{"id":"https://openalex.org/W2330482840","doi":"https://doi.org/10.1093/jamia/ocw005","title":"Analysis of clinical decision support system malfunctions: a case series and survey","display_name":"Analysis of clinical decision support system malfunctions: a case series and survey","publication_year":2016,"publication_date":"2016-03-28","ids":{"openalex":"https://openalex.org/W2330482840","doi":"https://doi.org/10.1093/jamia/ocw005","mag":"2330482840","pmid":"https://pubmed.ncbi.nlm.nih.gov/27026616"},"language":"en","primary_location":{"id":"doi:10.1093/jamia/ocw005","is_oa":true,"landing_page_url":"https://doi.org/10.1093/jamia/ocw005","pdf_url":"https://academic.oup.com/jamia/article-pdf/23/6/1068/7919881/ocw005.pdf","source":{"id":"https://openalex.org/S129839026","display_name":"Journal of the American Medical Informatics Association","issn_l":"1067-5027","issn":["1067-5027","1527-974X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Medical Informatics Association","raw_type":"journal-article"},"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://academic.oup.com/jamia/article-pdf/23/6/1068/7919881/ocw005.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5004738173","display_name":"Adam Wright","orcid":"https://orcid.org/0000-0001-6844-145X"},"institutions":[{"id":"https://openalex.org/I48633490","display_name":"Mass General Brigham","ror":"https://ror.org/04py2rh25","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I48633490"]},{"id":"https://openalex.org/I1283280774","display_name":"Brigham and Women's Hospital","ror":"https://ror.org/04b6nzv94","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1283280774","https://openalex.org/I48633490"]},{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Adam Wright","raw_affiliation_strings":["Brigham & Women\u2019s Hospital, Boston, MA, USA","Harvard Medical School, Boston, MA, USA","Partners HealthCare, Boston, MA, USA","Brigham & Women's Hospital, Boston, MA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Brigham & Women\u2019s Hospital, Boston, MA, USA","institution_ids":["https://openalex.org/I1283280774"]},{"raw_affiliation_string":"Harvard Medical School, Boston, MA, USA","institution_ids":["https://openalex.org/I136199984"]},{"raw_affiliation_string":"Partners HealthCare, Boston, MA, USA","institution_ids":["https://openalex.org/I48633490"]},{"raw_affiliation_string":"Brigham & Women's Hospital, Boston, MA, USA","institution_ids":["https://openalex.org/I1283280774"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5008691501","display_name":"Thu-Trang T. Hickman","orcid":null},"institutions":[{"id":"https://openalex.org/I1283280774","display_name":"Brigham and Women's Hospital","ror":"https://ror.org/04b6nzv94","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1283280774","https://openalex.org/I48633490"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Thu-Trang T Hickman","raw_affiliation_strings":["Brigham & Women\u2019s Hospital, Boston, MA, USA","Brigham & Women's Hospital, Boston, MA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Brigham & Women\u2019s Hospital, Boston, MA, USA","institution_ids":["https://openalex.org/I1283280774"]},{"raw_affiliation_string":"Brigham & Women's Hospital, Boston, MA, USA","institution_ids":["https://openalex.org/I1283280774"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5020133926","display_name":"Dustin McEvoy","orcid":"https://orcid.org/0000-0002-5860-1541"},"institutions":[{"id":"https://openalex.org/I48633490","display_name":"Mass General Brigham","ror":"https://ror.org/04py2rh25","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I48633490"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Dustin McEvoy","raw_affiliation_strings":["Partners HealthCare, Boston, MA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Partners HealthCare, Boston, MA, USA","institution_ids":["https://openalex.org/I48633490"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5035879711","display_name":"Skye Aaron","orcid":null},"institutions":[{"id":"https://openalex.org/I1283280774","display_name":"Brigham and Women's Hospital","ror":"https://ror.org/04b6nzv94","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1283280774","https://openalex.org/I48633490"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Skye Aaron","raw_affiliation_strings":["Brigham & Women\u2019s Hospital, Boston, MA, USA","Brigham & Women's Hospital, Boston, MA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Brigham & Women\u2019s Hospital, Boston, MA, USA","institution_ids":["https://openalex.org/I1283280774"]},{"raw_affiliation_string":"Brigham & Women's Hospital, Boston, MA, USA","institution_ids":["https://openalex.org/I1283280774"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5032660787","display_name":"Angela Ai","orcid":"https://orcid.org/0000-0002-6064-4700"},"institutions":[{"id":"https://openalex.org/I1283280774","display_name":"Brigham and Women's Hospital","ror":"https://ror.org/04b6nzv94","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1283280774","https://openalex.org/I48633490"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Angela Ai","raw_affiliation_strings":["Brigham & Women\u2019s Hospital, Boston, MA, USA","Brigham & Women's Hospital, Boston, MA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Brigham & Women\u2019s Hospital, Boston, MA, USA","institution_ids":["https://openalex.org/I1283280774"]},{"raw_affiliation_string":"Brigham & Women's Hospital, Boston, MA, USA","institution_ids":["https://openalex.org/I1283280774"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5015823396","display_name":"Jan Marie Andersen","orcid":null},"institutions":[{"id":"https://openalex.org/I1283280774","display_name":"Brigham and Women's Hospital","ror":"https://ror.org/04b6nzv94","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1283280774","https://openalex.org/I48633490"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jan Marie Andersen","raw_affiliation_strings":["Brigham & Women\u2019s Hospital, Boston, MA, USA","Brigham & Women's Hospital, Boston, MA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Brigham & Women\u2019s Hospital, Boston, MA, USA","institution_ids":["https://openalex.org/I1283280774"]},{"raw_affiliation_string":"Brigham & Women's Hospital, Boston, MA, USA","institution_ids":["https://openalex.org/I1283280774"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5110350027","display_name":"Salman T. Hussain","orcid":null},"institutions":[{"id":"https://openalex.org/I126688049","display_name":"Dartmouth Institute for Health Policy and Clinical Practice","ror":"https://ror.org/0511yej17","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I126688049"]},{"id":"https://openalex.org/I1283280774","display_name":"Brigham and Women's Hospital","ror":"https://ror.org/04b6nzv94","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1283280774","https://openalex.org/I48633490"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Salman Hussain","raw_affiliation_strings":["Brigham & Women\u2019s Hospital, Boston, MA, USA","The Dartmouth Institute for Health Policy and Clinical Practice, Lebanon, NH, USA","Brigham & Women's Hospital, Boston, MA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Brigham & Women\u2019s Hospital, Boston, MA, USA","institution_ids":["https://openalex.org/I1283280774"]},{"raw_affiliation_string":"The Dartmouth Institute for Health Policy and Clinical Practice, Lebanon, NH, USA","institution_ids":["https://openalex.org/I126688049"]},{"raw_affiliation_string":"Brigham & Women's Hospital, Boston, MA, USA","institution_ids":["https://openalex.org/I1283280774"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5029336572","display_name":"Rachel Ramoni","orcid":"https://orcid.org/0000-0002-1459-9638"},"institutions":[{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Rachel Ramoni","raw_affiliation_strings":["Harvard Medical School, Boston, MA, USA","Harvard School of Dental Medicine, Boston, MA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Harvard Medical School, Boston, MA, USA","institution_ids":["https://openalex.org/I136199984"]},{"raw_affiliation_string":"Harvard School of Dental Medicine, Boston, MA, USA","institution_ids":["https://openalex.org/I136199984"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5111444022","display_name":"Julie Fiskio","orcid":null},"institutions":[{"id":"https://openalex.org/I1283280774","display_name":"Brigham and Women's Hospital","ror":"https://ror.org/04b6nzv94","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1283280774","https://openalex.org/I48633490"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Julie Fiskio","raw_affiliation_strings":["Brigham & Women\u2019s Hospital, Boston, MA, USA","Brigham & Women's Hospital, Boston, MA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Brigham & Women\u2019s Hospital, Boston, MA, USA","institution_ids":["https://openalex.org/I1283280774"]},{"raw_affiliation_string":"Brigham & Women's Hospital, Boston, MA, USA","institution_ids":["https://openalex.org/I1283280774"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5010098013","display_name":"Dean F. Sittig","orcid":"https://orcid.org/0000-0001-5811-8915"},"institutions":[{"id":"https://openalex.org/I919571938","display_name":"The University of Texas Health Science Center at Houston","ror":"https://ror.org/03gds6c39","country_code":"US","type":"education","lineage":["https://openalex.org/I919571938"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Dean F Sittig","raw_affiliation_strings":["University of Texas Health Science Center, Houston, TX, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Texas Health Science Center, Houston, TX, USA","institution_ids":["https://openalex.org/I919571938"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5036110536","display_name":"David W. Bates","orcid":"https://orcid.org/0000-0001-6268-1540"},"institutions":[{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]},{"id":"https://openalex.org/I48633490","display_name":"Mass General Brigham","ror":"https://ror.org/04py2rh25","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I48633490"]},{"id":"https://openalex.org/I1283280774","display_name":"Brigham and Women's Hospital","ror":"https://ror.org/04b6nzv94","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1283280774","https://openalex.org/I48633490"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"David W Bates","raw_affiliation_strings":["Brigham & Women\u2019s Hospital, Boston, MA, USA","Harvard Medical School, Boston, MA, USA","Partners HealthCare, Boston, MA, USA","Brigham & Women's Hospital, Boston, MA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Brigham & Women\u2019s Hospital, Boston, MA, USA","institution_ids":["https://openalex.org/I1283280774"]},{"raw_affiliation_string":"Harvard Medical School, Boston, MA, USA","institution_ids":["https://openalex.org/I136199984"]},{"raw_affiliation_string":"Partners HealthCare, Boston, MA, USA","institution_ids":["https://openalex.org/I48633490"]},{"raw_affiliation_string":"Brigham & Women's Hospital, Boston, MA, USA","institution_ids":["https://openalex.org/I1283280774"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":11,"corresponding_author_ids":["https://openalex.org/A5004738173"],"corresponding_institution_ids":["https://openalex.org/I1283280774","https://openalex.org/I136199984","https://openalex.org/I48633490"],"apc_list":{"value":3967,"currency":"USD","value_usd":3967},"apc_paid":{"value":3967,"currency":"USD","value_usd":3967},"fwci":39.5577,"has_fulltext":true,"cited_by_count":129,"citation_normalized_percentile":{"value":0.99739858,"is_in_top_1_percent":true,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":98,"max":100},"biblio":{"volume":"23","issue":"6","first_page":"1068","last_page":"1076"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":0.8082000017166138,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":0.8082000017166138,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13248","display_name":"Healthcare Technology and Patient Monitoring","score":0.0568000003695488,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12174","display_name":"Hospital Admissions and Outcomes","score":0.014000000432133675,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/clinical-decision-support-system","display_name":"Clinical decision support system","score":0.775713324546814},{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.5915112495422363},{"id":"https://openalex.org/keywords/medical-emergency","display_name":"Medical emergency","score":0.588570237159729},{"id":"https://openalex.org/keywords/decision-support-system","display_name":"Decision support system","score":0.4789626896381378},{"id":"https://openalex.org/keywords/medical-prescription","display_name":"Medical prescription","score":0.43151986598968506},{"id":"https://openalex.org/keywords/computer-science","display_name":"Computer science","score":0.3584728240966797},{"id":"https://openalex.org/keywords/computer-security","display_name":"Computer security","score":0.3489651083946228},{"id":"https://openalex.org/keywords/data-mining","display_name":"Data mining","score":0.17139869928359985}],"concepts":[{"id":"https://openalex.org/C63527458","wikidata":"https://www.wikidata.org/wiki/Q5133829","display_name":"Clinical decision support system","level":3,"score":0.775713324546814},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5915112495422363},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.588570237159729},{"id":"https://openalex.org/C107327155","wikidata":"https://www.wikidata.org/wiki/Q330268","display_name":"Decision support system","level":2,"score":0.4789626896381378},{"id":"https://openalex.org/C2426938","wikidata":"https://www.wikidata.org/wiki/Q3355478","display_name":"Medical prescription","level":2,"score":0.43151986598968506},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.3584728240966797},{"id":"https://openalex.org/C38652104","wikidata":"https://www.wikidata.org/wiki/Q3510521","display_name":"Computer security","level":1,"score":0.3489651083946228},{"id":"https://openalex.org/C124101348","wikidata":"https://www.wikidata.org/wiki/Q172491","display_name":"Data mining","level":1,"score":0.17139869928359985},{"id":"https://openalex.org/C98274493","wikidata":"https://www.wikidata.org/wiki/Q128406","display_name":"Pharmacology","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000638","descriptor_name":"Amiodarone","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":false},{"descriptor_ui":"D000638","descriptor_name":"Amiodarone","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":false},{"descriptor_ui":"D000638","descriptor_name":"Amiodarone","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":false},{"descriptor_ui":"D001900","descriptor_name":"Boston","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001900","descriptor_name":"Boston","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001900","descriptor_name":"Boston","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002675","descriptor_name":"Child, Preschool","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002675","descriptor_name":"Child, Preschool","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002675","descriptor_name":"Child, Preschool","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004868","descriptor_name":"Equipment Failure","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004868","descriptor_name":"Equipment Failure","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004868","descriptor_name":"Equipment Failure","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006782","descriptor_name":"Hospitals, Special","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006782","descriptor_name":"Hospitals, Special","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006782","descriptor_name":"Hospitals, Special","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007855","descriptor_name":"Lead Poisoning","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":false},{"descriptor_ui":"D007855","descriptor_name":"Lead Poisoning","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":false},{"descriptor_ui":"D007855","descriptor_name":"Lead Poisoning","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":false},{"descriptor_ui":"D008991","descriptor_name":"Monitoring, Physiologic","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D008991","descriptor_name":"Monitoring, Physiologic","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D008991","descriptor_name":"Monitoring, Physiologic","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D012984","descriptor_name":"Software","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012984","descriptor_name":"Software","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012984","descriptor_name":"Software","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D019300","descriptor_name":"Medical Errors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D019300","descriptor_name":"Medical Errors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D019300","descriptor_name":"Medical Errors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D019982","descriptor_name":"Organizational Case Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D019982","descriptor_name":"Organizational Case Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D019982","descriptor_name":"Organizational Case Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D020000","descriptor_name":"Decision Support Systems, Clinical","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D020000","descriptor_name":"Decision Support Systems, Clinical","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D020000","descriptor_name":"Decision Support Systems, Clinical","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D050316","descriptor_name":"Medical Order Entry Systems","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D050316","descriptor_name":"Medical Order Entry Systems","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D050316","descriptor_name":"Medical Order Entry Systems","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":5,"locations":[{"id":"doi:10.1093/jamia/ocw005","is_oa":true,"landing_page_url":"https://doi.org/10.1093/jamia/ocw005","pdf_url":"https://academic.oup.com/jamia/article-pdf/23/6/1068/7919881/ocw005.pdf","source":{"id":"https://openalex.org/S129839026","display_name":"Journal of the American Medical Informatics Association","issn_l":"1067-5027","issn":["1067-5027","1527-974X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Medical Informatics Association","raw_type":"journal-article"},{"id":"pmid:27026616","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/27026616","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Medical Informatics Association : JAMIA","raw_type":null},{"id":"pmh:oai:dash.harvard.edu:1/34493276","is_oa":true,"landing_page_url":"http://nrs.harvard.edu/urn-3:HUL.InstRepos:34493276","pdf_url":null,"source":{"id":"https://openalex.org/S4306401540","display_name":"Digital Access to Scholarship at Harvard (DASH) (Harvard University)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I136199984","host_organization_name":"Harvard University","host_organization_lineage":["https://openalex.org/I136199984"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":"Journal Article"},{"id":"pmh:oai:open-archive.highwire.org:jaminfo:23/6/1068","is_oa":false,"landing_page_url":"http://jamia.oxfordjournals.org/cgi/content/short/23/6/1068","pdf_url":null,"source":{"id":"https://openalex.org/S4406923041","display_name":"HighWire Press Open Archive","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":"TEXT"},{"id":"pmh:oai:pubmedcentral.nih.gov:5070518","is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/5070518","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"J Am Med Inform Assoc","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.1093/jamia/ocw005","is_oa":true,"landing_page_url":"https://doi.org/10.1093/jamia/ocw005","pdf_url":"https://academic.oup.com/jamia/article-pdf/23/6/1068/7919881/ocw005.pdf","source":{"id":"https://openalex.org/S129839026","display_name":"Journal of the American Medical Informatics Association","issn_l":"1067-5027","issn":["1067-5027","1527-974X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Medical Informatics Association","raw_type":"journal-article"},"sustainable_development_goals":[],"awards":[{"id":"https://openalex.org/G4617677161","display_name":null,"funder_award_id":"R01LM011966","funder_id":"https://openalex.org/F4320332161","funder_display_name":"National Institutes of Health"},{"id":"https://openalex.org/G6835445745","display_name":null,"funder_award_id":"R01LM011966","funder_id":"https://openalex.org/F4320337372","funder_display_name":"U.S. National Library of Medicine"}],"funders":[{"id":"https://openalex.org/F4320332161","display_name":"National Institutes of Health","ror":"https://ror.org/01cwqze88"},{"id":"https://openalex.org/F4320337372","display_name":"U.S. National Library of Medicine","ror":"https://ror.org/0060t0j89"}],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2330482840.pdf","grobid_xml":"https://content.openalex.org/works/W2330482840.grobid-xml"},"referenced_works_count":34,"referenced_works":["https://openalex.org/W1572896760","https://openalex.org/W1588848576","https://openalex.org/W1833822692","https://openalex.org/W1849996515","https://openalex.org/W1966902801","https://openalex.org/W1982907589","https://openalex.org/W2018184289","https://openalex.org/W2027851423","https://openalex.org/W2030246418","https://openalex.org/W2031917593","https://openalex.org/W2046046565","https://openalex.org/W2069340802","https://openalex.org/W2073924861","https://openalex.org/W2100122314","https://openalex.org/W2101692118","https://openalex.org/W2104026855","https://openalex.org/W2107053876","https://openalex.org/W2110034024","https://openalex.org/W2115441252","https://openalex.org/W2120641316","https://openalex.org/W2150217040","https://openalex.org/W2160382101","https://openalex.org/W2163752144","https://openalex.org/W2164625756","https://openalex.org/W2167549250","https://openalex.org/W2168627418","https://openalex.org/W2207951823","https://openalex.org/W2313841134","https://openalex.org/W2415324586","https://openalex.org/W4248680598","https://openalex.org/W6675630465","https://openalex.org/W6698725915","https://openalex.org/W6716074841","https://openalex.org/W6852711224"],"related_works":["https://openalex.org/W2046929026","https://openalex.org/W2779278343","https://openalex.org/W2533987749","https://openalex.org/W1996434451","https://openalex.org/W1569026615","https://openalex.org/W2791725133","https://openalex.org/W2338117633","https://openalex.org/W2112831187","https://openalex.org/W2122149485","https://openalex.org/W4232131108"],"abstract_inverted_index":{"OBJECTIVE:":[0],"To":[1],"illustrate":[2],"ways":[3],"in":[4,76,90,129,208],"which":[5],"clinical":[6],"decision":[7],"support":[8],"systems":[9,224],"(CDSSs)":[10],"malfunction":[11,128],"and":[12,23,30,33,66,125,173,185,210,220,230,235,246,256],"identify":[13],"patterns":[14],"of":[15,46,55,113,155,193,204,218,222],"such":[16,56,143,237],"malfunctions.":[17,57,259],"MATERIALS":[18],"AND":[19],"METHODS:":[20],"We":[21,40,59,151],"identified":[22,60],"investigated":[24],"several":[25],"CDSS":[26,62,171,181,228,242],"malfunctions":[27,63,176,182,221,238,243],"at":[28,64,168,177],"Brigham":[29,65],"Women's":[31,67],"Hospital":[32],"present":[34],"them":[35],"as":[36,144],"a":[37,43,110,127],"case":[38],"series.":[39],"also":[41],"conducted":[42],"preliminary":[44],"survey":[45,165],"Chief":[47,157],"Medical":[48,158],"Information":[49,159],"Officers":[50,160],"to":[51,123,138,163,195,200,227,254],"assess":[52],"the":[53,104,114,156],"frequency":[54],"RESULTS:":[58],"four":[61],"Hospital:":[68],"(1)":[69],"an":[70,83,94,130,136],"alert":[71,95,137],"for":[72,86,96,99,146,188,233],"monitoring":[73],"thyroid":[74],"function":[75],"patients":[77,147],"receiving":[78],"amiodarone":[79,87],"stopped":[80,101],"working":[81,102],"when":[82,103],"internal":[84],"identifier":[85],"was":[88,106],"changed":[89],"another":[91],"system;":[92],"(2)":[93],"lead":[97],"screening":[98],"children":[100],"rule":[105],"inadvertently":[107],"edited;":[108],"(3)":[109],"software":[111,118,212],"upgrade":[112],"electronic":[115],"health":[116],"record":[117],"caused":[119,135],"numerous":[120],"spurious":[121],"alerts":[122,194],"fire;":[124],"(4)":[126],"external":[131,223],"drug":[132],"classification":[133],"system":[134],"inappropriately":[139],"suggest":[140],"antiplatelet":[141],"drugs,":[142],"aspirin,":[145],"already":[148],"taking":[149],"one.":[150],"found":[152],"that":[153],"93%":[154],"who":[161],"responded":[162],"our":[164],"had":[166],"experienced":[167,175],"least":[169,178],"one":[170],"malfunction,":[172],"two-thirds":[174],"annually.":[179],"DISCUSSION:":[180],"are":[183,239,252],"widespread":[184],"often":[186,247],"persist":[187],"long":[189],"periods.":[190],"The":[191],"failure":[192],"fire":[196],"is":[197],"particularly":[198],"difficult":[199],"detect.":[201],"A":[202],"range":[203],"causes,":[205],"including":[206],"changes":[207],"codes":[209],"fields,":[211],"upgrades,":[213],"inadvertent":[214],"disabling":[215],"or":[216],"editing":[217],"rules,":[219],"commonly":[225,245],"contribute":[226],"malfunctions,":[229],"current":[231],"approaches":[232],"preventing":[234],"detecting":[236],"inadequate.":[240],"CONCLUSION:":[241],"occur":[244],"go":[248],"undetected.":[249],"Better":[250],"methods":[251],"needed":[253],"prevent":[255],"detect":[257],"these":[258]},"counts_by_year":[{"year":2026,"cited_by_count":2},{"year":2025,"cited_by_count":13},{"year":2024,"cited_by_count":6},{"year":2023,"cited_by_count":10},{"year":2022,"cited_by_count":13},{"year":2021,"cited_by_count":12},{"year":2020,"cited_by_count":14},{"year":2019,"cited_by_count":18},{"year":2018,"cited_by_count":11},{"year":2017,"cited_by_count":21},{"year":2016,"cited_by_count":9}],"updated_date":"2026-04-29T09:16:38.111599","created_date":"2025-10-10T00:00:00"}
