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Harnessing the Electronic Health Care Record to Optimize Patient Safety in Primary Care: Framework for Evaluating e-Safety-Netting Tools

Research output: Contribution to Journal/Magazine › Journal article › peer-review

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Harnessing the Electronic Health Care Record to Optimize Patient Safety in Primary Care: Framework for Evaluating e-Safety-Netting Tools. / Black, Georgia Bell; Bhuiya, Afsana; Friedemann Smith, Claire et al.
In: JMIR Medical Informatics, Vol. 10, No. 8, e35726, 01.08.2022.

Research output: Contribution to Journal/Magazine › Journal article › peer-review

Harvard

Black, GB, Bhuiya, A, Friedemann Smith, C, Hirst, Y & Nicholson, BD 2022, 'Harnessing the Electronic Health Care Record to Optimize Patient Safety in Primary Care: Framework for Evaluating e-Safety-Netting Tools', JMIR Medical Informatics, vol. 10, no. 8, e35726. https://doi.org/10.2196/35726

APA

Black, G. B., Bhuiya, A., Friedemann Smith, C., Hirst, Y., & Nicholson, B. D. (2022). Harnessing the Electronic Health Care Record to Optimize Patient Safety in Primary Care: Framework for Evaluating e-Safety-Netting Tools. JMIR Medical Informatics, 10(8), Article e35726. https://doi.org/10.2196/35726

Vancouver

Black GB, Bhuiya A, Friedemann Smith C, Hirst Y, Nicholson BD. Harnessing the Electronic Health Care Record to Optimize Patient Safety in Primary Care: Framework for Evaluating e-Safety-Netting Tools. JMIR Medical Informatics. 2022 Aug 1;10(8):e35726. doi: 10.2196/35726

Author

Black, Georgia Bell ; Bhuiya, Afsana ; Friedemann Smith, Claire et al. / Harnessing the Electronic Health Care Record to Optimize Patient Safety in Primary Care : Framework for Evaluating e-Safety-Netting Tools. In: JMIR Medical Informatics. 2022 ; Vol. 10, No. 8.

Bibtex

@article{09992a3098314382b7c81be5e7264c25,
title = "Harnessing the Electronic Health Care Record to Optimize Patient Safety in Primary Care: Framework for Evaluating e-Safety-Netting Tools",
abstract = "The management of diagnostic uncertainty is part of every primary care physician's role. e-Safety-netting tools help health care professionals to manage diagnostic uncertainty. Using software in addition to verbal or paper based safety-netting methods could make diagnostic delays and errors less likely. There are an increasing number of software products that have been identified as e-safety-netting tools, particularly since the start of the COVID-19 pandemic. e-Safety-netting tools can have a variety of functions, such as sending clinician alerts, facilitating administrative tasking, providing decision support, and sending reminder text messages to patients. However, these tools have not been evaluated by using robust research designs for patient safety interventions. We present an emergent framework of criteria for effective e-safety-netting tools that can be used to support the development of software. The framework is based on validated frameworks for electronic health record development and patient safety. There are currently no tools available that meet all of the criteria in the framework. We hope that the framework will stimulate clinical and public conversations about e-safety-netting tools. In the future, a validated framework would drive audits and improvements. We outline key areas for future research both in primary care and within integrated care systems.",
keywords = "primary care, patient safety, electronic health record, safety, optimize, framework, evaluation, tool, diagnostic, uncertainty, management, netting, softare, criteria",
author = "Black, {Georgia Bell} and Afsana Bhuiya and {Friedemann Smith}, Claire and Yasemin Hirst and Nicholson, {Brian David}",
year = "2022",
month = aug,
day = "1",
doi = "10.2196/35726",
language = "English",
volume = "10",
journal = "JMIR Medical Informatics",
issn = "2291-9694",
publisher = "JMIR Publications Inc.",
number = "8",

}

RIS

TY - JOUR

T1 - Harnessing the Electronic Health Care Record to Optimize Patient Safety in Primary Care

T2 - Framework for Evaluating e-Safety-Netting Tools

AU - Black, Georgia Bell

AU - Bhuiya, Afsana

AU - Friedemann Smith, Claire

AU - Hirst, Yasemin

AU - Nicholson, Brian David

PY - 2022/8/1

Y1 - 2022/8/1

N2 - The management of diagnostic uncertainty is part of every primary care physician's role. e-Safety-netting tools help health care professionals to manage diagnostic uncertainty. Using software in addition to verbal or paper based safety-netting methods could make diagnostic delays and errors less likely. There are an increasing number of software products that have been identified as e-safety-netting tools, particularly since the start of the COVID-19 pandemic. e-Safety-netting tools can have a variety of functions, such as sending clinician alerts, facilitating administrative tasking, providing decision support, and sending reminder text messages to patients. However, these tools have not been evaluated by using robust research designs for patient safety interventions. We present an emergent framework of criteria for effective e-safety-netting tools that can be used to support the development of software. The framework is based on validated frameworks for electronic health record development and patient safety. There are currently no tools available that meet all of the criteria in the framework. We hope that the framework will stimulate clinical and public conversations about e-safety-netting tools. In the future, a validated framework would drive audits and improvements. We outline key areas for future research both in primary care and within integrated care systems.

AB - The management of diagnostic uncertainty is part of every primary care physician's role. e-Safety-netting tools help health care professionals to manage diagnostic uncertainty. Using software in addition to verbal or paper based safety-netting methods could make diagnostic delays and errors less likely. There are an increasing number of software products that have been identified as e-safety-netting tools, particularly since the start of the COVID-19 pandemic. e-Safety-netting tools can have a variety of functions, such as sending clinician alerts, facilitating administrative tasking, providing decision support, and sending reminder text messages to patients. However, these tools have not been evaluated by using robust research designs for patient safety interventions. We present an emergent framework of criteria for effective e-safety-netting tools that can be used to support the development of software. The framework is based on validated frameworks for electronic health record development and patient safety. There are currently no tools available that meet all of the criteria in the framework. We hope that the framework will stimulate clinical and public conversations about e-safety-netting tools. In the future, a validated framework would drive audits and improvements. We outline key areas for future research both in primary care and within integrated care systems.

KW - primary care

KW - patient safety

KW - electronic health record

KW - safety

KW - optimize

KW - framework

KW - evaluation

KW - tool

KW - diagnostic

KW - uncertainty

KW - management

KW - netting

KW - softare

KW - criteria

U2 - 10.2196/35726

DO - 10.2196/35726

M3 - Journal article

C2 - 35916722

VL - 10

JO - JMIR Medical Informatics

JF - JMIR Medical Informatics

SN - 2291-9694

IS - 8

M1 - e35726

ER -