AMIA Health Policy Meeting 2009 Anticipating and Addressing Unintended Consequences of Health Information Technology (HIT) and Policy September 9-10, 2009 Related Readings Note: Selections marked with a bullet are recommended readings for one of the 5 breakout sessions: Tech (Breakout 1), Cog (Breakout 2), (Breakout 3), Fin (Breakout 4), and Reg (Breakout 5). Amarasingham R, Plantinga L, Diener-West M, Gaskin DJ, Powe NR. Clinical information technologies and inpatient outcomes: A multiple hospital study. Archives of Internal Medicine 2009;169(2):108-14. Ash JS, Berg M, Coiera E. Some unintended consequences of information technology in health care: the nature of patient care information system-related errors. Journal of the American Medical Informatics Association 2004;11(2):104-12. Ash JS, Sittig DF, Dykstra RH, Guappone K, Carpenter JD, Seshadri V. Categorizing the unintended sociotechnical consequences of computerized provider order entry. International Journal of Medical Informatics 2007;76 Suppl 1:S21-7. Ash JS, Sittig DF, Poon EG, Guappone K, Campbell E, Dykstra RH. The extent and importance of unintended consequences related to computerized provider order entry. Journal of the American Medical Informatics Association 2007;14(4):415-23. Fin Blumenthal D. Stimulating the adoption of health information technology. New England Journal of Medicine 2009 Apr 9;360(15):1477-1479. Borycki E, Kushniruk A. Identifying and preventing technology-induced error using simulations: application of usability engineering techniques. Healthcare Quarterly 2005;8 Spec No:99-105. Campbell EM, Sittig DF, Ash JS, Guappone KP, Dykstra RH. Types of unintended consequences related to computerized provider order entry. Journal of the American Medical Informatics Association
2006;13(5):547-56. Damberg CL, Ridgely MS, Shaw R, Meili RC, Sorbero M, Bradley LA, et al. Adopting information technology to drive improvements in patient safety: lessons from the Agency for Healthcare Research and Quality health information technology grantees. Health Services Research 2009;44(2):684-700. Dörner D. The logic of failure: why things go wrong and what we can do to make them right. 1997; Basic Books. Dubner S. Levitt S. Freakonomics: Unintended consequences - the case of the red-cockaded woodpecker. New York Times 2008;January 20. Tech Harrison MI, Koppel R, Bar-Lev S. Unintended consequences of information technologies in health care an interactive sociotechnical analysis. Journal of the American Medical Informatics Association 2007;14(5):542-9. Hilborne LH. Setting the stage for the second decade of the era of patient safety: contributions by the Agency for Healthcare Research and Quality and grantees. Health Services Research 2009;44(2):623-627. Horsky J, Kuperman GJ, Patel VL. Comprehensive analysis of a medication dosing error related to CPOE. Journal of the American Medical Informatics Association 2005;12(4):377-82. JCAHO. Safely implementing health information and converging technologies. Sentinel Event Alert 2008; Issue 42. JCAHO. Preventing adverse events caused by emergency electrical power system failures. Sentinel Event Alert 2006; Issue 37. Kilbridge PM, Classen DC. The informatics opportunities at the intersection of patient safety and clinical informatics. Journal of the American Medical Informatics Association 2008;15(4):397-407. Koppel R, Kreda D. Health care information technology vendors hold harmless clause: implications for patients and clinicians. Journal of the American Medical Association 2009;Mar 25;301(12):1276-1278. Koppel R, Metlay JP, Cohen A, Abaluck B, Localio AR, Kimmel SE, et al. Role of computerized physician order entry systems in facilitating medication errors. Journal of the American Medical Association
2005;Mar 9;293(10):1197-1203. Korst LM, Signer JM, Aydin CE, Fink A. Identifying organizational capacities and incentives for clinical data-sharing: the case of a regional perinatal information system. Journal of the American Medical Informatics Association 2008;15(2):195-197. Kushniruk AW, Patel VL. Cognitive and usability engineering methods for the evaluation of clinical information systems. Journal of Biomedical Informatics 2004;37(1):56-76. Leveson NG, Turner CS. An investigation of the Therac-25 accidents. Computer (IEEE) 1993;26(7):18-41. Liebovitz D. Health care information technology: a cloud around the silver lining? Archives of Internal Medicine 2009;169(10):924-6. Lorenzi NM, Kouroubali A, Detmer DE, Bloomrosen M. How to successfully select and implement electronic health records (EHR) in small ambulatory practice settings. BMC Medical Informatics and Decision Making 2009;9:15. Lorenzi NM, Novak LL, Weiss JB, Gadd CS, Unertl KM. Crossing the implementation chasm: a proposal for bold action. Journal of the American Medical Informatics Association 2008;15(3):290-6. Lorenzi NM, Riley RT. Managing change: an overview. Journal of the American Medical Informatics Association 2000;7(2):116-24. Merrill M. Virus blamed for EHR breach in Canada. Healthcare IT News 2009; July 9. Merrill M. Lawsuit claims stimulus act puts privacy in jeopardy. Healthcare IT News 2009;July 2. Reg Miller RA, Gardner RM. Recommendations for responsible monitoring and regulation of clinical software systems. Journal of the American Medical Informatics Association 1997;4(6):442-57. Networking and Information Technology Research and Development (NITRD) Program. High-confidence medical devices: cyberphysical systems for 21st century health care. 2009; http://nitrd.gov/about/meddevice-final1-web.pdf. Patel VL, Arocha JF, Kaufman DR. A primer on aspects of cognition for medical informatics. Journal of the American Medical Informatics Association 2001;8(4):324-43.
Patel VL, Arocha JF, Kushniruk AW. Patients and physicians understanding of health and biomedical concepts: relationship to the design of EMR systems. Journal of Biomedical Informatics 2002;35(1):8-16. Patel VL, Kaufman DR. Medical informatics and the science of cognition. Journal of the American Medical Informatics Association 1998;5(6):493-502. Cog Patel VL, Kaufman DR, Arocha JF. Emerging paradigms of cognition in medical decision-making. Journal of Biomedical Informatics 2002;35(1):52-75. Patel VL, Kushniruk AW, Yang S, Yale JF. Impact of a computer-based patient record system on data collection, knowledge organization, and reasoning. Journal of the American Medical Informatics Association 2000;7(6):569-85. Patel VL, Zhang J, Yoskowitz NA, Green R, Sayan OR. Translational cognition for decision support in critical care environments: a review. Journal of Biomedical Informatics 2008;41(3):413-31. Perrow C. Normal accidents: living with high-risk technologies. 1999;Princeton University Press. Pronovost PJ, Goeschel CA, Olsen KL, Pham JC, Miller MR, Berenholtz SM, et al. Reducing health care hazards: lessons from the commercial aviation safety team. Health Affairs 2009;28(3):w479-89. Rahimi B, Moberg A, Timpka T, Vimarlund V. Implementing an integrated computerized patient record system: towards an evidence-based information system implementation practice in healthcare. AMIA Symposium 2008:616-20. Singh H, Mani S, Espadas D, Petersen N, Franklin V, Petersen LA. Prescription errors and outcomes related to inconsistent information transmitted through computerized order entry: a prospective study. Arch.Intern.Med. 2009 05/25;169(10):982-9. Tenner E. Why things bite back: technology and the revenge of unintended consequences. 1997; Vintage Press. Tierney WM, Rotich JK, Hannan TJ, Siika AM, Biondich PG, Mamlin
BW, et al. The AMPATH medical record system: creating, implementing, and sustaining an electronic medical record system to support HIV/AIDS care in western Kenya. Studies in health technology and informatics. 2007; 01/01;129:372-6. Westbrook JI, Braithwaite J, Georgiou A, Ampt A, Creswick N, Coiera E, et al. Multimethod evaluation of information and communication technologies in health in the context of wicked problems and sociotechnical theory. Journal of the American Medical Informatics Association 2007;14(6):746-55. Zhang J, Patel VL, Johnson TR. Medical error: is the solution medical or cognitive? Journal of the American Medical Informatics Association 2002;9(6):S75-7.