A new methodological framework for hazard detection models in health information technology systems
Abstract
The adoption of health information technology (HIT) has facilitated efforts to increase the quality and efficiency of health care services and decrease health care overhead while simultaneously generating massive amounts of digital information stored in electronic health records (EHRs). However, due to patient safety issues resulting from the use of HIT systems, there is an emerging need to develop and implement hazard detection tools to identify and mitigate risks to patients. This paper presents a new methodological framework to develop hazard detection models and to demonstrate its capability by using the US Department of Veterans Affairs’ (VA) Corporate Data Warehouse, the data repository for the VA’s EHR. The overall purpose of the framework is to provide structure for research and communication about research results. One objective is to decrease the communication barriers between interdisciplinary research stakeholders and to provide structure for detecting hazards and risks to patient safety introduced by HIT systems through errors in the collection, transmission, use, and processing of data in the EHR, as well as potential programming or configuration errors in these HIT systems. A nine-stage framework was created, which comprises programs about feature extraction, detector development, and detector optimization, as well as a support environmentmore »
- Authors:
- Publication Date:
- Research Org.:
- Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States)
- Sponsoring Org.:
- USDOE
- OSTI Identifier:
- 1827221
- Alternate Identifier(s):
- OSTI ID: 1831613
- Grant/Contract Number:
- AC05-00OR22725
- Resource Type:
- Published Article
- Journal Name:
- Journal of Biomedical Informatics
- Additional Journal Information:
- Journal Name: Journal of Biomedical Informatics Journal Volume: 124 Journal Issue: C; Journal ID: ISSN 1532-0464
- Publisher:
- Elsevier
- Country of Publication:
- United States
- Language:
- English
- Subject:
- 96 KNOWLEDGE MANAGEMENT AND PRESERVATION; Hazard detection; Health information technology; Electronic health records; Veterans Affairs; Patient safety
Citation Formats
Omitaomu, Olufemi A., Klasky, Hilda B., Olama, Mohammed, Ozmen, Ozgur, Pullum, Laura, Malviya Thakur, Addi, Kuruganti, Teja, Scott, Jeanie M., Laurio, Angela, Drews, Frank, Sauer, Brian C., Ward, Merry, and Nebeker, Jonathan R. A new methodological framework for hazard detection models in health information technology systems. United States: N. p., 2021.
Web. doi:10.1016/j.jbi.2021.103937.
Omitaomu, Olufemi A., Klasky, Hilda B., Olama, Mohammed, Ozmen, Ozgur, Pullum, Laura, Malviya Thakur, Addi, Kuruganti, Teja, Scott, Jeanie M., Laurio, Angela, Drews, Frank, Sauer, Brian C., Ward, Merry, & Nebeker, Jonathan R. A new methodological framework for hazard detection models in health information technology systems. United States. https://doi.org/10.1016/j.jbi.2021.103937
Omitaomu, Olufemi A., Klasky, Hilda B., Olama, Mohammed, Ozmen, Ozgur, Pullum, Laura, Malviya Thakur, Addi, Kuruganti, Teja, Scott, Jeanie M., Laurio, Angela, Drews, Frank, Sauer, Brian C., Ward, Merry, and Nebeker, Jonathan R. Wed .
"A new methodological framework for hazard detection models in health information technology systems". United States. https://doi.org/10.1016/j.jbi.2021.103937.
@article{osti_1827221,
title = {A new methodological framework for hazard detection models in health information technology systems},
author = {Omitaomu, Olufemi A. and Klasky, Hilda B. and Olama, Mohammed and Ozmen, Ozgur and Pullum, Laura and Malviya Thakur, Addi and Kuruganti, Teja and Scott, Jeanie M. and Laurio, Angela and Drews, Frank and Sauer, Brian C. and Ward, Merry and Nebeker, Jonathan R.},
abstractNote = {The adoption of health information technology (HIT) has facilitated efforts to increase the quality and efficiency of health care services and decrease health care overhead while simultaneously generating massive amounts of digital information stored in electronic health records (EHRs). However, due to patient safety issues resulting from the use of HIT systems, there is an emerging need to develop and implement hazard detection tools to identify and mitigate risks to patients. This paper presents a new methodological framework to develop hazard detection models and to demonstrate its capability by using the US Department of Veterans Affairs’ (VA) Corporate Data Warehouse, the data repository for the VA’s EHR. The overall purpose of the framework is to provide structure for research and communication about research results. One objective is to decrease the communication barriers between interdisciplinary research stakeholders and to provide structure for detecting hazards and risks to patient safety introduced by HIT systems through errors in the collection, transmission, use, and processing of data in the EHR, as well as potential programming or configuration errors in these HIT systems. A nine-stage framework was created, which comprises programs about feature extraction, detector development, and detector optimization, as well as a support environment for evaluating detector models. The framework forms the foundation for developing hazard detection tools and the foundation for adapting methods to particular HIT systems.},
doi = {10.1016/j.jbi.2021.103937},
journal = {Journal of Biomedical Informatics},
number = C,
volume = 124,
place = {United States},
year = {Wed Dec 01 00:00:00 EST 2021},
month = {Wed Dec 01 00:00:00 EST 2021}
}
https://doi.org/10.1016/j.jbi.2021.103937
Works referenced in this record:
Developing and Applying a Formative Evaluation Framework for Health Information Technology Implementations: Qualitative Investigation
journal, January 2020
- Cresswell, Kathrin; Williams, Robin; Sheikh, Aziz
- Journal of Medical Internet Research, Vol. 22, Issue 6
Demystifying artificial intelligence in pharmacy
journal, July 2020
- Nelson, Scott D.; Walsh, Colin G.; Olsen, Casey A.
- American Journal of Health-System Pharmacy, Vol. 77, Issue 19
Anomaly Detection for Discrete Sequences: A Survey
journal, May 2012
- Chandola, V.; Banerjee, A.; Kumar, V.
- IEEE Transactions on Knowledge and Data Engineering, Vol. 24, Issue 5
Organizational framework for health information technology
journal, April 2013
- Rippen, Helga E.; Pan, Eric C.; Russell, Cynthia
- International Journal of Medical Informatics, Vol. 82, Issue 4
Value of Collaboration among Multi-Domain Experts in Analysis of High-Throughput Genomics Data
journal, July 2019
- Meerzaman, Daoud; Dunn, Barbara K.
- Cancer Research, Vol. 79, Issue 20
Supporting domain experts to construct conceptual ontologies: A holistic approach
journal, July 2011
- Denaux, Ronald; Dolbear, Catherine; Hart, Glen
- Journal of Web Semantics, Vol. 9, Issue 2
From Human-Human Collaboration to Human-AI Collaboration: Designing AI Systems That Can Work Together with People
conference, April 2020
- Wang, Dakuo; Churchill, Elizabeth; Maes, Pattie
- CHI '20: CHI Conference on Human Factors in Computing Systems, Extended Abstracts of the 2020 CHI Conference on Human Factors in Computing Systems
Health Information Technology Continues to Show Positive Effect on Medical Outcomes: Systematic Review
journal, January 2018
- Kruse, Clemens Scott; Beane, Amanda
- Journal of Medical Internet Research, Vol. 20, Issue 2
Factors influencing the adoption of health information technologies: a systematic review
journal, August 2016
- Garavand, Ali; Mohseni, Mohammah; Asadi, Heshmatollah
- Electronic physician, Vol. 8, Issue 8
The impact of electronic health records on healthcare quality: a systematic review and meta-analysis
journal, June 2015
- Campanella, Paolo; Lovato, Emanuela; Marone, Claudio
- The European Journal of Public Health, Vol. 26, Issue 1
Working Alone Together: Coordination in Collaboration across Domains of Expertise
journal, February 2013
- Bruns, Hille C.
- Academy of Management Journal, Vol. 56, Issue 1
Real-Time Automated Hazard Detection Framework for Health Information Technology Systems
journal, May 2019
- Omitaomu, Olufemi A.; Ozmen, Ozgur; Olama, Mohammed M.
- Health Systems, Vol. 8, Issue 3
Identifying Challenges and Opportunities in Human-AI Collaboration in Healthcare
conference, November 2019
- Park, Sun Young; Kuo, Pei-Yi; Barbarin, Andrea
- CSCW '19: Computer Supported Cooperative Work and Social Computing, Conference Companion Publication of the 2019 on Computer Supported Cooperative Work and Social Computing
Measuring and improving patient safety through health information technology: The Health IT Safety Framework
journal, September 2015
- Singh, Hardeep; Sittig, Dean F.
- BMJ Quality & Safety, Vol. 25, Issue 4
AI in the treatment of fertility: key considerations
journal, September 2020
- Swain, Jason; VerMilyea, Matthew Tex; Meseguer, Marcos
- Journal of Assisted Reproduction and Genetics, Vol. 37, Issue 11
Behind the scenes: A medical natural language processing project
journal, April 2018
- Wu, Joy T.; Dernoncourt, Franck; Gehrmann, Sebastian
- International Journal of Medical Informatics, Vol. 112
Model Cards for Model Reporting
conference, January 2019
- Mitchell, Margaret; Wu, Simone; Zaldivar, Andrew
- FAT* '19: Conference on Fairness, Accountability, and Transparency, Proceedings of the Conference on Fairness, Accountability, and Transparency
A review of PHR, EMR and EHR integration: A more personalized healthcare and public health policy
journal, March 2017
- Heart, Tsipi; Ben-Assuli, Ofir; Shabtai, Itamar
- Health Policy and Technology, Vol. 6, Issue 1
Evaluating health information technologies: A systematic review of framework recommendations
journal, October 2020
- Neame, Matthew T.; Sefton, Gerri; Roberts, Matthew
- International Journal of Medical Informatics, Vol. 142
Electronic Health Record Usability Issues and Potential Contribution to Patient Harm
journal, March 2018
- Howe, Jessica L.; Adams, Katharine T.; Hettinger, A. Zachary
- JAMA, Vol. 319, Issue 12
The health information technology safety framework: building great structures on vast voids
journal, November 2015
- Koppel, Ross
- BMJ Quality & Safety, Vol. 25, Issue 4