Abstract
Medical errors are common, costly and often preventable. Work in understanding the proximal causes of medical errors demonstrates that systems failures predispose to adverse clinical events. Most of these systems failures are due to lack of appropriate information at the appropriate time during the course of clinical care. Problems with clinical communication are common proximal causes of medical errors. We have begun a project designed to measure the impact of wireless computing on medical errors. We report here on our efforts to develop an ontology representing the intersection of medical errors, information needs and the communication space. We will use this ontology to support the collection, storage and interpretation of project data. The ontology's formal representation of the concepts in this novel domain will help guide the rational deployment of our informatics interventions. A real-life scenario is evaluated using the ontology in order to demonstrate its utility.
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- Bates D. W., Cullen D. J., Laird N., Petersen L. A., Small S. D., Servi D., Laffel G., Sweitzer B. J., Shea B. F., Hallisey R. Incidence of adverse drug events and potential adverse drug events. Implications for prevention. ADE Prevention Study Group. JAMA. 1995 Jul 5;274(1):29–34. [PubMed] [Google Scholar]
- Bhasale A. L., Miller G. C., Reid S. E., Britt H. C. Analysing potential harm in Australian general practice: an incident-monitoring study. Med J Aust. 1998 Jul 20;169(2):73–76. doi: 10.5694/j.1326-5377.1998.tb140186.x. [DOI] [PubMed] [Google Scholar]
- Brennan T. A., Leape L. L., Laird N. M., Hebert L., Localio A. R., Lawthers A. G., Newhouse J. P., Weiler P. C., Hiatt H. H. Incidence of adverse events and negligence in hospitalized patients. Results of the Harvard Medical Practice Study I. N Engl J Med. 1991 Feb 7;324(6):370–376. doi: 10.1056/NEJM199102073240604. [DOI] [PubMed] [Google Scholar]
- Cimino J. J. Desiderata for controlled medical vocabularies in the twenty-first century. Methods Inf Med. 1998 Nov;37(4-5):394–403. [PMC free article] [PubMed] [Google Scholar]
- Coiera E. Clinical communication: a new informatics paradigm. Proc AMIA Annu Fall Symp. 1996:17–21. [PMC free article] [PubMed] [Google Scholar]
- Coiera E., Tombs V. Communication behaviours in a hospital setting: an observational study. BMJ. 1998 Feb 28;316(7132):673–676. doi: 10.1136/bmj.316.7132.673. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Coiera E. When conversation is better than computation. J Am Med Inform Assoc. 2000 May-Jun;7(3):277–286. doi: 10.1136/jamia.2000.0070277. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Corcoran-Perry S., Graves J. Supplemental-information-seeking behavior of cardiovascular nurses. Res Nurs Health. 1990 Apr;13(2):119–127. doi: 10.1002/nur.4770130208. [DOI] [PubMed] [Google Scholar]
- Covell D. G., Uman G. C., Manning P. R. Information needs in office practice: are they being met? Ann Intern Med. 1985 Oct;103(4):596–599. doi: 10.7326/0003-4819-103-4-596. [DOI] [PubMed] [Google Scholar]
- Leape L. L., Bates D. W., Cullen D. J., Cooper J., Demonaco H. J., Gallivan T., Hallisey R., Ives J., Laird N., Laffel G. Systems analysis of adverse drug events. ADE Prevention Study Group. JAMA. 1995 Jul 5;274(1):35–43. [PubMed] [Google Scholar]
- Leape L. L., Brennan T. A., Laird N., Lawthers A. G., Localio A. R., Barnes B. A., Hebert L., Newhouse J. P., Weiler P. C., Hiatt H. The nature of adverse events in hospitalized patients. Results of the Harvard Medical Practice Study II. N Engl J Med. 1991 Feb 7;324(6):377–384. doi: 10.1056/NEJM199102073240605. [DOI] [PubMed] [Google Scholar]
- Leape L. L. Error in medicine. JAMA. 1994 Dec 21;272(23):1851–1857. [PubMed] [Google Scholar]
- Spath M., Buttlar L. Information and research needs of acute-care clinical nurses. Bull Med Libr Assoc. 1996 Jan;84(1):112–116. [PMC free article] [PubMed] [Google Scholar]
- Thomas E. J., Studdert D. M., Burstin H. R., Orav E. J., Zeena T., Williams E. J., Howard K. M., Weiler P. C., Brennan T. A. Incidence and types of adverse events and negligent care in Utah and Colorado. Med Care. 2000 Mar;38(3):261–271. doi: 10.1097/00005650-200003000-00003. [DOI] [PubMed] [Google Scholar]