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Electronic health records (EHRs) are widespread, but new and existing issues threaten patient safety. This study proposes integrating polarity thinking and virtue ethics to cultivate technomoral wisdom for addressing EHR challenges.

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Area of Science:

  • Health Informatics
  • Medical Ethics
  • Information Technology

Background:

  • The widespread adoption of Electronic Health Records (EHRs) following the HITECH Act has brought benefits like clinical decision support.
  • However, persistent and emerging issues identified by Petrovskaya et al. continue to pose risks to patient safety.
  • These challenges impact the integrity of healthcare professions.

Purpose of the Study:

  • To explore ongoing and new challenges associated with EHR implementation.
  • To propose an integrated framework for addressing EHR-related patient safety and professional integrity issues.
  • To foster technomoral wisdom among healthcare professionals.

Main Methods:

  • Review of existing literature on EHR challenges and Petrovskaya et al.'s tetralemma model.
  • Integration of polarity thinking with the tetralemma framework.
  • Application of a virtue ethics perspective focused on technomoral wisdom.

Main Results:

  • Identified persistent and emerging issues in EHRs that compromise patient safety.
  • Proposed a novel theoretical framework combining polarity thinking, tetralemma, and virtue ethics.
  • Highlighted the importance of cultivating technomoral wisdom for navigating complex EHR dilemmas.

Conclusions:

  • EHR implementation, despite benefits, presents significant patient safety and professional integrity challenges.
  • The proposed framework offers a new approach to understanding and mitigating these complex issues.
  • Cultivating technomoral wisdom is crucial for ethical and safe use of health information technology.