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Search results for "Information Professionals"
Journal Article > Study
Preventing iatrogenic overdose: a review of in–emergency department opioid-related adverse drug events and medication errors.
Beaudoin FL, Merchant RC, Janicki A, McKaig DM, Babu KM. Ann Emerg Med. 2015;65:423-431.
This study was conducted using a trigger tool method in which all cases of naloxone administration in the emergency department were reviewed. Causes of iatrogenic opioid overdose included patient factors such as comorbid conditions, inappropriate prescribing practices such as coadministration of multiple opioid medications, and systems problems including suboptimal handoffs and lack of pharmacy oversight. These results clearly demonstrate the need for multimodal interventions that address the varied factors that contribute to opioid overdose in the emergency department. A recent AHRQ WebM&M commentary describes best practices for opioid prescribing.
Journal Article > Review
Percha B, Altman RB. Trends Pharmacol Sci. 2013;34:178-184.
Discussing drug–drug interactions (DDIs) as a potential public health issue, this commentary recommends that informatics be used to detect, understand, and predict DDIs.
Saving Lives, Saving Money: The Imperative for Computerized Physician Order Entry in Massachusetts Hospitals.
Adams M, Bates D, Coffman G, Everett W. Westborough, MA: Massachusetts Technology Collaborative and New England Healthcare Institute; 2008.
Analyzing patient charts at six community hospitals in Massachusetts, this report reveals to what extent adopting computerized physician order entry could affect clinical outcomes and impart financial savings.
Journal Article > Review
Systematic review: impact of health information technology on quality, efficiency, and costs of medical care.
Chaudhry B, Wang J, Wu S, et al. Ann Intern Med. 2006;144:742-752.
This AHRQ–funded study evaluated more than 250 publications in determining the major studied benefits of health information technology (HIT). The benefits reported include improved adherence to guideline-based care, enhanced surveillance and monitoring, and decreased medication errors. In addition, although decreased utilization of care was noted, specific time utilization measures and empirical cost data were either mixed or limited. The authors caution that translating the benefits reported in these high-quality studies may be limited, owing to their evaluation in four benchmark research institutions. The authors discuss the implications of their findings in the context of existing political and financial drivers. This systematic review builds on past studies that focused on specific aspects of HIT, such as computerized provider order entry (CPOE).
Rosenthal J, Booth M. Portland, ME: National Academy for State Health Policy; 2005.
This report, generated by the National Academy for State Health Policy, provides practical guidance and tools for states with existing reporting systems. The expert group that came together included data collectors, analysts, and users who aimed to develop strategies for improved collection, analysis, and feedback. The authors present key findings and emphasize that the quality improvement aspect of reporting systems is critical to success. Although the authors encourage greater use of reporting systems, a need exists for states to produce better-quality reports from their data to promote patient safety interventions. Additional initiatives from the report include development of a central Web-based repository of tools and resources that they plan to make available at their Web site.