Narrow Results Clear All
- Communication Improvement 3
- Education and Training 2
- Error Reporting and Analysis 5
- Human Factors Engineering 2
- Legal and Policy Approaches 2
- Logistical Approaches 2
- Quality Improvement Strategies 4
- Specialization of Care 1
- Technologic Approaches
- Health Care Executives and Administrators 13
- Health Care Providers 8
- Non-Health Care Professionals 13
- Patients 3
Search results for "Clinical Information Systems"
- Clinical Information Systems
Identity Crisis: An Examination of the Costs and Benefits of a Unique Patient Identifier for the US Health Care System.
Hillestad R, Bigelow JH, Chaudhry B, et al. Santa Monica, CA: RAND Corporation; 2008.
This monograph reports on the concept of creating a unique patient identifier system and addresses potential privacy, error, and cost issues.
Shekelle PG, Morton SC, Keeler EB. Evidence Report/Technology Assessment No. 132 (Prepared by the Southern California Evidence-based Practice Center under Contract No. 290-02-0003.) Rockville, MD: Agency for Healthcare Research and Quality; April 2006. AHRQ Publication No. 06-E006.
The authors reviewed the literature on health information technology (HIT). They conclude that HIT may reduce pediatric medication errors, have the potential to improve safety and quality, and require more study to fully articulate the cost and implementation issues.
Aspden P, Corrigan JM, Wolcott J, Erickson SM, eds for the Committee for Data Standards for Patient Safety, Institute of Medicine. Washington, DC: The National Academies Press; 2004. ISBN: 030909776.
Robust information systems serve as a backbone for both preventing medical error and learning from it. The authors submit that a national information infrastructure will facilitate immediate access to patient information and decision support mechanisms. They also suggest that a byproduct of the infrastructure will be a consistent method for managing patient safety data and the ability to capture it in real time as a result of care.
Dixon BE, Zafar A, for AHRQ National Resource Center for Health IT. Rockville, MD: Agency for Healthcare Research and Quality; January 2009. AHRQ Publication No. 09-0031-EF.
This report summarizes findings from interviews with AHRQ-funded grantees who have implemented computerized provider order entry systems.
Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; December 2008. Report No. OEI-06-07-00470.
The Tax Relief and Health Care Act of 2006 mandated that the Office of Inspector General (OIG) report to Congress the incidence of "never events" among Medicare beneficiaries, payment by Medicare for services in connection with such events, and the process used to identify events and deny payments. This report addresses that mandate by providing a descriptive analysis of the key issues to understanding hospital-based adverse events. The report is focused around discussion of seven critical issues that are explored in detail. Of note, OIG expanded the study of never events to the broader topic of adverse events in their analysis.
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.
Shea KK, Shih A, Davis K. New York, NY: The Commonwealth Fund; July 2007.
This report discusses results of a national survey regarding how to improve the safety and quality of health care. Respondents supported greater adoption of health information technology, public reporting of performance on quality measures, and more oversight.
Washington DC: Office of the National Coordinator for Health Information Technology, US Department of Health and Human Services; June 18, 2007.
This report provides two example scenarios—inpatient medication reconciliation and medication management in ambulatory care—to explore how improved information exchange can support safe medication management.
Paterson R. Auckland, New Zealand: Office of the Health and Disability Commissioner; April 24, 2007.
This report analyzes an incident of medication error that led to a patient's death, discusses the subsequent actions taken by the health board, and calls for a coordinated approach to medication reconciliation in New Zealand.
Inspiring Ideas and Celebrating Successes: A Guidebook to Leading Patient Safety Practices in Ontario Hospitals.
OHA Patient Safety Support Service. Toronto, Ontario, Canada: Ontario Hospital Association; 2006.
This report shares successful patient safety strategies employed in Ontario hospitals to address medication safety, patient incident management, infection issues, and administrative process improvements.
Blumenthal D, DesRoches C, Donelan K, et al. Washington, DC: Robert Wood Johnson Foundation; 2006.
This report shares the results of a study on the electronic health record (EHR) and barriers to its adoption. The investigators found that EHR systems are not widely adopted and make recommendations for improving implementation.
Committee on Identifying and Preventing Medication Errors, Aspden P, Wolcott J, Bootman JL, Cronenwett LR, eds. Washington, DC: The National Academies Press; 2007.
A major report by the Institute of Medicine (IOM) on medication errors suggests that, despite all the progress in patient safety since To Err is Human, medication errors remain extremely common, and the health care system can do much more to prevent them. Among the startling statistics from this report: more than 1.5 million Americans are injured every year in American hospitals, and the average hospitalized patient experiences at least one medication error each day. The report emphasizes actions that health care systems, providers, funders, and regulators can take to improve medication safety. These actions include having all US prescriptions written and dispensed electronically by 2010, more widespread use of medication reconciliation, and additional research on drug errors and how to prevent them. Importantly, the report also emphasizes actions that patients can take to prevent medication errors, such as maintaining active medication lists and bringing their medications to appointments. Support for the IOM report came from the Centers for Medicare & Medicaid Services.
Sarasohn-Kahn J, Holt M. Oakland, CA: California Healthcare Foundation; 2006. ISBN: 1933795026.
This report outlines the prescription process and the potential improvements in cost, efficiency, compliance, and safety that could be gained through implementation of e-prescribing.
Pharmacist Staffing and the Use of Technology in Small Rural Hospitals: Implications for Medication Safety.
Casey MM, Moscovice I, Davidson G. Upper Midwest Rural Health Research Center; December 2005.
The authors report the findings of a national study of small, rural hospitals in the United States. Results indicate a relationship between accreditation by the Joint Commission on Accreditation of Healthcare Organizations, financial status, pharmacy staffing, and technology use with the implementation of medication safety practices.
Reid PP, Compton WD, Grossman JH, Fanjiang G, eds. Committee on Engineering and the Health Care System. Washington, DC: The National Academies Press; 2005. ISBN: 030909643X.
This report summarizes the efforts of a committee of engineers and health care professionals. The group was brought together with a mission to identify engineering tools and technologies that foster improvements in the health care delivery system. The two-part report begins with a detailed discussion of the partnership between engineering and medicine, a framework for a systems approach in health care, the role of engineering tools and information technology, and a strategy to accelerate change. Each section offers specific recommendations. The second part represents the proceedings from workshops with experts in the engineering, health, management, and social science communities.
Washington, DC: Leapfrog Group.
This website offers resources related to the Leapfrog Hospital Survey investigating hospitals' progress in implementing specific patient safety practices. Updates to the survey include increased time allotted to complete computerized provider order entry evaluation, staffing of critical care physicians on intensive care units, and use of tools to measure safety culture. Reports discussing the results are segmented into specific areas of focus such as health care-associated infections and medication errors.
Rockville, MD: United States Pharmacopeial Convention, Inc.; 2004.
This report provides an analysis of more than 235,000 records submitted by 570 participating facilities to Medmarx and also provides trend analyses for records submitted between 1999 and 2003. The report contains three technology-focused special topics: computer entry, computerized prescriber order entry—analysis performed in collaboration with the Agency for Healthcare Research and Quality (AHRQ)—and automated dispensing devices.