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Search results for "North America"
Journal Article > Commentary
Carspecken CW, Sharek PJ, Longhurst C, Pageler NM. Pediatrics. 2013;131:e1970-e1973.
This commentary describes an incident involving an inappropriate override of a drug allergy alert and details changes the hospital made in its medication allergy alert system in response to the event.
Journal Article > Study
Forster AJ, Jennings A, Chow C, Leeder C, van Walraven C. J Am Med Inform Assoc. 2012;19:31-38.
The difficulty of accurately identifying and classifying inpatient adverse drug events (ADEs) was first recognized nearly a half century ago. This systematic review sought to evaluate the accuracy of trigger tools, an increasingly common technique used to screen electronic databases for evidence of ADEs. Triggers have been used in this fashion to identify ADEs from inpatient laboratory systems and outpatient electronic health records. This review found that the overall performance of electronic ADE detection systems was poor, and the quality of the studies was limited by variations in ADE definitions and failure to use gold standard methods for validating ADEs. Although they are a promising method for identifying ADEs promptly, the review concludes that electronic triggers still have serious limitations.
Gee T, Moorman BA. Patient Saf Qual Healthc. March/April 2011;8:14-17.
Highlighting dangers presented by alarm fatigue, modification, and miscommunication, this article discusses strategies to reduce such incidents.
Legislation/Regulation > Sentinel Event Alerts
Sentinel Event Alert. January 26, 2010;(44):1-4.
The Joint Commission issues Sentinel Event Alerts to highlight areas of high risk and to promote the rapid adoption of risk reduction strategies. Adherence to these recommendations is then assessed as part of Joint Commission accreditation surveys at health care organizations nationwide. This recently retired alert targets prevention of maternal death and highlights the need to manage blood pressure, pay attention to vital signs following cesarean delivery, and hemorrhage. The alert also provides recommendations around educational strategies, identifying specific clinical triggers for action, and conducting adequate risk assessments. As of September 2016, current guidance will being distributed by a new initiative.
This article reports on two projects developed at the Center for Integration of Medicine and Innovative Technology that demonstrate functional device interoperability in hospital operating rooms.
Journal Article > Study
Defining the incidence of cardiorespiratory instability in patients in step-down units using an electronic integrated monitoring system.
A continuous physiologic monitoring system appeared to detect physiologic instability earlier than standard monitoring techniques. Prior research has questioned the false negative rate of such systems, but that problem was not noted in this study.