Iatrogenic Harm
Chapter 6 Bedside Questions · 10 questions · about 10 minutes
Iatrogenic disease: health IT, like aspirin, HRT or opioids, is a powerful therapy that harms patients when misconfigured, and the standard of care is to change the prescription rather than keep refilling it.
Iatrogenic harm, operationally: patient harm caused by the technology itself (alert fatigue, wrong-patient orders, missed results, algorithm errors), and whether it is measured and owned. Answer Yes only when someone can produce the evidence today.
Answer as your executive team would, with the evidence in hand. Each question has a factual answer in a system you already own.
Which of the three health IT safety domains do you actively measure, and can you name all three?
Add a note: where is the evidence, or who owns it?
Has every reportable safety event in the last 12 months been examined for an informatics root cause?
Add a note: where is the evidence, or who owns it?
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Add a note: where is the evidence, or who owns it?
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Add a note: where is the evidence, or who owns it?
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Add a note: where is the evidence, or who owns it?
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Add a note: where is the evidence, or who owns it?
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Add a note: where is the evidence, or who owns it?
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Add a note: where is the evidence, or who owns it?
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Add a note: where is the evidence, or who owns it?
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Add a note: where is the evidence, or who owns it?
A reflection tool from the book, not a validated diagnostic test or benchmark. Your answers and notes stay in this browser and in your own report, and go to Dr. Powell only if you chose that when you started. Please don't enter patient information.
When the prescription is hurting the patient, the standard of care is to change the prescription. In healthcare, we keep refilling it.
The Diagnostician, Chapter 6