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Yearb Med Inform 2016; 25(01): 5-6
DOI: 10.15265/IY-2016-056
IMIA and Schattauer GmbH
Georg Thieme Verlag KG Stuttgart

Troubled Waters: Navigating Unintended Consequences of Health Information Technology

C. U. Lehmann
1   Departments of Biomedical Informatics and Pediatrics, Vanderbilt University Medical Center, Nashville, TN, USA
,
B. Séroussi
2   Sorbonne Universités, UPMC Université Paris 06, LIMICS, UMR_S 1142, Paris, France; AP-HP, Hôpital Tenon, Département de Santé Publique, Paris, France
3   INSERM, UMR_S 1142, LIMICS, Paris, France
,
M.-C. Jaulent
3   INSERM, UMR_S 1142, LIMICS, Paris, France
› Author Affiliations
Further Information

Publication History

Publication Date:
06 March 2018 (online)

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Summary

Objectives: To provide an introduction to the 2016 IMIA Yearbook of Medical Informatics by the editors.

Methods: We present a brief overview of the 2016 special topic “Unintended consequences of Health IT: new problems, new solutions”, we review our choice of special topic section editors, and discuss the transitions in the editorial team for next year.

Results: This edition of the Yearbook acknowledges the fact that implementation and use of Health Information Technology (HIT) may result in unintended consequences, which may lead to both adverse and sometimes beneficial outcomes. However to date, in the literature, undesired outcomes are emphasized with a focus on the complex causes and the many sources that may generate them. The growing awareness of the importance of HIT’s unintended consequences and their increasing documentation reflect a wider acceptance of HIT by users (more use generating more consequences) and and a new type of users (a shift from early adopters to late adopters and laggards), whith great expectations regarding the improvement of care quality through HIT solutions. Different points of view on new problems and new solutions of unintended consequences of Health IT are presented through the keynote paper, survey papers, and the working group contributions.

Conclusions: The regular 2016 issue of the IMIA yearbook focuses on new unintended consequences of Health IT – brought on by wider adoption and different types of users as well as solutions to addressing them.

Keywords

Editorial - 2016 IMIA Yearbook of Medical Informatics - Unintended consequences of Health IT - IMIA and its societies
 

  • References

  • 1 Ash JS, Berg M, Coiera E. Some unintended consequences of information technology in health care: the nature of patient care information system-related errors. J Am Med Inform Assoc 2004; Mar-Apr 11 (02) 104-12.
    PubMedGoogle Scholar
  • 2 Weiner JP, Kfuri T, Chan K, Fowles JB. “e-iatro-genesis”: the most critical unintended consequence of CPOE and other HIT. J Am Med Inform Assoc 2007; 14 (03) 387-8 discussion 389.
    PubMedGoogle Scholar
  • 3 Coiera E, Aarts J, Kulikowski C. The dangerous decade. J Am Med Inform Assoc 2012; JanFeb 19 (01) 2-5.
    CrossrefPubMedGoogle Scholar
  • 4 Lehmann CU, O’Connor KG, Shorte VA, Johnson TD. Use of electronic health record systems by office-based pediatricians. Pediatrics 2015; Jan 135 (01) e7-15.
    CrossrefPubMedGoogle Scholar
  • 5 Goddard K, Roudsari A, Wyatt JC. Automation bias: empirical results assessing influencing factors. Int J Med Inform 2014; May 83 (05) 368-75. doi: 10.1016/j.ijmedinf.2014.01.001. Epub 2014 Jan 17.
    CrossrefPubMedGoogle Scholar
  • 6 Slight SP, Berner ES, Galanter W, Huff S, Lambert BL, Lannon C, Lehmann CU, McCourt BJ, McNamara M, Menachemi N, Payne TH, Spooner SA, Schiff GD, Wang TY, Akincigil A, Crystal S, Fortmann SP, Bates DW. Meaningful Use of Electronic Health Records: Experiences From the Field and Future Opportunities. JMIR Med Inform 2015; Sep 18 3 (03) e30. doi: 10.2196/medinform.4457. PubMed PMID: 26385598; PubMed Central PMCID: PMC4704893.
    CrossrefPubMedGoogle Scholar
  • 7 Campbell EM, Sittig DF, Ash JS, Guappone KP, Dykstra RH. Types of unintended consequences related to computerized provider order entry. J Am Med Inform Assoc 2006; Sep-Oct 13 (05) 547-56.
    CrossrefPubMedGoogle Scholar