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Health Informatics in Developing Countries: A Review of Unintended Consequences of IT Implementations, as They Affect Patient Safety and Recommendations on How to Address Them

Journal: IMIA Yearbook
ISSN: 0943-4747
Topic:

Unintended Consequences: New Problems and New Solutions

DOI: https://doi.org/10.15265/IY-2016-028
Issue: 2016: IMIA Yearbook 2016
Pages: 70-72

Health Informatics in Developing Countries: A Review of Unintended Consequences of IT Implementations, as They Affect Patient Safety and Recommendations on How to Address Them

Special Section: Unintended Consequences: New Problems and New Solutions

Working Group Contributions

C. Otero (1, 2), A. A. Almerares (2), D. Luna (2), A. Marcelo (3), M. Househ (4), H. Mandirola (2)

(1) IMIA Health Informatics for Development Working Group Chair; (2) Health Information Department. Hospital Italiano de Buenos Aires, Argentina; (3) IMIA Health Informatics for Development Working Group Co-Chair, National Telehealth Center, University of the Philippines Manila, Philippines; (4) College of Public Health and Health Informatics, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia

Keywords

Patient safety, Information technology, developing countries, Health information system, unintended consequences

Summary

Background: Patient safety concerns every healthcare organization. Adoption of Health information technology (HIT) appears to have the potential to address this issue, however unanticipated and undesirable consequences from implementing HIT could lead to new and more complex hazards. This could be particularly problematic in developing countries, where regulations, policies and implementations are few, less standandarized and in some cases almost non-existing. Methods: Based on the available information and our own experience, we conducted a review of unintended consequences of HIT implementations, as they affect patient safety in developing countries. Results: We found that user dependency on the system, alert fatigue, less communications among healthcare actors and workarounds topics should be prioritize. Institution should consider existing knowledge, learn from other experiences and model their implementations to avoid known consequences. We also recommend that they monitor and communicate their own efforts to expand knowledge in the region.

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