Scot M. Silverstein MD
Drexel University
Philadelphia, PA
sms88 AT Drexel.edu
April 2011 - Health IT difficulties reading list, with hyperlinks to source:
[1] Electronic Health Records and Clinical Decision Support Systems: Impact on National
Ambulatory Care Quality. Max J. Romano, BA; Randall S. Stafford, MD, PhD, Arch
Intern Med. Published online Jan. 24, 2011. doi:10.1001/archinternmed.2010.527
[2] Electronic Health Record Use and the Quality of Ambulatory Care in the United
States. Linder, Ma, Bates et al. Arch Intern Med. 2007;167:1400-1405
[3] The Impact of eHealth on the Quality and Safety of Health Care: A Systematic
Overview. Black AD, Car J, Pagliari C, Anandan C, Cresswell K, et al. PLoS Medicine
8(1): e1000387 (Jan. 18, 2011). doi:10.1371/journal.pmed.1000387.
[4] Electronic Health Records’ Limited Successes Suggest More Targeted Uses.
DesRoches, Jha et al., Health Affairs, April 2010 vol. 29 no. 4 639-646,
doi:10.1377/hlthaff.2009.1086
[5] Health information technology: fallacies and sober realities. Karsh et al. (Oct. 2010).
JAMIA 2010 17: 617-623.
[6] Challenges in ethics, safety, best practices, and oversight regarding HIT vendors, their
customers, and patients: a report of an AMIA special task force. Goodman et al.
JAMIA doi:10.1136/jamia.2010.008946. Nov. 2010.
[7] The Top Ten Health Technology Threats to Patient Safety for 2011. ECRI Institute,
Plymouth Meeting, PA, Dec. 7, 2010.
[8] Current Approaches to U.S. Healthcare Information Technology are Insufficient.
Computational Technology for Effective Health Care: Immediate Steps and Strategic
Directions. National Research Council of the U.S. National Academies, Jan. 2009.
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[9] Evaluating the Impact of the Electronic Health Record on Patient Flow in a Pediatric
Emergency Department. Mathison, Chamberlain, Children's National Medical Center
– Division of Emergency Medicine, Washington, DC. Applied Clinical Informatics, Vol.
2, Issue 1, 2011, 10.4338/ACI-2010-08-RA-0046
[10] A Critical Essay on the Deployment of an ED Clinical Information System ‐
Systemic Failure or Bad Luck?, Professor Jon Patrick, Health Information Technology
Research Laboratory, School of Information Technologies, University of Sydney,
Australia, Jan. 2010.
[11] E-Health Hazards: Provider Liability and Electronic Health Record Systems. Sharona
Hoffman and Andy Podgurski. Berkeley Technology Law Journal (2010). Followup
paper on EHR medical and legal risks. This article is a first of its kind, a
comprehensive analysis of the liability risks associated with use of clinical IT. The
authors point out that the potential benefits of computerization could be substantial,
but EHR systems also give rise to new liability risks for health care providers that
have received little attention in the legal literature.
[12] Meaningful Use and Certification of Health Information Technology: What About
Safety? Sharona Hoffman and Andy Podgurski. Case Research Paper Series in
Legal Studies Working Paper 2010-34, October 2010.
[13] Finding a Cure: The Case for Regulation And Oversight of Electronic Health Records
Systems, Sharona Hoffman and Andy Podgurski. Harvard Journal of Law &
Technology 2008 vol. 22, No. 1
[14] Emerging Trends in Electronic Health Record Liability. Chad P. Brouillard. For the
Defense, July 2010 (Defense Research Institute).
[15] Electronic Health Records: Recognizing and Managing the Risks. ClaimsRx: Clinical
and Risk Management Perspectives. NORCAL Mutual Insurance Company, Oct.
2009.
[16] Litigation in the Decade of Electronic Health Records. Joel B. Korin and Madelyn S.
Quattrone. New Jersey Law Journal, June 11, 2007.
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[17] Role of Computerized Physician Order Entry Systems in Facilitating Medication
Errors. Ross Koppel, PhD, et al, Journal of the American Medical Association,
2005;293:1197-1203
[18] Workarounds to Barcode Medication Administration Systems: Their Occurrences,
Causes and Threats to Patient Safety, Koppel, Wetterneck, Telles & Karsh, JAMIA
2008;15:408-423
[19] Hiding in Plain SIght: What Koppel et al. tell us about healthcare IT. Christopher
Nemeth, Richard Cook. Journal of Biomedical Informatics. 38 (4): 262-3.
[20] Health Care Information Technology Vendors' "Hold Harmless" Clause - Implications
for Patients and Clinicians, Ross Koppel and David Kreda, Journal of the American
Medical Association, 2009; 301(12):1276-1278
[21] Hospital Computing and the Costs and Quality of Care: A National Study.
Himmelstein. Wright, Woolhandler. The American Journal of Medicine, Volume 123,
Issue 1 , Pages 40-46, January 2010.
[22] Unintended errors with EHR-based result management: a case series. Yackel and
Embi; JAMIA 2010 17: 104-107; doi: 10.1197/jamia.M3294, Oct. 2009.
[23] Information Technology: Not a Cure for the High Cost of Health Care:
Knowledge@Wharton, Wharton School of Business, University of Pennsylvania,
June 10, 2009. (PDF version available at this link).
[24] Contemporary Issues in Medical Informatics: Common Examples of Healthcare
Information Technology Difficulties. Teaching website, Scot Silverstein, MD, Drexel
University, College of Information Science and Technology, Philadelphia, PA. Site
initiated in 1999.
[25] Healthcare Renewal blog. I write on healthcare IT issues at this multi-author website
sponsored by the Foundation for Integrity and Responsibility in Medicine (FIRM), a
501(c)(3) advocacy group. FIRM researches problems with leadership and
governance in healthcare that threaten healthcare's core values.
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[26] Health IT Project Success and Failure: Recommendations from Literature and an
AMIA Workshop. Journal of the American Medical Informatics Association. Bonnie
Kaplan and Kimberly D. Harris-Salamone.
[27] Joint Commission: Sentinel Events Alert on HIT, Dec. 2008.
[28] Internal FDA memorandum on HIT risks to Jeffrey Shuren MD JD (Director, Center
for Devices and Radiological Health). "Not Intended for Public Use." Feb. 23, 2010.
(Description/summary of memorandum is at this link).
[29] FDA's Manufacturer and User Facility Device Experience database (MAUDE) and
HIT risks. Healthcare Renewal Blog, Scot M. Silverstein MD, Drexel University,
Philadelphia, PA, Jan. 2011
[30] Health IT's Mission Hostile User Experience (eight-part essay), Healthcare Renewal
Blog, Scot M. Silverstein MD, Drexel University, Philadelphia, PA, Feb. - Mar. 2009.
[31] The National Programme for IT in the NHS: Progress since 2006. Summary points,
conclusions & recommendations. UK Parliament House of Commons, Public
Accounts Committee, January 2009. (Full report at this link.)
[32] The future of the NPfIT. Program slated for major downsizing and decentralization
after poor progress and expenditures exceeding £13 billion. UK Dept. of Health,
Sept. 2010.
[33] "Don't Repeat the UK's Electronic Health Records Failure". Stephen B. Soumerai,
Professor of Population Medicine at Harvard Medical School, Anthony Avery,
Professor of Primary Care at the University of Nottingham Medical School, UK.
Huffington Post, Dec. 5, 2010.
[34] Health informatics — Guidance on the management of clinical risk relating to the
deployment and use of health software. UK National Health Service, DSCN18 (2009),
formerly ISO/TR 29322:2008(E).
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[35] Health Informatics — Application of clinical risk management to the manufacture of
health software. UK National Health Service, DSCN14 (2009), formerly ISO/TS
29321:2008(E).
[36] The Impact of eHealth on the Quality & Safety of Healthcare, A Report for the NHS
Connecting for Health Evaluation Programme. (Note: 7 MB in length). Car et al.,
Imperial College, London, March 2008.
[37] Medical Project Agency's Working Group on Medical Information Systems: Project
summary. Proposal for guidelines regarding classification of software based
information systems used in health care. Läkemedelsverket - Swedish Medical
Products Agency (MPA), June 2009, revised Jan. 2010.
[38] Tensions and Paradoxes in Electronic Patient Record Research: A Systematic
Literature Review Using the Meta-narrative Method. Greenhalgh, Potts, Wong, Bark
and Swinglehurst, University College London. Milbank Quarterly, Dec. 2009.
[39] Failure to Provide Clinicians Useful IT Systems: Opportunities to Leapfrog Current
Technologies, Ball et al., Methods Inf Med 2008; 47: 4–7.
[40] IT Vulnerabilities Highlighted by Errors, Malfunctions at Veterans’ Medical Centers,
JAMA Mar. 4, 2009, p. 919-920.
[41] Software hiccups cause drug, treatment errors at VA”, Associated Press, January 14,
2009
[42] Electronic Records System Unreliable, Difficult to Use, Service Officials Tell
Congress, Sandra Basu, U.S. Medicine - the Voice of Federal Medicine, May 2009
[43] Unexpected Increased Mortality After Implementation of a Commercially Sold
Computerized Physician Order Entry System, Han et al., PEDIATRICS Vol. 116 No.
6 December 2005, pp. 1506-1512 (doi:10.1542/peds.2005-1287).
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[44] The Computer Will See You Now, New York Times, Armstrong-Coben, March 5,
2009.
[45] Physician testimony to HHS Standards Committee Implementation Workgroup of the
ONC, Jan. 11, 2011. Reproduced with permission at Healthcare Renewal blog.
[46] Bad Health Informatics Can Kill. Working Group for Assessment of Health
Information Systems of the European Federation for Medical Informatics (EFMI).
[47] "Dutch nationwide EHR postponed: Are they in good company?", ICMCC.org, Jan.
24, 2009
[48] "The failure rates of EMR implementations are also consistently high at close to
50%", from Proceedings of the 11th International Symposium on Health Information
Management Research – iSHIMR 2006
[49] Adverse Effects of Information Technology in Healthcare. This knowledge center
presents a collection of information on the adverse effects of information technology
in its application to healthcare. It also references sources of information on
information security, and related media reports.
[50] The Machinery Behind Health-Care Reform: How an Industry Lobby Scored a Swift,
Unexpected Victory by Channeling Billions to Electronic Records - Robert O'Harrow
Jr., Washington Post, May 16, 2009
[51] American Association of Physicians and Surgeons Survey on Health IT, June 2008
[52] Pessimism, Computer Failure, and Information Systems Development in the Public
Sector. Shaun Goldfinch, University of Otago, New Zealand, Public Administration
Review 67;5:917-929, Sept/Oct. 2007
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