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Developing a Safety Case for Electronic Prescribing.

Yan Jia1, Tom Lawton2, Sean White3

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Summary
This summary is machine-generated.

Health IT systems, like Electronic Prescribing, can cause medication errors. This study presents a method to analyze risks and update safety cases, informing clinicians to mitigate potential patient harm.

Keywords:
Electronic PrescribingMedication ErrorsPatient Safety

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Area of Science:

  • Health Informatics
  • Patient Safety
  • Medication Error Analysis

Background:

  • Health IT systems offer benefits but introduce new risks, including patient harm.
  • Electronic Prescribing (EP) systems are a significant area of Health IT with potential for medication errors.

Purpose of the Study:

  • To develop and present a systematic approach for modeling and analyzing hazards, causes, and consequences of medication errors.
  • To support the creation of a dynamic safety case for a large-scale Health IT system.
  • To demonstrate the value of dynamically updated safety case elements in informing clinical practice and risk mitigation.

Main Methods:

  • Utilizing a multidisciplinary team to systematically analyze potential hazards and their causes and consequences.
  • Developing a safety case framework for a Health IT system implemented across multiple teaching hospitals.
  • Implementing dynamic updates to safety case elements based on ongoing analysis.

Main Results:

  • A systematic methodology for hazard analysis in Health IT systems was established.
  • The safety case for a large-scale Health IT system was developed and enhanced with dynamic elements.
  • Demonstrated that dynamically updated risk information effectively informs clinicians and prompts practice changes.

Conclusions:

  • A systematic approach to hazard analysis is crucial for managing risks associated with Health IT systems.
  • Dynamic safety cases provide valuable, up-to-date risk information to clinicians.
  • Informing clinicians about evolving risks can lead to improved patient safety and practice adjustments.