The safety, effectiveness, impact, and risks of medical information systems have received little attention from clinical investigators in pediatrics. Krishna and colleagues’ study of the impact of a multimedia asthma education program published in this issue of Pediatrics is an exception to this observation and a wonderful example of a clinical research study on the effects of a medical information system.

Information systems that collect, process, and disseminate medical information are ubiquitous in our practice of pediatric medicine. These information resources serve a variety of functions, but they all have 1 thing in common: they are being used in a high-stakes environment. Technical glitches such as programming errors, hardware malfunctions, communication failures, and data corruption or data loss can endanger the well-being of our patients. Human-machine interface errors like inappropriate use (a program designed for adults used in pediatrics), incomplete or inaccurate data entry, rearranged physician priorities, and...

You do not currently have access to this content.