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Pediatric aspects of inpatient health information technology systems
Insights
Pediatric health information technology adoption lags, increasing risks for children. Collaboration on technical, organizational, and cultural factors is crucial for improving pediatric patient safety and care quality.
Area of Science:
- Pediatric Health Informatics
- Patient Safety Technology
- Healthcare Quality Improvement
Background:
- Health information technology (HIT) adoption is promoted for improving patient care quality in the US.
- Children, especially those with special healthcare needs, face higher risks of medical errors compared to adults.
- Development and adoption of HIT tools for pediatric quality and safety are lagging behind adult healthcare.
Purpose of the Study:
- To examine health information technology applications supporting inpatient pediatric clinical processes.
- To identify critical functions of HIT for enhancing pediatric quality and patient safety.
- To advocate for a global approach to pediatric HIT adoption.
Main Methods:
- Discussion of two key inpatient clinical processes: medication delivery and patient care transitions.
- Analysis of health information technology applications relevant to these processes.
- Consideration of technical, organizational, and cultural aspects of HIT adoption.
Main Results:
- Specific HIT applications and functions supporting pediatric medication delivery and care transitions are identified.
- The lagging adoption of pediatric-specific HIT tools is highlighted.
- The importance of a holistic approach encompassing technical, organizational, and cultural factors is emphasized.
Conclusions:
- Pediatricians and healthcare partners must advocate for HIT adoption that prioritizes pediatric patient safety.
- Successful pediatric HIT adoption requires awareness of technical and adaptive challenges.
- A global strategy considering technical, organizational, and cultural elements is essential for effective pediatric HIT implementation.
Abstract:
US adoption of health information technology as a path to improved quality of patient care (effectiveness, safety, timeliness, patient-centeredness, efficiency, and equity) has been promoted by the medical community. Children and infants (especially those with special health care needs) are at higher risk than are adults for medical errors and their consequences (particularly in environments in which children are not the primary patient population). However, development and adoption of health information technology tools and practices that promote pediatric quality and patient safety are lagging. Two inpatient clinical processes-medication delivery and patient care transitions-are discussed in terms of health information technology applications that support them and functions that are important to pediatric quality and safety. Pediatricians and their partners (pediatric nurses, pharmacists, etc) must develop awareness of technical and adaptive issues in adopting these tools and collaborate with organizational leaders and developers as advocates for the best interests and safety of pediatric patients. Pediatric health information technology adoption cannot be considered in terms of applications (such as electronic health records or computerized physician order entry) alone but must be considered globally in terms of technical (health information technology applications), organizational (structures and workflows of care), and cultural (stakeholders) aspects of what is best.
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