Characterization and management of technology-mediated adverse events in primary and community care
department or school: Applied Science, Faculty of
department or school: Nursing, School of
data provider: DSpace
degree campus: UBCV
creator: Recsky, Chantelle
issued: 2024-07-31T07:00:00Z
issued: 2021
related degree: Doctor of Philosophy - PhD
degree grantor: University of British Columbia
description: BACKGROUND: Healthcare organizations are investing in health information technology (HIT) and putting greater emphasis on care in primary and community care settings. While intended to support the delivery of care, HIT can also bring about unanticipated consequences including technology-mediated adverse events (TMAE) (i.e., unintended harm, or potential harm, that involved a HIT-based system). For example, information required for coordinating and delivering client care may be stored in two or more electronic record systems, which creates the potential for missing information, breakdowns in the continuity of care, and may even cause harm to clients. METHODS & RESULTS: A multi-study research project was conducted at a large organization in Western Canada, consisting of: 1) A scoping review of the literature on TMAE and harm in primary and community care settings, which revealed that the current body of evidence is under-developed; 2) A retrospective descriptive study of TMAE reported in primary and community care settings, which found TMAE are diverse and warrant consideration from a sociotechnical perspective; 3) An integrated knowledge translation (IKT) approach for co-creating and applying new knowledge to address TMAE, from which a process for safety huddles and rapid sociotechnical analysis of TMAE was co-produced; and 4) A qualitative descriptive study about how clinical informatics specialists perceived their experiences in managing TMAE, which determined that research using an IKT approach is beneficial to study TMAE, and safety huddles and rapid sociotechnical analysis of TMAE may help to improve care. CONCLUSION: Research in the area of HIT safety in primary and community care settings is under-developed, yet healthcare services are continuing to place greater emphasis on both technology and non-acute services. This research suggests that harm related to HIT can occur in these settings, demonstrated the sociotechnical nature of harm in this context, and fou…
aggregated CHO: https://circle.library.ubc.ca/rest/handle/2429/80562
note: CHARACTERIZATION AND MANAGEMENT OF TECHNOLOGY-MEDIATED ADVERSE EVENTS IN PRIMARY AND COMMUNITY CARE by Chantelle Recsky B.N., The University of Calgary, 2005 M.S.N, The University of British Columbia – Okanagan, 2009 A DISSERTATION SUBMITTED IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE DEGREE OF DOCTOR OF PHILOSOPHY in THE FACULTY OF GRADUATE AND POSTDOCTORAL STUDIES (Nursing) THE UNIVERSITY OF BRITISH COLUMBIA (Vancouver) December 2021 © Chantelle Recsky, 2021 ii The following individuals certify that they have read, and recommend to the Faculty of Graduate and Postdoctoral Studies for acceptance, the dissertation entitled: Characterization and Management of Technology-Mediated Adverse Events in Primary and Community Care submitted by Chantelle Recsky in partial fulfillment of the requirements for the degree of Doctor of Philosophy in Nursing Examining Committee: Leanne M. Currie, Associate Professor, School of Nursing, UBC Supervisor Maura MacPhee, Professor, School of Nursing, UBC Supervisory Committee Member Kathy L. Rush, Professor, School of Nursing, UBC Supervisory Committee Member Dr. Heather L. O’Brien, Associate Professor, iSchool, UBC University Examiner Dr. Jason Sutherland, Professor, School of Population and Public Health, UBC University Examiner iii Abstract BACKGROUND: Healthcare organizations are investing in health information technology (HIT) and putting greater emphasis on care in primary and community care settings. While intended to support the delivery of care, HIT can also bring about unanticipated consequences including technology-mediated adverse events (TMAE) (i.e., unintended harm, or potential harm, that involved a HIT-based system). For example, information required for coordinating and delivering client care may be stored in two or more electronic record systems, which creates the potential for missing information, breakdowns in the continuity of care, and may even cause harm to clients. METHODS & RESULTS: A multi-study research …
has type: Thesis/Dissertation
date issued: 2022-05
is shown at: 10.14288/1.0406159
language: eng
degree discipline: Nursing
provider: Vancouver : University of British Columbia Library
publisher: University of British Columbia
rights: Attribution-NonCommercial-NoDerivatives 4.0 International
rights URI: http://creativecommons.org/licenses/by-nc-nd/4.0/
scholar level: Graduate
contributor: Currie, Leanne M.
type: Text
identifier URI: http://hdl.handle.net/2429/80562