7250(09)35005-9
发表时间：
2009
影响因子：
2.3
作者：
Scott-Cawiezell,Jill;Madsen,RichardW;Pepper,GinetteA;Vogelsmeier,Amy;Petroski,Greg;Zellmer,Dave
通讯作者：
Zellmer,Dave