Piia Hyvämäki, Sami Sneck, Merja Meriläinen, Minna Pikkarainen, Maria Kääriäinen, Miia Jansson, Interorganizational health information exchange-related patient safety incidents: A descriptive register-based qualitative study, International Journal of Medical Informatics, Volume 174, 2023, 105045, ISSN 1386-5056, https://doi.org/10.1016/j.ijmedinf.2023.105045
Interorganizational health information exchange-related patient safety incidents : a descriptive register-based qualitative study
|Author:||Hyvämäki, Piia1,2; Sneck, Sami3; Meriläinen, Merja3,4;|
1Research Unit of Health Sciences and Technology, University of Oulu, Finland
2Oulu University of Applied Sciences, Oulu, Finland
3Oulu University Hospital, Nursing Administration, Oulu, Finland
4Medical Research Center Oulu, MRC
5Department for Rehabilitation Science and Health Technology & Department of Product Design Oslomet, Oslo Metropolitan University, Finland
6The Finnish Centre for Evidence-Based Health Care: A Joanna Briggs Institute Excellence Group, Helsinki, Finland
7Research Unit of Health Sciences and Technology, University of Oulu, Oulu, Finland
8RMIT University, Australia
|Online Access:||PDF Full Text (PDF, 0.6 MB)|
|Persistent link:|| http://urn.fi/urn:nbn:fi-fe20231106143301
|Publish Date:|| 2023-11-06
Purpose: The current literature related to patient safety of interorganizational health information is fragmented. This study aims to identify interorganizational health information exchange-related patient safety incidents occurring in the emergency department, emergency medical services, and home care. The research also aimed to describe the causes and consequences of these incidents.
Methods: A total of sixty (n = 60) interorganizational health information exchange-related patient safety incident free text reports were analyzed. The reports were reported in the emergency department, emergency medical services, or home care between January 2016 and December 2019 in one hospital district in Finland.
Results: The identified interorganizational health information exchange-related incidents were grouped under two main categories: “Inadequate documentation”; and “Inadequate use of information”. The causes of these incidents were grouped under the two main categories “Factors related to the healthcare professional “ and “Organizational factors”, while the consequences of these incidents fell under the two main categories “Adverse events” and “Additional actions to prevent, avoid, and correct adverse events”.
Conclusion: This study shows that the inadequate documentation and use of information is mainly caused by factors related to the healthcare professional and organization, including technical problems. These incidents cause adverse events and additional actions to prevent, avoid, and correct the events. The sociotechnical perspective, including factors related to health care professionals, organization, and technology, should be emphasized in patient safety development of inter-organizational health information exchange and it will be the focus of our future research. Continuous research and development work is needed because the processes and information systems used in health care are constantly evolving.
International journal of medical informatics
|Type of Publication:||
A1 Journal article – refereed
|Field of Science:||
This study was financially supported (partly) by the Competitive State Research Funding of the Northern Ostrobothnia Hospital district. The funder, however, has not influenced the design, conduct, analysis or reporting of the study.
© 2023 The Authors. Published by Elsevier B.V. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).