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Work, Economy and Organizations
Healthcare; health information technology; computerized physician order entry; decision support system; bar coding; patient safety; complexity theory; complex adaptive systems; medical error; adverse event; sentinel event; innovation; technology; risk management; failure mode effect analysis; root cause analysis; Medical Nemesis; Ivan Illich; Rogers; diffusion of innovation.
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Technological Iatrogenesis: New Risks Force Heightened Management Awareness, Patrick Albert Palmieri
Technological Iatrogenesis: New Risks Force Heightened Management Awareness, Patrick Albert Palmieri
Patrick Albert Palmieri
Iatrogenesis is a term typically reserved to express the state of ill health or the adverse outcome resulting from a medical intervention, or lack thereof. Three types of iatrogenesis are described in the literature: clinical, social and cultural. This paper introduces a fourth type, technological iatrogenesis, or emerging errors stimulated by the infusion of technological innovations into complex healthcare systems. While health information technologies (HIT) have helped to make healthcare safer, this has also produced contemporary varieties of iatrogenic errors and events. The potential pitfalls of technological innovations and risk management solutions to address these concerns are discussed. Specifically, failure …