TY - GEN
T1 - Using an accident model to design safe electronic medication management systems
AU - Magrabi, Farah
AU - McDonnell, Geoff
AU - Westbrook, Johanna I.
AU - Coiera, Enrico
PY - 2007
Y1 - 2007
N2 - Large-scale implementation of electronic prescribing systems (e-PS) is likely to introduce at least some machinerelated errors that will harm patients. We present a dynamic systems modeling approach to developing a comprehensive multilevel accident model of the process, context and task interaction variables which give rise to human error and system failure when e-PS are used in routine care. System dynamics methods are used to represent interactions between medication management processes and the context that is relevant to error generation, interception and transmission, agent-based methods represent task interactions. Capturing the patterns of failure within an accident model will facilitate an evidence-based approach to hazard analysis and design of e-PS features to improve patient safety. The model will have broad potential to guide the design, implementation and regulation of e-PS.
AB - Large-scale implementation of electronic prescribing systems (e-PS) is likely to introduce at least some machinerelated errors that will harm patients. We present a dynamic systems modeling approach to developing a comprehensive multilevel accident model of the process, context and task interaction variables which give rise to human error and system failure when e-PS are used in routine care. System dynamics methods are used to represent interactions between medication management processes and the context that is relevant to error generation, interception and transmission, agent-based methods represent task interactions. Capturing the patterns of failure within an accident model will facilitate an evidence-based approach to hazard analysis and design of e-PS features to improve patient safety. The model will have broad potential to guide the design, implementation and regulation of e-PS.
UR - http://www.scopus.com/inward/record.url?scp=77954908810&partnerID=8YFLogxK
M3 - Conference proceeding contribution
C2 - 17911855
AN - SCOPUS:35748946370
SN - 9781586037741
VL - 129
T3 - Studies in Health Technology and Informatics
SP - 948
EP - 952
BT - MEDINFO 2007 - Proceedings of the 12th World Congress on Health (Medical) Informatics: Building Sustainable Health Systems
A2 - Kuhn, Klaus A.
A2 - Warren, James R.
A2 - Leong, Tze-Yun
PB - IOS Press
CY - Amsterdam; Oxford
T2 - 12th World Congress on Medical Informatics, MEDINFO 2007
Y2 - 20 August 2007 through 24 August 2007
ER -