- Book/Report
- Published August 2018
Health IT Safe Practices for Closing the Loop.
Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI; August 2018.
-
Topics
Resource Type
Approach to Improving Safety
Safety Target
Setting of Care
Clinical Area
Target Audience
Error Types
Origin/Sponsor
Inadequate follow-up of test results can contribute to missed and delayed diagnoses. Developing optimal test result management systems is essential for closing the loop so that results can be acted upon in a timely manner. The Partnership for Health IT Patient Safety convened a working group to identify how technology can be used to facilitate improved communication and timely action regarding test results. This report summarizes the methods used by the working group and their findings. Recommendations include improving communication by standardizing the format of test results, including required timing for diagnostic testing responses, automating the notification process in electronic health records, and optimizing alerts to reduce alert fatigue. A past WebM&M commentary discussed a case involving ambulatory test result management.
Related Resources
Journal Article › Commentary
A decade of health information technology usability challenges and the path forward.
Ratwani RM, Reider J, Singh H. JAMA. 2019 Feb 4; [Epub ahead of print].
Press Release/Announcement
Rockville, MD: Agency for Healthcare Research and Quality; January 28, 2019. AHRQ Publication No. NOT-HS-19-009.
Journal Article › Commentary
Thimbleby H. Digit Health. 2019;5:2055207619827722.
Legislation/Regulation › Organizational Policy/Guidelines
ISMP Guidelines for Safe Electronic Communication of Medication Information.
Horsham, PA: Institute for Safe Medication Practices; January 2019.
Journal Article › Commentary
Current challenges in health information technology–related patient safety.
Sittig DF, Wright A, Coiera E, et al. Health Informatics J. 2018 Dec 11; [Epub ahead of print].
Journal Article › Study
Driver BE, Scharber SK, Fagerstrom ET, Klein LR, Cole JB, Dhaliwal RS. J Emerg Med. 2019;56:109-113.
Journal Article › Commentary
A prescription for enhancing electronic prescribing safety.
Schiff G, Mirica MM, Dhavle AA, Galanter WL, Lambert B, Wright A. Health Aff (Millwood). 2018;37:1877-1883.
Journal Article › Study
Accurate measurement In California's safety-net health systems has gaps and barriers.
Khoong EC, Cherian R, Rivadeneira NA, et al. Health Aff (Millwood). 2018;37:1760-1769.
Journal Article › Study
Jeffries M, Keers RN, Phipps DL, et al. PLoS One. 2018;13:e0205419.
Journal Article › Study
Dahm MR, Georgiou A, Herkes R, et al. Diagnosis (Berl). 2018;5:215-222.
Book/Report
Procuring Interoperability: Achieving High-Quality, Connected, and Person-Centered Care.
Pronovost P, Johns MME, Palmer S, et al, eds. Washington, DC: National Academy of Medicine; 2018. ISBN: 9781947103122.
Journal Article › Commentary
Sulkers H, Tajirian T, Paterson J, et al. JAMIA Open. 2018 Sep 19; [Epub ahead of print].
Journal Article › Study
Fong A, Adams KT, Gaunt MJ, Howe JL, Kellogg KM, Ratwani RM. J Biomed Inform. 2018;86:135-142.
Journal Article › Study
Engaging hospital patients in the medication reconciliation process using tablet computers.
Prey JE, Polubriaginof F, Grossman LV, et al. J Am Med Inform Assoc. 2018;25:1460-1469.
Journal Article › Review
Scott IA, Pillans PI, Barras M, Morris C. Ther Adv Drug Saf. 2018;9:559-573.
Journal Article › Review
Rahimi R, Kazemi A, Moghaddasi H, Arjmandi Rafsanjani K, Bahoush G. Chemotherapy. 2018;63:162-171.
Journal Article › Study
ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2017.
Schneider PJ, Pedersen CA, Scheckelhoff DJ. Am J Health Syst Pharm. 2018;75:1203-1226.
Journal Article › Study
The effect of cognitive load and task complexity on automation bias in electronic prescribing.
Lyell D, Magrabi F, Coiera E. Hum Factors. 2018;60:1008-1021.
Journal Article › Study
Parshuram CS, Dryden-Palmer K, Farrell C, et al; Canadian Critical Care Trials Group and EPOCH Investigators. JAMA. 2018;319:1002-1012.
Journal Article › Study
An ethnographic study of health information technology use in three intensive care units.
Leslie M, Paradis E, Gropper MA, Kitto S, Reeves S, Pronovost P. Health Serv Res. 2017;52:1330-1348.
Journal Article › Study
Measuring adverse events in hospitalized patients: an administrative method for measuring harm.
Martin J, Benjamin EM, Craver C, Kroch EA, Nelson EC, Bankowitz R. J Patient Saf. 2016;12:125-131.
Journal Article › Review
Clinical decision support: a 25 year retrospective and a 25 year vision.
Middleton B, Sittig DF, Wright A. Yearb Med Inform. 2016;(suppl 1):S103-S116.
Journal Article › Commentary
Health information technologies: from hazardous to the dark side.
Saunders C, Rutkowski AF, Pluyter J, Spanjers R. J Assoc Inf Sci Technol. 2016;67:1767-1772.
Journal Article › Review
Electronic tools to support medication reconciliation—a systematic review.
Marien S, Krug B, Spinewine A. J Am Med Inform Assoc. 2017;24:227-240.
Newsletter/Journal
Innovations to improve patient safety.
Agency for Healthcare Research and Quality. Health Care Innovations Exchange. May 18, 2016.