Complexity and Health Technology Safety
Elizabeth M. BORYCKI
a, 1
, Amr FARGHALI
a
and Andre W. KUSHNIRUK
a
a
School of Health Information Science, University of Victoria, Canada
Abstract. In many ways health technology safety has improved significantly over
the past few decades. Yet, we still have examples of incidents where safety of health
technology systems of care have led to possible and actual safety incidents. In this
paper we examine the complexity of errors in an increasingly complex and digitized
system of care. Although safety incidents are decreasing over time due to
improvements in the tools used to support care, they still occur. Simple safety
incidents prevailed in the 2005. Today, incident reports suggest complexity has
emerged as an important issue that needs to be addressed in order to make further
healthcare industry safety gains.
Keywords. Patient safety, health technology, health technology safety, technology-
induced error, complexity
1. Introduction
Publically available text based incident reports represent an important opportunity to
learn about new and emerging types of safety issues involving software and medical
devices. Incident reports may provide insights into the changing nature of health
technology safety events (or technology-induced errors) and the factors that contribute
to their occurrence [1, 2]. There is a need to understand the technologies and processes
that lead to an error(s) so that future errors are prevented [3, 4]. In this paper we explore
the nature of technology-induced errors in a modern health technology system from the
perspective of complexity as the first step in a process of finding specific safety solutions.
The objectives of this research are: (1) to identify the factors that contribute to a
technology-induced error, and (2) to explore the nature of technology-induced errors in
a modern, health technology system from the perspective of complexity.
2. Literature Review
Safety has emerged as an important issue for designers and developers of health
technology systems. The digitization of healthcare systems has placed pressure on health
informatics professionals to learn from safety events to improve the technologies they
are designing, developing, implementing and maintaining to support patient care. Early
research focused on proving that technology-induced errors exist [4]. A number of
studies followed that described the phenomena [1-4]. Descriptions of technology-
induced errors were translated into usable definitions; for example, some researchers
defined technology-induced errors as those errors that have their origins in technology
1
Corresponding Author, Elizabeth M. Borycki, School of Health Information Science, University of
Victoria, Victoria, Canada; E-mail: emb@uvic.ca
Advances in Informatics, Management and Technology in Healthcare
J. Mantas et al. (Eds.)
© 2022 The authors and IOS Press.
This article is published online with Open Access by IOS Press and distributed under the terms
of the Creative Commons Attribution Non-Commercial License 4.0 (CC BY-NC 4.0).
doi:10.3233/SHTI220787
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