Health information exchange and patient safety
Open accessAbstract
One of the most promising advantages for health information exchange (HIE) is improved patient safety. Up to 18% of the patient safety errors generally and as many as 70% of adverse drug events could be eliminated if the right information about the right patient is available at the right time. Health information exchange makes this possible. Here we present an overview of six different ways in which HIE can improve patient safety-improved medication information processing, improved laboratory information processing, improved radiology information processing, improved communication among providers, improved communication between patients and providers, and improved public health information processing. Within the area of improved medication information processing we discuss drug-allergy information processing, drug-dose information processing, drug-drug information processing, drug-diagnosis information processing, and drug-gene information processing. We also briefly discuss HIE and decreased patient safety as well as standards and completeness of information for HIE and patient safety.
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Problems such as inaccurate allergy coding, spurious alerts that frustrate users and prompt inappropriate clinical responses, and workarounds that bypass safety features have been identified.
“inaccurate coding of allergies, 9 spurious alerts incurring user frustration and inappropriate clinical responses, 10 19 and workarounds which bypass intrinsic safety features 15 have been identified.”
From ‘Too much, too late’: mixed methods multi-channel video recording study of computerized decision support systems and GP prescribing (2013) · cites this paper as [9]
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- Authors
- Kaelber, D. C., & Bates, D. W.
- Affiliations
- Brigham and Women's Hospital (US)
- Corresponding author
- Bates, David W.
- Venue
- Journal of Biomedical Informatics
- Publisher
- Elsevier BV
- Published
- 2007-12
- Volume
- 40
- Issue
- 6
- Pages
- S40-S45
- ISSN
- 1532-0464 (ISSN-L)
- OpenAlex
- W2108396907
- Cited by
- 206
- References
- 69
- Citations by year
- 2026: 1 · 2025: 5 · 2024: 9 · 2023: 12 · 2022: 11 · 2021: 12 · 2020: 16 · 2019: 3 · 2018: 8 · 2017: 18 · 2016: 16 · 2015: 16 · 2014: 18 · 2013: 12 · 2012: 9
- FWCI
- 1.14
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Journal of Biomedical Informatics (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › Health Information Management › Electronic Health Records Systems
- Health Sciences › Health Professions › Emergency Medical Services › Patient Safety and Medication Errors
- Health Sciences › Health Professions › Health Information Management › Medical Coding and Health Information
- Keywords
- health information exchange, patient safety, adverse drug reactions, drug-drug interactions, drug-gene interactions, provider communication, patient-provider communication, information completeness
- MeSH terms
- Consumer Product Safety, Information Systems, Medical Informatics, United States, Program Evaluation, Patient Rights, Information Dissemination
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