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Coiera E, Magrabi F, Talmon J. Engineering technology resilience through informatics safety science [Editorial]. Journal of the American Medical Informatics Association. 2017; 24(2):244-5.

With every year that passes, our relationship to information technology becomes more complex, and our dependence deeper. Technology is our great ally, promising greater efficiency and productivity. It also promises greater safety for our patients. However, this relationship with technology can sometimes be a brittle one. We can quickly cross a safety gap from a

Lyell D, Magrabi F, Raban MZ, Pont LG, Baysari MT, Day RO, Coiera E: Automation bias in electronic prescribing. BMC Medical Informatics and Decision Making 2017, 17(1):28.

BACKGROUND: Clinical decision support (CDS) in e-prescribing can improve safety by alerting potential errors, but introduces new sources of risk. Automation bias (AB) occurs when users over-rely on CDS, reducing vigilance in information seeking and processing. Evidence of AB has been found in other clinical tasks, but has not yet been tested with e-prescribing. This

Wang Y, Coiera E, Gallego B, Perez-Concha O, Ong M-S, Tsafnat G, Roffe D, Jones G, Magrabi F. Measuring the effects of computer downtime on hospital pathology processes. Journal of biomedical informatics. 2016; 59:308-15.

Abstract OBJECTIVE: To introduce and evaluate a method that uses electronic medical record (EMR) data to measure the effects of computer system downtime on clinical processes associated with pathology testing and results reporting. MATERIALS AND METHODS: A matched case-control design was used to examine the effects of five downtime events over 11-months, ranging from 5

Magrabi F, Ammenwerth E, Hyppönen H, de Keizer N, Nykänen P, Rigby M, Scott P, Talmon J, Georgiou A. Improving evaluation to address the unintended consequences of health information technology. IMIA Yearbook. 2016:61-9

Abstract BACKGROUND AND OBJECTIVES: With growing use of IT by healthcare professionals and patients, the opportunity for any unintended effects of technology to disrupt care health processes and outcomes is intensified. The objectives of this position paper by the IMIA Working Group (WG) on Technology Assessment and Quality Development are to highlight how our ongoing

Rigby M, Magrabi F, Scott P, Doupi P, Hypponen H, Ammenwerth E. Steps in moving evidence-based health informatics from theory to practice. Healthcare Informatics Research. 2016; 22(4):255-60.

Abstract OBJECTIVES: To demonstrate and promote the importance of applying a scientific process to health IT design and implementation, and of basing this on research principles and techniques. METHODS: A review by international experts linked to the IMIA Working Group on Technology Assessment and Quality Development. RESULTS: Four approaches are presented, linking to the creation

Kim MO, Coiera E, Magrabi F. Problems with health information technology and their effects on care delivery and patient outcomes: a systematic review. Journal of the American Medical Informatics Association. 2016:ocw154.

Abstract Objective: To systematically review studies reporting problems with information technology (IT) in health care and their effects on care delivery and patient outcomes. Materials and methods: We searched bibliographic databases including Scopus, PubMed, and Science Citation Index Expanded from January 2004 to December 2015 for studies reporting problems with IT and their effects. A framework

Y. Wang, E. Coiera, B. Gallego, O. P. Concha, M. S. Ong, G. Tsafnat, D. Roffe, G. Jones and F. Magrabi. (2016). Measuring the effects of computer downtime on hospital pathology processes. J Biomed Inform (Vol. 59, pp. 308-15)

Abstract: Objective: To introduce and evaluate a method that uses electronic medical record (EMR) data to measure the effects of computer system downtime on clinical processes associated with pathology testing and results reporting. Materials and methods: A matched case-control design was used to examine the effects of five downtime events over 11-months, ranging from 5

F. Magrabi, S. T. Liaw, D. Arachi, W. B. Runciman, E. Coiera and M. R. Kidd. (2015). Identifying patient safety problems associated with Information Technology in general practice: an analysis of incident reports. BMJ Qual Saf.

Abstract: Objective: To identify the categories of problems with information technology (IT), which affect patient safety in general practice. Design: General practitioners (GPs) reported incidents online or by telephone between May 2012 and November 2013. Incidents were reviewed against an existing classification for problems associated with IT and the clinical process impacted. Participants and setting:

F. Magrabi, M. Baker, I. Sinha, M. S. Ong, S. Harrison, M. R. Kidd, W. B. Runciman and E. Coiera. (2015). Clinical safety of England’s national programme for IT: a retrospective analysis of all reported safety events 2005 to 2011. Int J Med Inform (Vol. 84, pp. 198-206).

Abstract: OBJECTIVE: To analyse patient safety events associated with England’s national programme for IT (NPfIT). METHODS: Retrospective analysis of all safety events managed by a dedicated IT safety team between September 2005 and November 2011 was undertaken. Events were reviewed against an existing classification for problems associated with IT. The proportion of reported events per