Health Information Technology Use and
Implications for Patient Safety
Health Information Technology Use and
Implications for Patient Safety
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Implications for Patient Safety
Health information technology (health IT) has made great strides in advancing medication safety. However, health IT has not yet fully solved the problem of communicating medication discontinuation orders between clinics and pharmacies in the outpatient setting. Medications that are discontinued in the clinic yet later dispensed at the pharmacy present significant risks for adverse drug events (an injury related to a medication/drug product).
Within the last decade, a new health IT functionality, termed CancelRx, emerged to electronically send a medication cancellation message from the clinic’s EHR to the pharmacy’s dispensing software and automatically discontinue the prescription record. My research with the SAMS Lab is to assess the impact of CancelRx on medication safety as well as clinic and pharmacy work systems.
I also take novel approaches, such as Quantitative Ethnography, to assess implementation of CancelRx at community pharmacies in an academic health system. The findings highlight the importance of considering end-users and front-line staff when implementing novel Health IT—an individual’s perception of the problem, and how the innovation will solve that problem, may vary based on their role within the organization.
Learn more about how we used Quantitative Ethnography in this study!
Learn more about how we used Quantitative Ethnography in this study!
View our work with CancelRx and Controlled Substances!
View our work with CancelRx and Controlled Substances!
Selected Publications and Presentations
Selected Publications and Presentations
Watterson TL, Stone JA, Brown R, Xiong KZ, Schiefelbein A, Ramly E, Semanik M, Kleinschmidt P, Craddock L, Pitts S, Woodroof T, Chui M. CancelRx: A Health IT Tool to Reduce Medication Discrepancies in the Outpatient Setting. Journal of the American Medical Informatics Association.
Watterson TL, Xiong KZ, Stone JA, Ramly E, Chui MA. CancelRx: Comparing Front-Line and Leadership Perceptions of Health IT Implementation Using Quantitative Ethnography. American Pharmacists Association Annual Meeting. 2020 March; Washington, DC, United States.
Watterson TL, Xiong KZ, Stone JA, Ramly E, Craddock L, Young A, Schiefelbein A, Brown R, Chui M. Implementing CancelRx: Describing adoption barriers using a process map framework. Academy Health Annual Conference on the Science of Dissemination and Implementation. 2018 December; Washington, DC, United States.
Stone JA, Watterson TL, Xiong KZ, Ramly E, Kleinschmidt P, Semanik M, Craddock L, Chui MA. Identifying Vulnerabilities in HealthIT: A Case Study of CancelRx Implementation in Clinic and Pharmacy Sociotechnical Systems. International Symposium on Human Factors and Ergonomics in Health Care. 2020 March; Toronto, ON, Canada.
Xiong KZ, Watterson TL, Stone JA, Chui MA. Unintended Consequences of CancelRx. Academy Health Conference on the Science of Dissemination and Implementation. 2019 December; Washington, DC, United States.
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