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Article
Creating Safety in Primary Care Practice with Electronic Medical Records Requires the Consideration of System Dynamics
Journal of Healthcare Engineering
  • Timothy R. McEwen, Wright State University - Main Campus
  • Nancy C. Elder
  • John M. Flach, Wright State University - Main Campus
Document Type
Article
Publication Date
3-1-2011
Catalog Record
Catalog Record
Abstract
Improvement in quality and safety in health care often depends on eliminating errors. Using examples from our research on the medical testing processes in primary care medical practices, we argue that designing safer systems requires moving beyond frameworks that focus exclusively on error elimination to consider the broader system dynamics including information loops that can be critical to the overall stability of the system. We focus on describing the nature of information coupling in relation to the constructs of essential friction, autonomation, and ecological interface design and how these can lead to more resilient systems. With the recent push in the United States to move towards electronic medical records (EMR), we conclude with suggestions for improving EMR systems based on these concepts.
DOI
10.1260/2040-2295.2.1.87
Citation Information
Timothy R. McEwen, Nancy C. Elder and John M. Flach. "Creating Safety in Primary Care Practice with Electronic Medical Records Requires the Consideration of System Dynamics" Journal of Healthcare Engineering Vol. 2 Iss. 1 (2011) p. 87 - 96 ISSN: 20402295
Available at: http://works.bepress.com/john_flach/138/