Health IT and Patient Safety Building Safer Systems for Better Care (2012) / Chapter Skim
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5 Patients' and Families' Use of Health IT: Concerns About Safety
5 Patients' and Families' Use of Health IT: Concerns About Safety
Pages 115-124
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From page 115... ...
PATIENT-CENTERED CARE AND THE ROLE OF HEALTH IT Patient-centered care, and patient and family engagement in health care, has been a growing priority in national health policy discussions. The Institute of Medicine (IOM)
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From page 116... ...
Therefore, the impact of the growing use of patient engagement tools on patient safety should be considered. GROWTH OF CONSUMER HEALTH IT There has been rapid growth of consumer health IT in recent years designed for the purpose of enabling patients and their families to become truly engaged consumers of health care (Poon et al., 2007)
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From page 117... ...
For many engaged in realizing these goals, widespread adoption and use of health IT by the public is a necessary, if not sufficient, condition. Within the very large and heterogeneous category of consumerfocused health IT, a few have the potential to increase patient engagement in their own health management (see Box 5-1)
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From page 118... ...
The patient is given a view to key elements of the EHR. In some integrated PHRs, patients can add supplemental data under the broad heading of patient experience, including activities of daily living, reactions to treatments, self-management activities such as exercise, dietary diaries, and data collected from another primary device (e.g., glucometer readings, scales, blood pressure devices)
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From page 119... ...
Adding patients themselves inserts an additional layer of complexity in thinking about how to enhance the safety of patient safety tools in actual use. For example, although PHRs and other patient engagement tools are designed to have a positive impact on patients' management of their own health, computer-mediated interactions between people are known to be more prone to misinterpretation and misunderstanding than interactions conducted face-to-face (Epley and Kruger, 2005; Kruger et al., 2005)
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From page 120... ...
Managing expectations of both patients and health professionals as to the currency of information and the turnaround time for various applications can have implications for patient safety. PHRs and other patient engagement tools will benefit from employing user-centered design that enhances the ability of patients and their families to take part in their care management and coordination.
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From page 121... ...
Eventually, analysis of health care equity across populations may guide approaches to eliminate health disparities. PHRs can boost patient safety not only at the individual level but also for aggregate populations.
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From page 122... ...
2008. Personal health records to improve health information exchange and patient safety technology and medication safety.
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From page 123... ...
2010. Consumer support for health information exchange and personal health records: A regional health information organization survey.
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