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Software-related challenges in Swedish healthcare through the lens of incident reports: A desktop study

OBJECTIVE: To identify a subset of software issues occurring in daily Swedish healthcare practice and devise a set of local solutions to overcome the challenges. METHODS: A sample of 46 incident reports was collected from one of Sweden's national incident reporting repositories, ranging from Ju...

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Autores principales: Rahman Jabin, Md Shafiqur, Pan, Ding
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10515578/
https://www.ncbi.nlm.nih.gov/pubmed/37744748
http://dx.doi.org/10.1177/20552076231203600
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author Rahman Jabin, Md Shafiqur
Pan, Ding
author_facet Rahman Jabin, Md Shafiqur
Pan, Ding
author_sort Rahman Jabin, Md Shafiqur
collection PubMed
description OBJECTIVE: To identify a subset of software issues occurring in daily Swedish healthcare practice and devise a set of local solutions to overcome the challenges. METHODS: A sample of 46 incident reports was collected from one of Sweden's national incident reporting repositories, ranging from June 2019 to December 2021. The reports were first subjected to an algorithm to identify if they were health information technology-related incidents and were analysed using an existing framework, i.e., the Health Information Technology Classification System, to identify the software-related incidents. The incidents associated with software issues were then subjected to thematic analysis, in which themes were extracted and presented under the category assigned by the existing framework used. RESULTS: Of 46 reports, 45 (with one exception) were included using the algorithm. Of 45 incidents, 31 software-related incidents were identified using the classification system. Six types of software issues were identified, including software functionality (n = 10), interface with other software systems or components (n = 10), system configuration (n = 7), interface with devices (n = 2), record migration (n = 1) and increased volume of transactions (n = 1). Each issue was further categorised into different themes; for example, software interface-related problems were grouped into ‘two patients being active in the system simultaneously’ (n = 6) and ‘transfer of patient information’ (n = 4). CONCLUSIONS: The study provided some insights into software issues and relevant consequences. A set of local solutions were devised to overcome the present challenges encountered in Swedish healthcare in their daily clinical practice. Systematic identification and characterisation of such software challenges should be a routine part of clinical practice for all major health information technology implementations.
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spelling pubmed-105155782023-09-23 Software-related challenges in Swedish healthcare through the lens of incident reports: A desktop study Rahman Jabin, Md Shafiqur Pan, Ding Digit Health Qualitative Study OBJECTIVE: To identify a subset of software issues occurring in daily Swedish healthcare practice and devise a set of local solutions to overcome the challenges. METHODS: A sample of 46 incident reports was collected from one of Sweden's national incident reporting repositories, ranging from June 2019 to December 2021. The reports were first subjected to an algorithm to identify if they were health information technology-related incidents and were analysed using an existing framework, i.e., the Health Information Technology Classification System, to identify the software-related incidents. The incidents associated with software issues were then subjected to thematic analysis, in which themes were extracted and presented under the category assigned by the existing framework used. RESULTS: Of 46 reports, 45 (with one exception) were included using the algorithm. Of 45 incidents, 31 software-related incidents were identified using the classification system. Six types of software issues were identified, including software functionality (n = 10), interface with other software systems or components (n = 10), system configuration (n = 7), interface with devices (n = 2), record migration (n = 1) and increased volume of transactions (n = 1). Each issue was further categorised into different themes; for example, software interface-related problems were grouped into ‘two patients being active in the system simultaneously’ (n = 6) and ‘transfer of patient information’ (n = 4). CONCLUSIONS: The study provided some insights into software issues and relevant consequences. A set of local solutions were devised to overcome the present challenges encountered in Swedish healthcare in their daily clinical practice. Systematic identification and characterisation of such software challenges should be a routine part of clinical practice for all major health information technology implementations. SAGE Publications 2023-09-20 /pmc/articles/PMC10515578/ /pubmed/37744748 http://dx.doi.org/10.1177/20552076231203600 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/This article is distributed under the terms of the Creative Commons Attribution 4.0 License (https://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Qualitative Study
Rahman Jabin, Md Shafiqur
Pan, Ding
Software-related challenges in Swedish healthcare through the lens of incident reports: A desktop study
title Software-related challenges in Swedish healthcare through the lens of incident reports: A desktop study
title_full Software-related challenges in Swedish healthcare through the lens of incident reports: A desktop study
title_fullStr Software-related challenges in Swedish healthcare through the lens of incident reports: A desktop study
title_full_unstemmed Software-related challenges in Swedish healthcare through the lens of incident reports: A desktop study
title_short Software-related challenges in Swedish healthcare through the lens of incident reports: A desktop study
title_sort software-related challenges in swedish healthcare through the lens of incident reports: a desktop study
topic Qualitative Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10515578/
https://www.ncbi.nlm.nih.gov/pubmed/37744748
http://dx.doi.org/10.1177/20552076231203600
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