Implementation of a health information technology safety classification system in the Veterans Health Administration's Informatics Patient Safety Office

D Kato, J Lucas, DF Sittig - Journal of the American Medical …, 2024 - academic.oup.com
Objective Implement the 5-type health information technology (HIT) patient safety concern
classification system for HIT patient safety issues reported to the Veterans Health …

[PDF][PDF] System Safety within Laboratory Data Exchanges Report

N Leveson, J Thomas, P Harrington, R Rose, S Powell… - 2023 - synensysglobal.com
Many studies have found large numbers of preventable medical errors in the US, despite
significant efforts to reduce them. This project, a collaboration between Synensys and MIT …

[PDF][PDF] Contract Number: 75F40122C00112 Deliverable D7 FINAL

LLC Synensys, POCDS Powell, ST Lead, N Leveson… - 2023 - aeroastro.mit.edu
Many studies have found large numbers of preventable medical errors in the US, despite
significant efforts to reduce them. This project, a collaboration between Synensys and MIT …

Where are health IT patient safety event reports hiding? Identifying health IT patient safety events in self-reported databases

KT Adams, JL Howe, MJ Gaunt… - Proceedings of the …, 2019 - journals.sagepub.com
Introduction: The objective of this paper is to describe a manual annotation process to
identify likely health information technology (IT) related patient safety event (PSE) reports …

Identifying boundary spanning reporter roles in patient safety events

VB Hurley, C Boxley, EA Sloss… - Journal of Patient Safety …, 2022 - journals.sagepub.com
Objective We evaluated patterns in reporter roles among individuals who submitted patient
safety event (PSE) reports with a focus upon understanding the extent of boundary spanning …

[HTML][HTML] Patient safety issues continue to plague American hospitals

GR Wilensky - The Milbank Quarterly, 2019 - ncbi.nlm.nih.gov
To Err is Human in late 1999, 1 but has included numerous other reports indicating the
substantial number of deaths and injuries due to medical errors. Despite the focus on this …

Time to take a breath: Rebalancing the human and technical aspects of patient safety

AW Wu - Journal of Patient Safety and Risk Management, 2019 - journals.sagepub.com
It used to be a familiar joke: all doctors have horrible handwriting. The subsequent illegible
prescriptions left pharmacists bewildered, and sometimes, the wrong medication was …