{"id":"https://openalex.org/W4400955641","doi":"https://doi.org/10.3233/shti240189","title":"Technology-Related Safety Event Analysis in Community Clinical Informatics: A Case Study","display_name":"Technology-Related Safety Event Analysis in Community Clinical Informatics: A Case Study","publication_year":2024,"publication_date":"2024-07-24","ids":{"openalex":"https://openalex.org/W4400955641","doi":"https://doi.org/10.3233/shti240189","pmid":"https://pubmed.ncbi.nlm.nih.gov/39049300"},"language":"en","primary_location":{"id":"doi:10.3233/shti240189","is_oa":true,"landing_page_url":"http://dx.doi.org/10.3233/shti240189","pdf_url":null,"source":{"id":"https://openalex.org/S4210179765","display_name":"Studies in health technology and informatics","issn_l":"0926-9630","issn":["0926-9630","1879-8365"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310318577","host_organization_name":"IOS Press","host_organization_lineage":["https://openalex.org/P4310318577"],"host_organization_lineage_names":["IOS Press"],"type":"book series"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Studies in Health Technology and Informatics","raw_type":"book-chapter"},"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"http://dx.doi.org/10.3233/shti240189","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5045892440","display_name":"Chantelle Recsky","orcid":"https://orcid.org/0000-0002-5570-1563"},"institutions":[{"id":"https://openalex.org/I141945490","display_name":"University of British Columbia","ror":"https://ror.org/03rmrcq20","country_code":"CA","type":"education","lineage":["https://openalex.org/I141945490"]}],"countries":["CA"],"is_corresponding":true,"raw_author_name":"Chantelle Recsky","raw_affiliation_strings":["School of Nursing, University of British Columbia, Vancouver, Canada"],"affiliations":[{"raw_affiliation_string":"School of Nursing, University of British Columbia, Vancouver, Canada","institution_ids":["https://openalex.org/I141945490"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5103116988","display_name":"Megan Stowe","orcid":"https://orcid.org/0009-0008-1304-5060"},"institutions":[{"id":"https://openalex.org/I156965999","display_name":"Provincial Health Services Authority","ror":"https://ror.org/01jvd8304","country_code":"CA","type":"government","lineage":["https://openalex.org/I1308729876","https://openalex.org/I156965999"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Megan Stowe","raw_affiliation_strings":["Provincial Health Services Authority, Vancouver, Canada"],"affiliations":[{"raw_affiliation_string":"Provincial Health Services Authority, Vancouver, Canada","institution_ids":["https://openalex.org/I156965999"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5047374864","display_name":"Kathy L. Rush","orcid":"https://orcid.org/0000-0002-0879-7187"},"institutions":[{"id":"https://openalex.org/I141945490","display_name":"University of British Columbia","ror":"https://ror.org/03rmrcq20","country_code":"CA","type":"education","lineage":["https://openalex.org/I141945490"]},{"id":"https://openalex.org/I4405260628","display_name":"University of British Columbia, Okanagan Campus","ror":"https://ror.org/04241wz75","country_code":"CA","type":"education","lineage":["https://openalex.org/I141945490","https://openalex.org/I4405260628"]},{"id":"https://openalex.org/I822440","display_name":"Okanagan University College","ror":"https://ror.org/02mxmh518","country_code":"CA","type":"education","lineage":["https://openalex.org/I822440"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Kathy L. Rush","raw_affiliation_strings":["School of Nursing, University of British Columbia Okanagan, Kelowna, Canada"],"affiliations":[{"raw_affiliation_string":"School of Nursing, University of British Columbia Okanagan, Kelowna, Canada","institution_ids":["https://openalex.org/I822440","https://openalex.org/I141945490","https://openalex.org/I4405260628"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5053975393","display_name":"Maura MacPhee","orcid":"https://orcid.org/0000-0002-3603-8735"},"institutions":[{"id":"https://openalex.org/I141945490","display_name":"University of British Columbia","ror":"https://ror.org/03rmrcq20","country_code":"CA","type":"education","lineage":["https://openalex.org/I141945490"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Maura MacPhee","raw_affiliation_strings":["School of Nursing, University of British Columbia, Vancouver, Canada"],"affiliations":[{"raw_affiliation_string":"School of Nursing, University of British Columbia, Vancouver, Canada","institution_ids":["https://openalex.org/I141945490"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5059004733","display_name":"Lorraine Blackburn","orcid":"https://orcid.org/0009-0004-4749-6119"},"institutions":[{"id":"https://openalex.org/I141074466","display_name":"Vancouver Coastal Health","ror":"https://ror.org/03bd8jh67","country_code":"CA","type":"healthcare","lineage":["https://openalex.org/I141074466"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Lorraine Blackburn","raw_affiliation_strings":["Vancouver Coastal Health, Vancouver, Canada"],"affiliations":[{"raw_affiliation_string":"Vancouver Coastal Health, Vancouver, Canada","institution_ids":["https://openalex.org/I141074466"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5046359457","display_name":"Allison Muniak","orcid":"https://orcid.org/0009-0006-5438-1584"},"institutions":[{"id":"https://openalex.org/I141074466","display_name":"Vancouver Coastal Health","ror":"https://ror.org/03bd8jh67","country_code":"CA","type":"healthcare","lineage":["https://openalex.org/I141074466"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Allison Muniak","raw_affiliation_strings":["Health Quality BC, Vancouver, Canada"],"affiliations":[{"raw_affiliation_string":"Health Quality BC, Vancouver, Canada","institution_ids":["https://openalex.org/I141074466"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5001172298","display_name":"Leanne M. Currie","orcid":"https://orcid.org/0000-0002-8232-2809"},"institutions":[{"id":"https://openalex.org/I141945490","display_name":"University of British Columbia","ror":"https://ror.org/03rmrcq20","country_code":"CA","type":"education","lineage":["https://openalex.org/I141945490"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Leanne M. Currie","raw_affiliation_strings":["School of Nursing, University of British Columbia, Vancouver, Canada"],"affiliations":[{"raw_affiliation_string":"School of Nursing, University of British Columbia, Vancouver, Canada","institution_ids":["https://openalex.org/I141945490"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":7,"corresponding_author_ids":["https://openalex.org/A5045892440"],"corresponding_institution_ids":["https://openalex.org/I141945490"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.3320723,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"315","issue":null,"first_page":"452","last_page":"457"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":0.9609000086784363,"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":0.9609000086784363,"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"}}],"keywords":[{"id":"https://openalex.org/keywords/sociotechnical-system","display_name":"Sociotechnical system","score":0.7646704912185669},{"id":"https://openalex.org/keywords/workflow","display_name":"Workflow","score":0.7029916048049927},{"id":"https://openalex.org/keywords/health-informatics","display_name":"Health informatics","score":0.649855375289917},{"id":"https://openalex.org/keywords/informatics","display_name":"Informatics","score":0.6252698302268982},{"id":"https://openalex.org/keywords/patient-safety","display_name":"Patient safety","score":0.5972837805747986},{"id":"https://openalex.org/keywords/health-information-technology","display_name":"Health information technology","score":0.5467239618301392},{"id":"https://openalex.org/keywords/harm","display_name":"Harm","score":0.4817616939544678},{"id":"https://openalex.org/keywords/event","display_name":"Event (particle physics)","score":0.47673499584198},{"id":"https://openalex.org/keywords/process","display_name":"Process (computing)","score":0.44570788741111755},{"id":"https://openalex.org/keywords/computer-science","display_name":"Computer science","score":0.42626750469207764},{"id":"https://openalex.org/keywords/health-care","display_name":"Health care","score":0.4033992886543274},{"id":"https://openalex.org/keywords/knowledge-management","display_name":"Knowledge management","score":0.3399572968482971},{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.3259061574935913},{"id":"https://openalex.org/keywords/engineering","display_name":"Engineering","score":0.20622804760932922},{"id":"https://openalex.org/keywords/nursing","display_name":"Nursing","score":0.18045449256896973},{"id":"https://openalex.org/keywords/public-health","display_name":"Public health","score":0.1602136492729187},{"id":"https://openalex.org/keywords/psychology","display_name":"Psychology","score":0.1280469000339508},{"id":"https://openalex.org/keywords/political-science","display_name":"Political science","score":0.08382713794708252}],"concepts":[{"id":"https://openalex.org/C127627568","wikidata":"https://www.wikidata.org/wiki/Q1639361","display_name":"Sociotechnical system","level":2,"score":0.7646704912185669},{"id":"https://openalex.org/C177212765","wikidata":"https://www.wikidata.org/wiki/Q627335","display_name":"Workflow","level":2,"score":0.7029916048049927},{"id":"https://openalex.org/C145642194","wikidata":"https://www.wikidata.org/wiki/Q870895","display_name":"Health informatics","level":3,"score":0.649855375289917},{"id":"https://openalex.org/C191630685","wikidata":"https://www.wikidata.org/wiki/Q4027615","display_name":"Informatics","level":2,"score":0.6252698302268982},{"id":"https://openalex.org/C2779328685","wikidata":"https://www.wikidata.org/wiki/Q1475557","display_name":"Patient safety","level":3,"score":0.5972837805747986},{"id":"https://openalex.org/C2776354556","wikidata":"https://www.wikidata.org/wiki/Q10910281","display_name":"Health information technology","level":3,"score":0.5467239618301392},{"id":"https://openalex.org/C2777363581","wikidata":"https://www.wikidata.org/wiki/Q15098235","display_name":"Harm","level":2,"score":0.4817616939544678},{"id":"https://openalex.org/C2779662365","wikidata":"https://www.wikidata.org/wiki/Q5416694","display_name":"Event (particle physics)","level":2,"score":0.47673499584198},{"id":"https://openalex.org/C98045186","wikidata":"https://www.wikidata.org/wiki/Q205663","display_name":"Process (computing)","level":2,"score":0.44570788741111755},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.42626750469207764},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.4033992886543274},{"id":"https://openalex.org/C56739046","wikidata":"https://www.wikidata.org/wiki/Q192060","display_name":"Knowledge management","level":1,"score":0.3399572968482971},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.3259061574935913},{"id":"https://openalex.org/C127413603","wikidata":"https://www.wikidata.org/wiki/Q11023","display_name":"Engineering","level":0,"score":0.20622804760932922},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.18045449256896973},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.1602136492729187},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.1280469000339508},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.08382713794708252},{"id":"https://openalex.org/C121332964","wikidata":"https://www.wikidata.org/wiki/Q413","display_name":"Physics","level":0,"score":0.0},{"id":"https://openalex.org/C77088390","wikidata":"https://www.wikidata.org/wiki/Q8513","display_name":"Database","level":1,"score":0.0},{"id":"https://openalex.org/C111919701","wikidata":"https://www.wikidata.org/wiki/Q9135","display_name":"Operating system","level":1,"score":0.0},{"id":"https://openalex.org/C77805123","wikidata":"https://www.wikidata.org/wiki/Q161272","display_name":"Social psychology","level":1,"score":0.0},{"id":"https://openalex.org/C62520636","wikidata":"https://www.wikidata.org/wiki/Q944","display_name":"Quantum mechanics","level":1,"score":0.0},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0},{"id":"https://openalex.org/C119599485","wikidata":"https://www.wikidata.org/wiki/Q43035","display_name":"Electrical engineering","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D003153","descriptor_name":"Community Health Services","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003153","descriptor_name":"Community Health Services","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003153","descriptor_name":"Community Health Services","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003153","descriptor_name":"Community Health Services","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":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008490","descriptor_name":"Medical Informatics","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D008490","descriptor_name":"Medical Informatics","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D008490","descriptor_name":"Medical Informatics","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D008490","descriptor_name":"Medical Informatics","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D017751","descriptor_name":"Safety Management","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017751","descriptor_name":"Safety Management","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017751","descriptor_name":"Safety Management","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017751","descriptor_name":"Safety Management","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D019300","descriptor_name":"Medical Errors","qualifier_ui":"Q000517","qualifier_name":"prevention & control","is_major_topic":false},{"descriptor_ui":"D019300","descriptor_name":"Medical Errors","qualifier_ui":"Q000517","qualifier_name":"prevention & control","is_major_topic":false},{"descriptor_ui":"D019300","descriptor_name":"Medical Errors","qualifier_ui":"Q000517","qualifier_name":"prevention & control","is_major_topic":false},{"descriptor_ui":"D019300","descriptor_name":"Medical Errors","qualifier_ui":"Q000517","qualifier_name":"prevention & control","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":"D019982","descriptor_name":"Organizational Case Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D057188","descriptor_name":"Workflow","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D057188","descriptor_name":"Workflow","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D057188","descriptor_name":"Workflow","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D057188","descriptor_name":"Workflow","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D061214","descriptor_name":"Patient Safety","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D061214","descriptor_name":"Patient Safety","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D061214","descriptor_name":"Patient Safety","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D061214","descriptor_name":"Patient Safety","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.3233/shti240189","is_oa":true,"landing_page_url":"http://dx.doi.org/10.3233/shti240189","pdf_url":null,"source":{"id":"https://openalex.org/S4210179765","display_name":"Studies in health technology and informatics","issn_l":"0926-9630","issn":["0926-9630","1879-8365"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310318577","host_organization_name":"IOS Press","host_organization_lineage":["https://openalex.org/P4310318577"],"host_organization_lineage_names":["IOS Press"],"type":"book series"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Studies in Health Technology and Informatics","raw_type":"book-chapter"},{"id":"pmid:39049300","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/39049300","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":"Studies in health technology and informatics","raw_type":null}],"best_oa_location":{"id":"doi:10.3233/shti240189","is_oa":true,"landing_page_url":"http://dx.doi.org/10.3233/shti240189","pdf_url":null,"source":{"id":"https://openalex.org/S4210179765","display_name":"Studies in health technology and informatics","issn_l":"0926-9630","issn":["0926-9630","1879-8365"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310318577","host_organization_name":"IOS Press","host_organization_lineage":["https://openalex.org/P4310318577"],"host_organization_lineage_names":["IOS Press"],"type":"book series"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Studies in Health Technology and Informatics","raw_type":"book-chapter"},"sustainable_development_goals":[{"score":0.5099999904632568,"display_name":"Life below water","id":"https://metadata.un.org/sdg/14"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2397677514","https://openalex.org/W2914293784","https://openalex.org/W2407382301","https://openalex.org/W1495820741","https://openalex.org/W4323056170","https://openalex.org/W2126732312","https://openalex.org/W2401910071","https://openalex.org/W2189429352","https://openalex.org/W4302329558","https://openalex.org/W1971571384"],"abstract_inverted_index":{"This":[0],"case":[1],"study":[2],"presents":[3],"a":[4,63,111,125],"process":[5,90],"that":[6,91],"was":[7,33,58,92],"iteratively":[8],"developed":[9,94],"for":[10,52],"clinical":[11,64],"informaticians":[12],"to":[13,18,22,47,59,67,75,81,103,117,133,137,142,153],"identify,":[14],"analyse,":[15],"and":[16,74,79,123,135,145,157],"respond":[17,80,136],"safety":[19,70,83,87,108,115,148],"events":[20,109,130],"related":[21],"health":[23],"information":[24],"technologies":[25],"(HIT)":[26],"in":[27],"community":[28],"care":[29],"settings":[30],"(This":[31],"research":[32],"supported":[34],"by":[35],"the":[36],"CIHR":[37],"Health":[38,51],"Systems":[39],"Impact":[40],"Fellowship":[41],"Program.":[42],"We":[43],"would":[44],"also":[45],"like":[46],"thank":[48],"Vancouver":[49],"Coastal":[50],"their":[53,72],"valuable":[54],"contributions.).":[55],"The":[56,85],"goal":[57],"build":[60],"capacity":[61],"within":[62],"informatics":[65,151],"team":[66],"integrate":[68],"patient":[69],"into":[71],"work":[73],"help":[76],"them":[77],"recognize":[78],"HIT-related":[82,107],"events.":[84],"technology-related":[86],"event":[88],"analysis":[89,127],"ultimately":[93],"included":[95],"three":[96],"key":[97],"components:":[98],"1)":[99],"an":[100],"internal":[101],"workflow":[102],"analyse":[104],"voluntarily":[105],"reported":[106],"using":[110],"sociotechnical":[112],"model,":[113],"2)":[114],"huddles":[116],"amplify":[118],"learnings":[119],"from":[120],"reviewed":[121],"events,":[122],"3)":[124],"cumulative":[126],"of":[128],"all":[129],"over":[131],"time":[132],"identify":[134,144],"patterns.":[138],"A":[139],"systematic":[140],"approach":[141],"quickly":[143],"understand":[146],"HIT":[147],"concerns":[149],"enables":[150],"teams":[152],"proactively":[154],"reduce":[155],"risks":[156],"prevent":[158],"harm.":[159]},"counts_by_year":[],"updated_date":"2025-12-21T01:58:51.020947","created_date":"2025-10-10T00:00:00"}
