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The Impact of Automation of Systems on Medical Errors: Evidence from Field Research

Author

Listed:
  • Ravi Aron

    (Carey Business School, Johns Hopkins University, Baltimore, Maryland 21202)

  • Shantanu Dutta

    (Marshall School of Business, University of Southern California, Los Angeles, California 90089)

  • Ramkumar Janakiraman

    (Mays Business School, Texas A&M University, College Station, Texas 77843)

  • Praveen A. Pathak

    (Department of Information Systems and Operations Management, Warrington College of Business Administration, University of Florida, Gainesville, Florida 32611)

Abstract

We use panel data from multiple wards from two hospitals spanning a three-year period to investigate the impact of automation of the core error prevention functions in hospitals on medical error rates. Although there are studies based on anecdotal evidence and self-reported data on how automation impacts medical errors, no systematic studies exist that are based on actual error rates from hospitals. Further, there is no systematic evidence on how incremental automation over time and across multiple wards impacts the rate of medical errors. The primary objective of our study is to fill this gap in the literature by empirically examining how the automation of core error prevention functions affects two types of medical errors. We draw on the medical informatics literature and principal-agency theory and use a unique panel data set of actual documented medical errors from two major hospitals to analyze the interplay between automation and medical errors. We hypothesize that the automation of the sensing function (recording and observing agent actions) will have the greatest impact on reducing error rates. We show that there are significant complementarities between quality management training imparted to hospital staff and the automation of control systems in reducing interpretative medical errors. We also offer insights to practitioners and theoreticians alike on how the automation of error prevention functions can be combined with training in quality management to yield better outcomes. Our results suggest an optimal implementation path for the automation of error prevention functions in hospitals.

Suggested Citation

  • Ravi Aron & Shantanu Dutta & Ramkumar Janakiraman & Praveen A. Pathak, 2011. "The Impact of Automation of Systems on Medical Errors: Evidence from Field Research," Information Systems Research, INFORMS, vol. 22(3), pages 429-446, September.
    • Handle: RePEc:inm:orisre:v:22:y:2011:i:3:p:429-446
    DOI: 10.1287/isre.1110.0350
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    References listed on IDEAS

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    1. Sundar Bharadwaj & Anandhi Bharadwaj & Elliot Bendoly, 2007. "The Performance Effects of Complementarities Between Information Systems, Marketing, Manufacturing, and Supply Chain Processes," Information Systems Research, INFORMS, vol. 18(4), pages 437-453, December.
    2. Milgrom, Paul & Roberts, John, 1995. "Complementarities and fit strategy, structure, and organizational change in manufacturing," Journal of Accounting and Economics, Elsevier, vol. 19(2-3), pages 179-208, April.
    3. Joseph P. Newhouse, 1973. "The Economics of Group Practice," Journal of Human Resources, University of Wisconsin Press, vol. 8(1), pages 37-56.
    4. Sarv Devaraj & Rajiv Kohli, 2003. "Performance Impacts of Information Technology: Is Actual Usage the Missing Link?," Management Science, INFORMS, vol. 49(3), pages 273-289, March.
    5. Cohendet, Patrick & Steinmueller, W Edward, 2000. "The Codification of Knowledge: A Conceptual and Empirical Exploration," Industrial and Corporate Change, Oxford University Press and the Associazione ICC, vol. 9(2), pages 195-209, June.
    6. Jensen, Michael C. & Meckling, William H., 1976. "Theory of the firm: Managerial behavior, agency costs and ownership structure," Journal of Financial Economics, Elsevier, vol. 3(4), pages 305-360, October.
    7. Deborah L. Kellogg & Richard B. Chase, 1995. "Constructing an Empirically Derived Measure for Customer Contact," Management Science, INFORMS, vol. 41(11), pages 1734-1749, November.
    8. McLaughlin, Kenneth J., 1994. "Individual Compensation and Firm Performance: The Economics of Team Incentives," Working Papers 104, The University of Chicago Booth School of Business, George J. Stigler Center for the Study of the Economy and the State.
    9. Ramkumar Janakiraman & Shantanu Dutta & Catarina Sismeiro & Philip Stern, 2008. "Physicians' Persistence and Its Implications for Their Response to Promotion of Prescription Drugs," Management Science, INFORMS, vol. 54(6), pages 1080-1093, June.
    10. Bengt Holmström, 1999. "Managerial Incentive Problems: A Dynamic Perspective," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 66(1), pages 169-182.
    11. Anitesh Barua & C. H. Sophie Lee & Andrew B. Whinston, 1996. "The Calculus of Reengineering," Information Systems Research, INFORMS, vol. 7(4), pages 409-428, December.
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