Patient Safety Informatics: Adverse Drug Events, Human Factors and IT Tools for Patient Medication Safety - Volume 166 Studies in Health Technology and Informatics

Improving patient safety and the quality of healthcare poses many challenges, and information technology (IT) can support the measures necessary to address these. Unfortunately, the risk of adverse drug events (ADEs) rises alongside the increasing sophistication of the health IT systems incorporated into hospital environments. These pose a risk to the safety of patients and incur considerable extra healthcare costs. Approaches introduced to eliminate ADEs raise a number of concerns, not least that the successful transferability and use of such tools into real clinical settings is only possible by means of a holistic, validated and qualitative approach. This book is a collection of papers presented at the second workshop organized in the context of the EU-funded Patient Safety through Intelligent Procedures in medication (PSIP) project and held in 2011 in Paris. The workshop provides an opportunity for experts active in the field to share ideas and experiences arising from many different perspectives. The 29 papers address current, novel methods and applications which have achieved concrete results and are relevant to the domain of patient safety as a whole, and are grouped into four main sections: designing IT systems for patient safety; methods and technologies for developing patient safety systems; novel applications to validate patient safety informatics and impact assessment studies for patient safety informatics outcomes. Significant progress has been made in the field, but even greater challenges must still be faced if a successful transfer of research ideas and outcomes into clinical practice is to be accomplished. A new focus in healthcare IT is called for; one which specifically addresses the issue of patient safety.IOS Press is an international science, technical and medical publisher of high-quality books for academics, scientists, and professionals in all fields. Some of the areas we publish in: -Biomedicine -Oncology -Artificial intelligence -Databases and information systems -Maritime engineering -Nanotechnology -Geoengineering -All aspects of physics -E-governance -E-commerce -The knowledge economy -Urban studies -Arms control -Understanding and responding to terrorism -Medical informatics -Computer Sciences Preface 6 Contents 8 Part A. Keynote Papers on Patient Safety Informatics 12 PSIP: An Overview of the Results and Clinical Implications 14 The Future of Electronic Prescribing 24 Accelerating Patient Safety Through the Innovative Use of Information Technology 29 Part B. Invited Papers on Patient Safety Informatics 34 EU-ADR Healthcare Database Network vs. Spontaneous Reporting System Database: Preliminary Comparison of Signal Detection 36 3,520 Medication Errors Evaluated to Assess the Potential for IT-Based Decision Support 42 Drug Knowledge Expressed as Computable Semantic Triples 49 Exploring the Relationship Between Usability and Technology-Induced Error: Unraveling a Complex Interaction 59 ICT for Quality and Safety of Care: Beyond Interoperability 68 Part C. Designing IT Systems for Patient Safety 74 Four Principles for User Interface Design of Computerised Clinical Decision Support Systems 76 Implementation of a Taxonomy Aiming to Support the Design of a Contextualised Clinical Decision Support System 85 Medication Related Computerized Decision Support System (CDSS): Make It a Clinicians' Partner! 95 Information Contextualization in Decision Support Modules for Adverse Drug Event Prevention 106 Designing, Implementing and Evaluating e-Prescription: A Field Study and Comparison with PSIP Results 116 Part D. Methods and Technologies for Developing Patient Safety Systems 128 Shallow Medication Extraction from Hospital Patient Records 130 Health Multi-Terminology Portal: A Semantic Added-Value for Patient Safety 140 Towards a Standardised Representation of a Knowledge Base for Adverse Drug Event Prevention 150 Analysis of the Medication-Use Process in North American Hospital Systems: Underlining Key Points for Adoption to Improve Patient Safety in French Hospitals 159 An Approach to 'Dynamic - DDD (Defined Daily Dose) Monitoring' to Reduce Adverse Clinical Outcomes and Increase Patient Safety: Information Repositories and Event Triggers in Clinical Practice 167 Part E. Novel Applications of Patient Safety Informatics 178 The ADE Scorecards: A Tool for Adverse Drug Event Detection in Electronic Health Records 180 Three Different Cases of Exploiting Decision Support Services for Adverse Drug Event Prevention 191 Patient Summary and Medicines Reconciliation: Application of the ISO/CEN EN 13606 Standard in Clinical Practice 200 Engineering the Electronic Health Record for Safety: A Multi-Level Video-Based Approach to Diagnosing and Preventing Technology-Induced Error Arising from Usability Problems 208 Mapping the ATC Classification to the UMLS Metathesaurus: Some Pragmatic Applications 217 Part F. Validation and Impact Assessment of Patient Safety Informatics Approaches 226 Lessons Learnt from Conducting a High Fidelity Simulation Test in Health IT 228 Impact Evaluation of Innovative Technology: Estimating the Impact of the PSIP Solutions 238 Scorecards: A New Method to Prevent Adverse Drug Events? Preliminary Results from a Clinical Field Study 245 Assessment of Three Systems to Empower the Patient and Decrease the Risk of Adverse Drug Events 257 Validation of Completeness, Correctness, Relevance and Understandability of the PSIP CDSS for Medication Safety 265 Completion of Structured Patient Descriptions by Semantic Mining 271 Subject Index 282 Author Index 284 9781607507390 Edited By Vassilis Koutkias ... [et Al.]. Includes Bibliographical References And Indexes.