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[Developing a recommendation for handling risks through digital transformation in patient care].

Reinhard Strametz1, Dirk Jahn2, Hardy Müller3

  • 1Hochschule RheinMain, Wiesbaden Business School, Wiesbaden, Deutschland; Aktionsbündnis Patientensicherheit APS, Berlin, Deutschland.

Zeitschrift Fur Evidenz, Fortbildung Und Qualitat Im Gesundheitswesen
|April 7, 2019
PubMed
Summary

Digital transformation in healthcare introduces new patient safety risks. This recommendation identifies six core risks and provides a checklist for assessing digital innovations to improve care.

Keywords:
PatientensicherheitSzenario-Analyseclinical risk managementdigitale Transformationdigitizationklinisches Risikomanagementpatient safetyscenario analysis

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Area of Science:

  • Healthcare Informatics
  • Patient Safety
  • Digital Health

Background:

  • Digital transformation in healthcare redefines care processes and patient-doctor interactions.
  • Emerging patient safety risks necessitate proactive identification and mitigation strategies.
  • Collaborative efforts by patient safety organizations aim to address digitization challenges.

Purpose of the Study:

  • To develop a recommendation for healthcare professionals on managing risks associated with digital innovations.
  • To sensitize professionals to emerging risks, inform about cause-effect relationships, and empower risk-benefit assessments.
  • To provide guidance for evaluating existing and upcoming digital health technologies.

Main Methods:

  • Expert brainstorming and nominal group technique to identify key risks.
  • Modified scenario analysis to assess identified patient safety risks.
  • Internal consultation and development of a risk assessment checklist based on ONR 49002-2:2014 standards.

Main Results:

  • Six core risks were identified: inadequate IT security (external/internal access), system/data unavailability, data sharing with external providers, unsafe medical device integration, and insufficient digital literacy.
  • A checklist and key questions were developed for decision-makers to perform self-assessments.
  • A multiprofessional, intersectoral recommendation addressing clinical risks of healthcare digitization was created.

Conclusions:

  • The developed recommendation successfully addresses critical patient safety risks in healthcare digitization.
  • The high demand for the recommendation indicates its relevance and successful dissemination among healthcare professionals.
  • An English version is forthcoming to broaden the reach of these patient safety guidelines.