Healthcare Technology Challenges

Clinical Problem
The focus of this paper is the problem of healthcare technology challenges. The extensive use of technological advances in a complex adaptive health system has helped enhance hospital patient safety and has the potential to improve treatment. However, technology has introduced unintended effects and fresh challenges regarding patient safety. It is estimated that 40% of all patients who seek primary and ambulatory care experience adverse events due to the use of technology, leading to more extended hospital stays, more side effects or anxiety, and, in extreme circumstances, death. Consequences of adverse health outcomes due to the use of technology in healthcare include higher financial expenses to patients and society.
According to recent research by the Pennsylvania Patient Safety Authority, in the first six months of 2016, there were 889 drug errors reported in Pennsylvania. The report from research on the errors mentioned health technology as a factor leading to the incidents reported. The study also found that the most often reported occurrences were dose omission, incorrect dosage, and additional dosage. The computerized physician order input system, the pharmacy system, and the electronic medicine administration record were the most commonly implicated health technology systems that contributed to the errors that threatened patient safety and health outcomes.
PICOT question. In adult patients hospitalized for different conditions, what is the effect of technology integration regarding patient safety in treatment compared with standard care on their health outcomes within six months of treatment? The purpose of this paper is to provide a brief description of the search strategies I will use to find two publications related to healthcare Technology Challenges.

Levels of Evidence
The type of question is a therapy question because it concerns the effectiveness of health technology in treatment. The best type of evidence to answer the questions is a systematic review of the relevant literature regarding the question, “In adult patients hospitalized for different conditions, what is the effect of technology integration regarding patient safety in treatment compared with standard care on their health outcomes within six months of treatment?”
Search Strategy
The search terms and results are health technology and patient safety to select appropriate internet databases and journals for the literature search. The databases used are the CU library, EBSCOhost, PubMed, Science Direct, and Scopus. These databases were chosen because of their reputation and wide range of citations on the subject of this research. The keywords used to search the databases were designed to gather all types of healthcare technology within the healthcare setting and their impacts on healthcare and patient safety.
Many articles are relevant to the study question; therefore, I had to refine the criteria to reduce the number of articles to a reasonable number. I used a search to filter and limit articles to only full-text, peer-reviewed, English-language publications published between October 2018 and October 2023 within the last five years. The time limit was used to help in getting the most relevant yet latest articles that integrate the latest health technologies. Because technology is a fast-paced, quickly growing sector, it is critical to avoid discussing outdated technologies. Furthermore, only full-text articles were chosen, omitting any conference abstracts, book parts, blogs, or health website material.

The identified articles after the filter were then checked for duplicates. Because various databases were used, some articles might have been published in multiple databases. Removal of duplicate articles helps in saving time, which can be used in reviewing the same material more than once. It also adds to the diversity and reliability of articles. After the duplicates were removed, the titles and abstracts were reviewed again against the research question for eligibility. The remaining articles were then subjected to a full-text examination to identify those that fulfilled the pre-defined inclusion/exclusion criteria.
I identified 13 publications as potentially relevant and analyzed them for this systematic review. From these articles, I selected two which are the most relevant articles and within the last five years.
Pfeiffer, Y., Zimmermann, C., & Schwappach, D. L. (2021). Patient safety threats in information management using health information technology in ambulatory cancer care: An exploratory, prospective study. Journal of Patient Safety, 17(8). https://doi.org/10.1097/pts.0000000000000640.
This study observed many patient safety risks, including data fragmentation or information islands. This means that patient information is stored and used across different software; hence, different professionals do not utilize the same information set, leading to threats to patient safety. Current healthcare technology system design and implementation do not enable good information management: physicians must pay special attention and innovate to prevent mistakes in using health technology and safely treat cancer patients.
Campione, J. R., Mardon, R. E., & McDonald, K. M. (2019). Patient safety culture, health information technology implementation, and medical office problems that could lead to diagnostic error. Journal of Patient Safety, 15(4), 267–273. https://doi.org/10.1097/pts.000000000000053.
This research looks at how the use of health technology in medical environments might affect the incidence of failures in care procedures, identifying possible weaknesses that can lead to diagnostic errors. These mistakes can negatively affect patients by preventing or delaying needed medical care or directing them to inappropriate treatment. The most common issue was that lab or imaging test results were unavailable when requested. 15% of the 925 offices reported this happening daily or weekly. Medical settings in the process of health IT deployment reported a greater frequency of difficulties than offices that completed their health IT implementation.
Conclusion
The implementation of technology in healthcare has both benefits and harms to patients. This paper briefly describes the search strategies used to research the question, “In adult patients hospitalized for different conditions, what is the effect of technology integration regarding patient safety in treatment compared with standard care on their health outcomes within six months of treatment?” The search strategy provides two publications presented related to healthcare Technology Challenges.
 
References
Campione, J. R., Mardon, R. E., & McDonald, K. M. (2019). Patient safety culture, health information technology implementation, and medical office problems that could lead to diagnostic error. Journal of Patient Safety, 15(4), 267–273. https://doi.org/10.1097/pts.000000000000053
Pfeiffer, Y., Zimmermann, C., & Schwappach, D. L. (2021). Patient safety threats in information management using health information technology in ambulatory cancer care: An exploratory, prospective study. Journal of Patient Safety, 17(8). https://doi.org/10.1097/pts.0000000000000640