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Categorized according to the stage of the health information technology lifecycle where they appear, these challenges relate to (1) developing models, methods, and tools to enable risk assessment; (2) developing standard user interface design features and functions; (3) ensuring the safety of software in an interfaced, network-enabled clinical environment; (4) implementing a method for unambiguous patient identification (1\u20134 Design and Development stage); (5) developing and implementing decision support which improves safety; (6) identifying practices to safely manage information technology system transitions (5 and 6 Implementation and Use stage); (7) developing real-time methods to enable automated surveillance and monitoring of system performance and safety; (8) establishing the cultural and legal framework\/safe harbor to allow sharing information about hazards and adverse events; and (9) developing models and methods for consumers\/patients to improve health information technology safety (7\u20139 Monitoring, Evaluation, and Optimization stage). These challenges represent key \u201cto-do\u2019s\u201d that must be completed before we can expect to have safe, reliable, and efficient health information technology\u2013based systems required to care for patients. <\/jats:p>","DOI":"10.1177\/1460458218814893","type":"journal-article","created":{"date-parts":[[2018,12,12]],"date-time":"2018-12-12T05:29:45Z","timestamp":1544592585000},"page":"181-189","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":131,"title":["Current challenges in health information technology\u2013related patient safety"],"prefix":"10.1177","volume":"26","author":[{"given":"Dean F","family":"Sittig","sequence":"first","affiliation":[{"name":"The University of Texas Health Science Center at Houston (UTHealth), USA"}]},{"given":"Adam","family":"Wright","sequence":"additional","affiliation":[{"name":"Harvard Medical School, USA"}]},{"given":"Enrico","family":"Coiera","sequence":"additional","affiliation":[]},{"given":"Farah","family":"Magrabi","sequence":"additional","affiliation":[{"name":"Macquarie University, Australia"}]},{"given":"Raj","family":"Ratwani","sequence":"additional","affiliation":[{"name":"National Center for Human Factors in Healthcare, MedStar Health, USA"}]},{"given":"David W","family":"Bates","sequence":"additional","affiliation":[{"name":"Harvard Medical School, USA; Harvard T.H. Chan School of Public Health, USA"}]},{"given":"Hardeep","family":"Singh","sequence":"additional","affiliation":[{"name":"Center for Innovations in Quality, Effectiveness and Safety, Michael E DeBakey Veterans Affairs Medical Center and Baylor College of Medicine, Houston, Texas, USA"}]}],"member":"179","published-online":{"date-parts":[[2018,12,11]]},"reference":[{"key":"bibr1-1460458218814893","doi-asserted-by":"publisher","DOI":"10.1197\/jamia.M1471"},{"key":"bibr2-1460458218814893","doi-asserted-by":"publisher","DOI":"10.1197\/jamia.M2042"},{"issue":"1","key":"bibr3-1460458218814893","first-page":"7","volume":"10","author":"Sittig DF","year":"2016","journal-title":"Yearb Med Inform"},{"key":"bibr4-1460458218814893","doi-asserted-by":"publisher","DOI":"10.1093\/jamia\/ocv138"},{"key":"bibr5-1460458218814893","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2017.1658"},{"key":"bibr6-1460458218814893","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.165.10.1111"},{"key":"bibr7-1460458218814893","doi-asserted-by":"publisher","DOI":"10.1093\/jamia\/ocw154"},{"key":"bibr8-1460458218814893","doi-asserted-by":"publisher","DOI":"10.1016\/j.hjdsi.2017.06.004"},{"key":"bibr9-1460458218814893","doi-asserted-by":"publisher","DOI":"10.1136\/qshc.2010.042085"},{"key":"bibr10-1460458218814893","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMsb1205420"},{"key":"bibr11-1460458218814893","doi-asserted-by":"publisher","DOI":"10.1136\/bmjqs-2015-004486"},{"key":"bibr12-1460458218814893","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijmedinf.2006.05.026"},{"key":"bibr13-1460458218814893","doi-asserted-by":"publisher","DOI":"10.1093\/jamia\/ocw125"},{"key":"bibr14-1460458218814893","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2009.07.027"},{"key":"bibr15-1460458218814893","first-page":"853","volume":"2011","author":"Magrabi F","year":"2011","journal-title":"AMIA Annu Symp Proc"},{"key":"bibr16-1460458218814893","unstructured":"Health & Social Care Information Centre. 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