TY - JOUR
T1 - Registered Nurses' and Medical Doctors' Experiences of Patient Safety in Health Information Exchange during Interorganizational Care Transitions
T2 - A Qualitative Review
AU - Hyvämäki, Piia
AU - Kääriäinen, Maria
AU - Tuomikoski, Anna Maria
AU - Pikkarainen, Minna
AU - Jansson, Miia
N1 - Funding Information:
The corresponding author has received funding from the Foundation of Nursing Education. The funder, however, has not influenced the design, conduct, analysis or reporting of the study.
PY - 2022/4/1
Y1 - 2022/4/1
N2 - Objective This systematic review aimed to identify, critically appraise, and synthesize the best available literature on registered nurses' and medical doctors' experiences of patient safety in health information exchange (HIE) during interorganizational care transitions. Methods The review was conducted according to the JBI methodology for systematic reviews of qualitative evidence. A total of 5 multidisciplinary databases were searched from January 2010 to September 2020 to identify qualitative or mixed methods studies. The qualitative findings were pooled using JBI SUMARI with the meta-aggregation approach. Results The final review included 6 original studies. The 53 distinct findings were aggregated into 9 categories, which were further merged into 3 synthesized findings: (1) HIE efficiency and accuracy support patient safety during interorganizational care transitions; (2) inaccuracies in content and structure, along with poor HIE usability, jeopardize patient safety during interorganizational care transitions; and (3) health care professionals' (HCP) actions in HIE are associated with patient safety during interorganizational care transitions. Conclusions The results of this review identified several advantages of HIE, namely, improvements in patient safety based on reduced human error. Nevertheless, a lack of usability and functionality can amplify the effects of human error and increase the risk of adverse events. In addition, HCPs' individual actions in HIE were found to influence patient safety. Hence, the cognitive and sociotechnical perspectives of work related to HIE should be studied. In addition, HCPs' experiences of each stage of HIE deployment should be clarified to ensure a high standard of patient safety. Registration: PROSPERO CRD42020220631, registered on November 13, 2020.
AB - Objective This systematic review aimed to identify, critically appraise, and synthesize the best available literature on registered nurses' and medical doctors' experiences of patient safety in health information exchange (HIE) during interorganizational care transitions. Methods The review was conducted according to the JBI methodology for systematic reviews of qualitative evidence. A total of 5 multidisciplinary databases were searched from January 2010 to September 2020 to identify qualitative or mixed methods studies. The qualitative findings were pooled using JBI SUMARI with the meta-aggregation approach. Results The final review included 6 original studies. The 53 distinct findings were aggregated into 9 categories, which were further merged into 3 synthesized findings: (1) HIE efficiency and accuracy support patient safety during interorganizational care transitions; (2) inaccuracies in content and structure, along with poor HIE usability, jeopardize patient safety during interorganizational care transitions; and (3) health care professionals' (HCP) actions in HIE are associated with patient safety during interorganizational care transitions. Conclusions The results of this review identified several advantages of HIE, namely, improvements in patient safety based on reduced human error. Nevertheless, a lack of usability and functionality can amplify the effects of human error and increase the risk of adverse events. In addition, HCPs' individual actions in HIE were found to influence patient safety. Hence, the cognitive and sociotechnical perspectives of work related to HIE should be studied. In addition, HCPs' experiences of each stage of HIE deployment should be clarified to ensure a high standard of patient safety. Registration: PROSPERO CRD42020220631, registered on November 13, 2020.
KW - health care professional
KW - health information exchange
KW - human factor
KW - patient safety
KW - qualitative
KW - Health Information Exchange
KW - Humans
KW - Nurses
KW - Patient Safety
KW - Systematic Reviews as Topic
KW - Qualitative Research
KW - Patient Transfer
UR - http://www.scopus.com/inward/record.url?scp=85122158663&partnerID=8YFLogxK
U2 - 10.1097/PTS.0000000000000892
DO - 10.1097/PTS.0000000000000892
M3 - Review Article
C2 - 34419989
AN - SCOPUS:85122158663
SN - 1549-8417
VL - 18
SP - 210
EP - 224
JO - Journal of Patient Safety
JF - Journal of Patient Safety
IS - 3
ER -