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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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“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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Sorted by citations
Communication in healthcare: a narrative review of the literature and practical recommendations
Vermeir, P., Vandijck, D. M., Degroote, S., Peleman, R. A., Verhaeghe, R., Mortier, E. P., Hallaert, G., daele, S. V., Buylaert, W. A., & Vogelaers, D. (2015) · International Journal of Clinical Practice · doi:10.1111/ijcp.12686 · Cited by 534
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Castaneda, C., Nalley, K., Mannion, C., Bhattacharyya, P., Blake, P., Pecora, A., Goy, A., & Suh, K. S. (2015) · Journal of Clinical Bioinformatics · doi:10.1186/s13336-015-0019-3 · Cited by 408
“As a result, patient safety stands to improve in a number of different ways [78].”
BackgroundSystematic Review of Health Information Exchange in Primary Care Practices
Fontaine, P., Ross, S. E., Zink, T., & Schilling, L. M. (2010) · The Journal of the American Board of Family Medicine · doi:10.3122/jabfm.2010.05.090192 · Cited by 214
Patient Interest in Sharing Personal Health Record Information
Zulman, D. M., Nazi, K. M., Turvey, C., Wagner, T. H., Woods, S. S., & An, L. C. (2011) · Annals of Internal Medicine · doi:10.7326/0003-4819-155-12-201112200-00002 · Cited by 139
“For example, the PHRs that health plans provide must comply with the Health Insurance Portability and Accountability Act of 1996 Privacy Rule (28), and the U.”
BackgroundWen, K., Kreps, G. L., Zhu, F., & Miller, S. M. (2010) · Journal of Medical Internet Research · doi:10.2196/jmir.1668 · Cited by 136
“Health information exchange (HIE) benefits include providing real-time decision support to clinicians and patients, making critical clinical information available, and reducing unnecessary testing [18,19].”
Background
Metadata
- 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 › Medicine › Public Health, Environmental and Occupational Health › 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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