Using Systems Engineering Initiative for Patient Safety (SEIPS) to improve clinician situational awareness for Osteogenesis Imperfecta

Abstract

Summary:

Osteogenesis Imperfecta (OI), also known as Brittle Bone Disease is a congenital defect. Lack of awareness around a child’s OI condition among caregivers can cause unintended injury during non-OI clinic visits. While Clinical Decision Support (CDS) can help improve situational awareness for clinicians, locally developed CDS in the electronic health record (EHR) often fails to achieve its goals and may even cause further harm and alert fatigue due to mismatches between the design and actual workflows. In this abstract we describe (1) development of an effective CDS through application of the Systems Engineering Initiative for Patient Safety (SEIPS) analysis and (2) potential ways to integrate such research methods in operational context.