title: Using an accident model to design safe electronic medication management systems.
abstract: Large-scale implementation of electronic prescribing systems (e-PS) is likely to introduce at least some machinerelated errors that will harm patients. We present a dynamic systems modeling approach to developing a comprehensive multilevel accident model of the process, context and task interaction variables which give rise to human error and system failure when e-PS are used in routine care. System dynamics methods are used to represent interactions between medication management processes and the context that is relevant to error generation, interception and transmission, agent-based methods represent task interactions. Capturing the patterns of failure within an accident model will facilitate an evidence-based approach to hazard analysis and design of e-PS features to improve patient safety. The model will have broad potential to guide the design, implementation and regulation of e-PS.
authors.affiliation: Centre for Health Informatics, University of New South Wales, Australia. f.magrabi@unsw.edu.au
authors.forename: Farah
authors.initials: F
authors.lastname: Magrabi
authors.forename: Geoff
authors.initials: G
authors.lastname: McDonnell
authors.forename: Johanna I
authors.initials: JI
authors.lastname: Westbrook
authors.forename: Enrico
authors.initials: E
authors.lastname: Coiera
mesh_terms: D006801:Humans; D050316:Medical Order Entry Systems; D008508:Medication Errors / Q000517:prevention & control*; D008509:Medication Systems; D017751:Safety Management; D013597:Systems Analysis; D013598:Systems Theory