Randell, R, Abdulwahid, M, Greenhalgh, J et al. (3 more authors) (2019) How and in what Contexts Does Networked Health IT Improve Patient Safety? Elicitation of Theories from the Literature. Studies in health technology and informatics, 264. pp. 753-757. ISSN 0926-9630
Abstract
Healthcare systems worldwide are investing in networked health IT systems that link healthcare providers across multiple organisations. Much of the policy arguments in favour of such investment rely on the assumption that networked health IT will lead to improved patient safety. As part of the first stage of a realist review to determine how and in what contexts networked, inter-organisational health IT does lead to improved patient safety, we elicited stakeholders' theories from the literature that reveal possible answers to this question. A key mechanism appears to be that the information provided supports improved decision making. Greatest benefits are likely to be found in relation to medication information, in scenarios where the patient is less able to provide accurate information about their medications themselves. However, access and use of this information depends on ease of access, clinicians' perception of the likelihood that the desired information will be available, and clinicians' trust in the information.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2019 International Medical Informatics Association (IMIA) and IOS Press. This is an open access article under the terms of the [relevant license, e.g. Creative CommonsAttribution-NonCommercial 4.0 International (CC BY-NC 4.0) (https://creativecommons.org/licenses/by-nc/4.0/) |
Keywords: | Health Information Technology; Health Information Exchange; Patient Safety |
Dates: |
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Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Medicine (Leeds) > Leeds Institute of Health Sciences (Leeds) > Academic Unit of Health Economics (Leeds) The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Medicine (Leeds) > Leeds Institute of Health Sciences (Leeds) > Centre for Health Services Research (Leeds) |
Funding Information: | Funder Grant number NIHR National Inst Health Research 16/53/03 |
Depositing User: | Symplectic Publications |
Date Deposited: | 29 Aug 2019 13:37 |
Last Modified: | 29 Aug 2019 13:37 |
Status: | Published |
Publisher: | IOS Press |
Identification Number: | 10.3233/shti190324 |
Related URLs: | |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:150148 |