Using automated methods to detect safety problems with health information technology: a scoping review

Surian, D (通讯作者),Macquarie Univ, Australian Inst Hlth Innovat, Ctr Hlth Informat, Sydney, NSW 2109, Australia.
2023-1-18
Objective To summarize the research literature evaluating automated methods for early detection of safety problems with health information technology (HIT). Materials and Methods We searched bibliographic databases including MEDLINE, ACM Digital, Embase, CINAHL Complete, PsycINFO, and Web of Science from January 2010 to June 2021 for studies evaluating the performance of automated methods to detect HIT problems. HIT problems were reviewed using an existing classification for safety concerns. Automated methods were categorized into rule-based, statistical, and machine learning methods, and their performance in detecting HIT problems was assessed. The review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta Analyses extension for Scoping Reviews statement. Results Of the 45 studies identified, the majority (n = 27, 60%) focused on detecting use errors involving electronic health records and order entry systems. Machine learning (n = 22) and statistical modeling (n = 17) were the most common methods. Unsupervised learning was used to detect use errors in laboratory test results, prescriptions, and patient records while supervised learning was used to detect technical errors arising from hardware or software issues. Statistical modeling was used to detect use errors, unauthorized access, and clinical decision support system malfunctions while rule-based methods primarily focused on use errors. Conclusions A wide variety of rule-based, statistical, and machine learning methods have been applied to automate the detection of safety problems with HIT. Many opportunities remain to systematically study their application and effectiveness in real-world settings.
JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION
卷号:30|期号:2|页码:382-392
ISSN:1067-5027|收录类别:SCIE
语种
英语
来源机构
Macquarie University
被引频次(WOS)
0
被引频次(其他)
0
180天使用计数
3
2013以来使用计数
3
EISSN
1527-974X
出版年
2023-1-18
DOI
10.1093/jamia/ocac220
学科领域
循证公共卫生
关键词
health information technology equipment failure analysis patient safety review
WOS学科分类
Computer Science, Information Systems Computer Science, Interdisciplinary Applications Health Care Sciences & Services Information Science & Library Science Medical Informatics