Balancing Innovation and Safety When Integrating Digital Tools Into Health Care
Authors: Jayne Barr
Journal: Annals of Internal Medicine (2018)

Letters16 October 2018Balancing Innovation and Safety When Integrating Digital Tools Into Health CareJayne Barr, MD, MPHJayne Barr, MD, MPHWestern Michigan University Homer Stryker M.D. School of Medicine, Kalamazoo, Michigan (J.B.)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/L18-0408 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:We agree with Auerbach and colleagues (1) that rapid adoption of digital health tools will be transformational as long as careful attention is paid to patient safety and quality issues involving these technologies. The authors describe 3 clinical scenarios that highlight important security and safety risks involved with incorporating these new technologies into health care: integrating clinical data from the electronic health record (EHR) into an inpatient dashboard; applying the field of pharmacogenomics to medication dosing; and using an algorithm-driven service that recommends lifestyle and clinical decisions to patients and providers, respectively. All 3 examples describe the ...References1. Auerbach AD, Neinstein A, Khanna R. Balancing innovation and safety when integrating digital tools into health care. Ann Intern Med. 2018;168:733-4. [PMID: 29582072]. doi:10.7326/M17-3108 LinkGoogle Scholar2. Centers for Disease Control and Prevention. HIPAA privacy rule and public health: guidance from CDC and the U.S. Department of Health and Human Services. 11 April 2003. Accessed at www.cdc.gov/mmwr/preview/mmwrhtml/m2e411a1.htm on 29 May 2018. Google Scholar3. Ross RS. Guide for conducting risk assessments. Special Publication (NIST SP) no 800-30 Rev 1. Report no. 800-30 Rev 1. (NIST Pub Series: Special Publication). National Institute of Standards and Technology. Updated 19 February 2017. Accessed at www.nist.gov/publications/guide-conducting-risk-assessments on 29 May 2018. Google Scholar4. Institute of Medicine (US) Committee on Quality of Health Care in America. Institute of Medicine. Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, DC: National Academies Pr; 2001. Accessed at www.ncbi.nlm.nih.gov/pubmed/25057539 on 29 May 2018. Google Scholar5. Bates DW, Gawande AA. Improving safety with information technology. N Engl J Med. 2003;348:2526-34. [PMID: 12815139] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: Western Michigan University Homer Stryker M.D. School of Medicine, Kalamazoo, Michigan (J.B.)Disclosures: The author has disclosed no conflicts of interest. The form can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=L18-0408. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoBalancing Innovation and Safety When Integrating Digital Tools Into Health Care Andrew D. Auerbach , Aaron Neinstein , and Raman Khanna Balancing Innovation and Safety When Integrating Digital Tools Into Health Care Andrew D. Auerbach , Aaron Neinstein , and Raman Khanna Metrics 16 October 2018Volume 169, Issue 8Page: 591-592KeywordsAlgorithmsDigital healthElectronic medical recordsHealth careHealth care qualityHealth informaticsHealth information technologySafetySoftware toolsTelemedicine ePublished: 16 October 2018 Issue Published: 16 October 2018 Copyright & PermissionsCopyright © 2018 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...