University of Oulu

Hyvämäki, Piia; Kääriäinen, Maria; Tuomikoski, Anna-Maria; Pikkarainen, Minna; Jansson, Miia. Registered Nurses’ and Medical Doctors’ Experiences of Patient Safety in Health Information Exchange During Interorganizational Care Transitions: A Qualitative Review. Journal of Patient Safety 18(3):p 210-224, April 2022. | DOI: 10.1097/PTS.0000000000000892

Registered nurses’ and medical doctors’ experiences of patient safety in health information exchange during interorganizational care transitions : a qualitative review

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Author: Hyvämäki, Piia1,2; Kääriäinen, Maria1,3,4; Tuomikoski, Anna-Maria1,2,4;
Organizations: 1Research Unit of Nursing Science and Health Management, University of Oulu
2Oulu University of Applied Sciences
3Oulu University, Oulu
4The Finnish Centre for Evidence-Based Health Care: A Joanna Briggs Institute Excellence Group, Helsinki
5Research Group of Medical Imaging, Physics and Technology, University of Oulu
6Martti Ahtisaari Institute, Oulu Business School, Oulu University
7VTT, Technical Research Centre of Finland
8Oulu University Hospital, Oulu, Finland
Format: article
Version: accepted version
Access: open
Online Access: PDF Full Text (PDF, 0.5 MB)
Persistent link: http://urn.fi/urn:nbn:fi-fe202301051569
Language: English
Published: Wolters Kluwer, 2022
Publish Date: 2023-01-05
Description:

Abstract

Objective: This systematic review aimed to identify, critically appraise, and synthesize the best available literature on registered nurses’ and medical doctors’ experiences of patient safety in health information exchange (HIE) during interorganizational care transitions.

Methods: The review was conducted according to the JBI methodology for systematic reviews of qualitative evidence. A total of 5 multidisciplinary databases were searched from January 2010 to September 2020 to identify qualitative or mixed methods studies. The qualitative findings were pooled using JBI SUMARI with the meta-aggregation approach.

Results: The final review included 6 original studies. The 53 distinct findings were aggregated into 9 categories, which were further merged into 3 synthesized findings: (1) HIE efficiency and accuracy support patient safety during interorganizational care transitions; (2) inaccuracies in content and structure, along with poor HIE usability, jeopardize patient safety during interorganizational care transitions; and (3) health care professionals’ (HCP) actions in HIE are associated with patient safety during interorganizational care transitions.

Conclusions: The results of this review identified several advantages of HIE, namely, improvements in patient safety based on reduced human error. Nevertheless, a lack of usability and functionality can amplify the effects of human error and increase the risk of adverse events. In addition, HCPs’ individual actions in HIE were found to influence patient safety. Hence, the cognitive and sociotechnical perspectives of work related to HIE should be studied. In addition, HCPs’ experiences of each stage of HIE deployment should be clarified to ensure a high standard of patient safety. Registration: PROSPERO CRD42020220631, registered on November 13, 2020.

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Series: Journal of patient safety
ISSN: 1549-8417
ISSN-E: 1549-8425
ISSN-L: 1549-8417
Volume: 18
Issue: 3
Pages: 210 - 224
DOI: 10.1097/pts.0000000000000892
OADOI: https://oadoi.org/10.1097/pts.0000000000000892
Type of Publication: A2 Review article in a scientific journal
Field of Science: 3141 Health care science
Subjects:
Copyright information: © 2021 Wolters Kluwer Health, Inc. This is a pre-copyedited, author-produced version of an article accepted for publication in Journal of Patient Safety. The published version of record Hyvämäki, Piia; Kääriäinen, Maria; Tuomikoski, Anna-Maria; Pikkarainen, Minna; Jansson, Miia. Registered Nurses’ and Medical Doctors’ Experiences of Patient Safety in Health Information Exchange During Interorganizational Care Transitions: A Qualitative Review. Journal of Patient Safety 18(3):p 210-224, April 2022 is available online at: https://journals.lww.com/journalpatientsafety/Fulltext/2022/04000/Registered_Nurses__and_Medical_Doctors_.9.aspx and DOI: 10.1097/PTS.0000000000000892.