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Improving evaluation to address the unintended consequences of health information technology: a position paper from the Working Group on Technology Assessment & Quality Development

Research output: Contribution to journalArticle

  • Farah Magrabi
  • Elske Ammenwerth
  • Hannele Hyppönen
  • Nicolette de Keizer
  • Pirkko Nykanen
  • Michael Rigby
  • Dr Philip Scott
  • Jan Talmon
  • Andrew Georgiou
Background and objectives - With growing use of IT by healthcare professionals and patients, the opportunity for any unintended effects of technology to disrupt care health processes and outcomes is intensified. The objectives of this position paper by the IMIA Working Group (WG) on Technology Assessment and Quality Development are to highlight how our ongoing initiatives to enhance evaluation are also addressing the unintended consequences of health IT.

Methods - Review of WG initiatives.

Results - We argue that an evidence-based approach underpinned by rigorous evaluation is fundamental to the safe and effective use of IT, and for detecting and addressing its unintended consequences in a timely manner. We provide an overview of our ongoing initiatives to strengthen study design, execution and reporting by using evaluation frameworks and guidelines which can enable better characterization and monitoring of unintended consequences, including the Good Evaluation Practice Guideline in Health Informatics (GEP-HI) and the Statement on Reporting of Evaluation Studies in Health Informatics (STARE-HI). Indicators to benchmark the adoption and impact of IT can similarly be used to monitor unintended effects on healthcare structures, processes and outcome. We have also developed EvalDB, a web-based database of evaluation studies to promulgate evidence about unintended effects and are developing the content for courses to improve training in health IT evaluation.

Conclusion - Evaluation is an essential ingredient for the effective use of IT to improve healthcare quality and patient safety. WG resources and skills development initiatives can facilitate a proactive and evidence-based approach to detecting and addressing the unintended effects of health IT.
Original languageEnglish
Pages (from-to)11-19
Number of pages9
JournalIMIA Yearbook of Medical Informatics
Volume11
Issue number1
DOIs
StatePublished - 10 Nov 2016

Documents

  • Improving evaluation to address the unintended consequences of health information technology

    Rights statement: This article is not an exact copy of the original published article in IMIA Yearbook of Medical Informatics. The definitive publisher-authenticated version of F. Magrabi, E. Ammenwerth, H. Hyppönen, N. de Keizer, P. Nykänen, M. Rigby, P. Scott, J. Talmon, A. Georgiou (2016), 'Improving evaluation to address the unintended consequences of health information technology: a position paper from the Working Group on Technology Assessment & Quality Development, IMIA Yearbook of Medical Informatics, is available online at: http://imia.schattauer.de/contents/archive/issue/2422/manuscript/26809.html

    Accepted author manuscript (Post-print), 302 KB, PDF-document

    Due to publisher’s copyright restrictions, this document is not freely available to download from this website until: 10/11/17

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