Anatomy of a cyberattack: part 4: quality assurance and error reduction, billing and compliance, transition to uptime. | PSNet

Provide Feedback |

Submit a Case

Register

Study

Anatomy of a cyberattack: part 4: quality assurance and error reduction, billing and compliance, transition to uptime.

April 27, 2022

Frisch NK, Gibson PC, Stowman AM, et al. Am J Emerg Med. 2022;158(1):18-26.

View more articles from the same authors.

Electronic health records (EHR) can improve patient care and safety but are not without potential risks. A cyberattack led to a 25-day shutdown of a hospital’s EHR that necessitated a rapid shift to manual processes. This article outlines the laboratory service’s processes during the shutdown, including patient safety and error reduction, billing, and maintaining compliance with regulatory policies.

PubMed citation

Related articles

Related Resources From the Same Author(s)

Nearly all thirty most frequently used emergency department drugs experienced shortages from 2006-2019.

April 27, 2022

Adding automation and independent dual verification to reduce wrong blood in tube (WBIT) events.

September 28, 2022

Incidence of prescription errors in patients discharged from the emergency department.

September 22, 2021

ASHP Guidelines on the Safe Use of Automated Compounding Devices for the Preparation of Parenteral Nutrition Admixtures.

June 15, 2022

Application of emergency preparedness principles to a pharmacy department’s approach to a “black swan” event: the COVID-19 pandemic.

April 21, 2021

Improving the specificity of drug-drug interaction alerts: can it be done?

April 6, 2022

Antibiotic prescribing errors in patients discharged from the pediatric emergency department.

March 30, 2022

Clinical reasoning assessment methods: a scoping review and practical guidance.

June 26, 2019

Assessing resident and attending error and adverse events in the emergency department.

March 2, 2022

Variation in electronic test results management and its implications for patient safety: a multisite investigation.

August 19, 2020

Emergency department monitor alarms rarely change clinical management: an observational study.

September 16, 2020

Electronic medical record-based interventions to encourage opioid prescribing best practices in the emergency department.

September 30, 2020

Emergency department adverse events detected using the emergency department trigger tool.

August 24, 2022

Patterns of error in interpretive pathology.

August 17, 2022

Indication alerts to improve problem list documentation.

January 26, 2022

Adverse events among emergency department patients with cardiovascular conditions: a multicenter study.

March 10, 2021

Recommendations for the safe, effective use of adaptive CDS in the US healthcare system: an AMIA position paper.

April 21, 2021

Learning from patient safety incidents involving acutely sick adults in hospital assessment units in England and Wales: a mixed methods analysis for quality improvement.

August 25, 2021

Cancer diagnostic delay in Northern and Central Italy during the 2020 lockdown due to the coronavirus disease 2019 pandemic.

October 21, 2020

National drug shortages worsen during COVID-19 crisis: proposal for a comprehensive model to monitor and address critical drug shortages.

November 4, 2020

Diagnostic error in the emergency department: learning from national patient safety incident report analysis.

January 15, 2020

Performance of a trigger tool for detecting drug-related hospital admissions in older people: analysis from the OPERAM trial.

February 16, 2022

US emergency department visits for acute harms from over-the-counter cough and cold medications, 2017-2019.

December 15, 2021

Clinical and financial implications of second-opinion surgical pathology review.

April 7, 2021

SECUre: a multicentre survey of the safety of emergency care in UK emergency departments.

November 24, 2021

A machine learning-based clinical decision support system to identify prescriptions with a high risk of medication error.

October 21, 2020

Discontinuation of outpatient medications: implications for electronic messaging to pharmacies using CancelRx.

December 7, 2022

Assessment of overuse of medical tests and treatments at US hospitals using Medicare claims.

May 19, 2021

Learning from diagnostic errors to improve patient safety when GPs work in or alongside emergency departments: incorporating realist methodology into patient safety incident report analysis.

January 12, 2022

The patient's "story": an examination of patient-reported safety incidents in general practice.

May 4, 2022

Risk factors associated with medication ordering errors.

December 16, 2020

Regional variations in diagnostic practices.

May 12, 2010

Alternatives to opioid education and a prescription drug monitoring program cumulatively decreased outpatient opioid prescriptions.

December 16, 2020

Video-based communication assessment of physician error disclosure skills by crowdsourced laypeople and patient advocates who experienced medical harm: reliability assessment with generalizability theory.

May 18, 2022

What I wish I’d known: how experienced physician managers diagnose, treat and prevent disruptive behaviour.

September 21, 2022

CancelRx: a health IT tool to reduce medication discrepancies in the outpatient setting.

September 1, 2021

Work effort, readability and quality of pharmacy transcription of patient directions from electronic prescriptions: a retrospective observational cohort analysis.

March 31, 2021

Human factors analysis of latent safety threats in a pediatric critical care unit.

May 18, 2022

The safety of emergency care systems: results of a survey of clinicians in 65 US emergency departments.

March 4, 2009

Toward safer health care: a review strategy of FDA medical device adverse event database to identify and categorize health information technology related events.

November 28, 2018

Association between limiting the number of open records in a tele-critical care setting and retract-reorder errors.

July 21, 2021

Maybe they had a bad day: how LGBTQ and BIPOC patients react to bias in healthcare and struggle to speak out.

September 14, 2022

Clinical data sharing improves quality measurement and patient safety.

March 24, 2021

Analysis of iatrogenic and in-hospital medication errors reported to United States poison centers: a retrospective observational study.

June 24, 2020

An analysis of the structure and content of dashboards used to monitor patient safety in the inpatient setting.

December 8, 2021

Pharmacist-led program to improve transitions from acute care to skilled nursing facility care.

July 8, 2020

Society for Maternal-Fetal Medicine Special Statement: telemedicine in obstetrics-quality and safety considerations.

February 1, 2023

Accuracy of emergency department clinical findings for diagnosis of coronavirus disease 2019.

July 29, 2020

"Are we there yet?" Ten persistent hazards and inefficiencies with the use of medication administration technology from the perspective of practicing nurses.

March 22, 2023

Weight and size descriptors for drug dosing: too many options and too many errors.

January 11, 2023

Registration errors among patients receiving blood transfusions: a national analysis from 2008 to 2017.

December 16, 2020

The potential for leveraging machine learning to filter medication alerts.

May 4, 2022

The role of feedback in emergency ambulance services: a qualitative interview study.

April 6, 2022

Hospital-readmission risk--isolating hospital effects from patient effects.

September 20, 2017

Assessing experiences of racism among Black and White patients in the emergency department.

January 25, 2023

Improving discharge safety in a pediatric emergency department.

October 26, 2022

Validation of an electronic trigger to measure missed diagnosis of stroke in emergency departments.

August 25, 2021

The tradeoffs between safety and alert fatigue: data from a national evaluation of hospital medication-related clinical decision support.

July 29, 2020

When disasters strike the emergency department: a case series and narrative review.

November 10, 2021

Safety risks and workflow implications associated with nursing-related free-text communication orders.

March 15, 2023

The Anesthesia Patient Safety Foundation Stoelting Conference 2019: perioperative deterioration--early recognition, rapid intervention, and the end of failure-to-rescue.

November 11, 2020

Alert burden in pediatric hospitals: a cross-sectional analysis of six academic pediatric health systems using novel metrics.

November 3, 2021

Patient safety measurement tools used in nursing homes: a systematic literature review.

December 7, 2022

Opportunities to enhance laboratory professionals' role on the diagnostic team.

November 16, 2016

How effective are electronic medication systems in reducing medication error rates and associated harm among hospital inpatients? A systematic review and meta-analysis.

December 2, 2020

Pediatric musculoskeletal radiographs: anatomy and fractures prone to diagnostic error among emergency physicians.

August 3, 2022

Nurse workarounds in the electronic health record: an integrative review.

August 12, 2020

Crossover of the patient satisfaction surveys, adverse events and patient complaints for continuous improvement in radiotherapy department.

April 20, 2022

Negative emotions experienced by healthcare staff following medication administration errors: a descriptive study using text-mining and content analysis of incident data.

December 21, 2022

Inviting patients to identify diagnostic concerns through structured evaluation of their online visit notes.

April 13, 2022

Teamwork is associated with reduced hospital staff burnout at military treatment facilities: findings from the 2019 Department of Defense Patient Safety Culture Survey.

March 22, 2023

Exploring the impact of employee engagement and patient safety.

September 14, 2022

COVID-19: an emerging threat to antibiotic stewardship in the emergency department.

October 21, 2020

The diagnostic and triage accuracy of digital and online symptom checker tools: a systematic review.

August 31, 2022

Safe use of the EHR by medical scribes: a qualitative study.

November 18, 2020

An objective framework for evaluating unrecognized bias in medical AI models predicting COVID-19 outcomes.

June 1, 2022

Prehospital naloxone and emergency department adverse events: a dose-dependent relationship.

November 25, 2020

Monitoring preventable adverse events and near misses: number and type identified differ depending on method used.

June 29, 2022

Family Input for Quality and Safety (FIQS): using mobile technology for in-hospital reporting from families and patients.

March 2, 2022

Assessment of perioperative outcomes among surgeons who operated the night before.

June 8, 2022

A review of adverse event reports from emergency departments in the Veterans Health Administration.

March 18, 2020

Examining medication ordering errors using AHRQ Network of Patient Safety Databases.

February 22, 2023

Estimation of breast cancer overdiagnosis in a U.S. breast screening cohort.

March 16, 2022

Assessing patients 2019 experiences with medical injury reconciliation processes: item generation for a novel survey questionnaire.

May 5, 2021

The emergency department trigger tool: a novel approach to screening for quality and safety events.

September 30, 2020

Using health information technology in residential aged care homes: an integrative review to identify service and quality outcomes.

August 17, 2022

Experiences of transgender and gender nonbinary patients in the emergency department and recommendations for health care policy, education, and practice.

July 21, 2021

The standardisation of handoffs in a large academic paediatric emergency department using I-PASS.

July 28, 2021

The National Emergency Department Safety Study: study rationale and design.

January 9, 2008

Can mindfulness in health care professionals improve patient care? An integrative review and proposed model.

June 12, 2019

Decreasing misdiagnoses of urinary tract infections in a pediatric emergency department.

August 10, 2022

Patient harm and institutional avoidability of out-of-hours discharge from intensive care: an analysis using mixed methods.

March 23, 2022

A high-reliability organization mindset.

February 22, 2023

Identifying hot spots for harm and blind spots across the care pathway from patient complaints about general practice.

November 3, 2021

Misdiagnosis of thoracic aortic emergencies occurs frequently among transfers to aortic referral centers: an analysis of over 3700 patients.

October 12, 2022

Implementation and sustainability of a medication reconciliation toolkit: a mixed methods evaluation.

August 5, 2020

Preliminary study of patient safety and quality use cases for ICD-11 MMS.

September 15, 2021

US emergency department visits attributed to medication harms, 2017-2019.

October 20, 2021

Non-conveyance of older adult patients and association with subsequent clinical and adverse events after initial assessment by ambulance clinicians: a cohort analysis.

January 26, 2022

Safety culture: an integration of existing models and a framework for understanding its development.

March 17, 2021

View More

Related Resources

Enhancing patient safety: a national standard for cyber resiliency in healthcare.

September 20, 2023

Patient Safety Innovations

The e-Autopsy/e-Biopsy: A Systematic Chart Review to Increase Safety and Diagnostic Accuracy Innovation

August 30, 2023

Interview

In Conversation with Kathleen Sanford and Sue Schuelke about Virtual Nursing

August 30, 2023

Perspectives on Safety

Virtual Nursing: Improving Patient Care and Meeting Workforce Challenges

August 30, 2023

Patient Safety Innovations

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

May 31, 2023

Danger in discharge summaries: abbreviations create confusion for both author and recipient.

May 31, 2023

Blood and blood products transfusion errors: what can we do to improve patient safety.

May 10, 2023

Interview

In Conversation with Susan McGrath, PhD and George Blike, MD about Surveillance Monitoring

April 26, 2023

Perspective

Surveillance Monitoring to Improve Patient Safety in Acute Hospital Care Units

April 26, 2023

Understanding complexity in a safety critical setting: a systems approach to medication administration.

April 26, 2023

Potential uses of AI for perioperative nursing handoffs: a qualitative study.

April 12, 2023

Journal Article

Study

Reducing hospital harm: establishing a command centre to foster situational awareness.

March 29, 2023

Journal Article

Study

Implementation of a medication reconciliation risk stratification tool integrated within an electronic health record: a case series of three academic medical centers.

March 29, 2023

The role of language barriers on efficacy of rapid response teams.

March 1, 2023

Access to Clinical Information at the Bedside.

March 1, 2023

Improving administration and documentation of enteral nutrition support therapy in a Veteran Affairs health care system: use of medication administration record and bar code scanning technology.

February 1, 2023

Tele-Rapid Response Team (Tele-RRT): the effect of implementing patient safety network system on outcomes of medical patients- a before and after cohort study.

January 11, 2023

Health system redesign of cardiac monitoring oversight to optimize alarm management, safety, and staff engagement.

December 14, 2022

Comprehensive Healthcare Inspection Summary Report: Evaluation of Care Coordination in Veterans Health Administration Facilities, Fiscal Year 2021.

October 12, 2022

Contributors to diagnostic error or delay in the acute care setting: a survey of clinical stakeholders.

October 12, 2022

Development and pilot evaluation of an electronic health record usability and safety self-assessment tool.

August 24, 2022

Dashboard design to identify and balance competing risk of multiple hospital-acquired conditions.

July 13, 2022

Identifying and reconciling patients' allergy information within the electronic health record.

July 6, 2022

Machine learning models outperform manual result review for the identification of wrong blood in tube errors in complete blood count results.

June 29, 2022

WebM&M Cases

Check Twice, Transport Once

May 16, 2022

Workarounds in electronic health record systems and the revised Sociotechnical Electronic Health Record Workaround Analysis Framework: scoping review.

April 13, 2022

Preventing delayed and missed care by applying artificial intelligence to trigger radiology imaging follow-up.

March 30, 2022

Internet of things in healthcare for patient safety: an empirical study.

March 16, 2022

Technology-based closed-loop tracking for improving communication and follow-up of pathology results.

February 2, 2022

Artificial intelligence for identifying the prevention of medication incidents causing serious or moderate harm: an analysis using incident reporters' views.

November 24, 2021

View More

See More About The Topic

Information Professionals

Hospital Medicine

Pathology and Laboratory Medicine

Discontinuities, Gaps, and Hand-Off Problems

To sign up for updates or to access your subscriber preferences, please enter your email address below.

5600 Fishers Lane
Rockville, MD 20857
Telephone: (301) 427-1364