Empowering Patients: Making Health Information and Systems Safer for Patients and the Public. Contribution of the IMIA Health Informatics for Patient Safety Working Group.
OBJECTIVE
The objectives of this paper are to explore issues and perspectives from four regions of the world where health information systems are contributing to patient empowerment and influencing patient safety.


METHODS
Members of the IMIA Working Group for Health Information Systems Safety came together to explore global issues at the intersection of health information systems safety, patient empowerment and patient safety. The group carried out a review and synthesis of the empirical and grey literature in four different regions/countries of the world that have differing health information system safety priorities.


RESULTS
Regions/countries from differing parts of the world are developing: (1) high quality, safe information for individuals to use in their health related decision making, (2) patient portals and testing them for their safety, (3) methods for identifying unsafe health information system features and functions, and (4) ways of engaging citizens in identifying unsafe features and functions of health information systems.


CONCLUSIONS
Internationally, there has been a rise in the number of health information systems and technologies that are being developed to support patient care. The amount of health information available on the World Wide Web (WWW), and the use of mobile phone software to support consumer health behaviours and self-management of chronic illnesses has also grown. The use of some of these health information systems and technologies has helped citizens to improve their health status (e.g. patient portals, mobile phones). However, the safety of these systems and technologies has come into question. As a result, there is a need to refine these systems and ensure their safety when they are used by patients and their families.
University of Victoria, Victoria, British Columbia, Canada. E-mail: emb@uvic.ca.
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Borycki
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Househ
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Kushniruk
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Nohr
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Takeda
D003695:Delivery of Health Care; D057286:Electronic Health Records; D055991:Health Records, Personal; D006801:Humans; D008490:Medical Informatics; D061214:Patient Safety; D011209:Power, Psychological