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Search results for "Technologic Approaches"
- Technologic Approaches
Topol E. New York, NY: Basic Books; 2019. ISBN: 978-1541644632.
This book explores how advancements in technology can improve decision making but may also diminish patient-centered care. The author discusses the potential of big data, artificial intelligence, and machine learning to enhance diagnosis and care delivery. A past PSNet interview with the author, Eric Topol, talked about the role of patients in the new world of digital health care.
Bruno MA. New York, NY: Oxford University Press; 2019. ISBN: 9780190665395.
Despite enhancements in medical imaging technology, diagnostic radiologists are still susceptible to uncertainty, bias, and overconfidence that hinder accurate image assessment. Discussing the scope and impact of human error in diagnostic radiology, this book explores the future of advanced information technologies in diagnostic radiology and provides recommendations to reduce the effect of human fallibility on imaging interpretation.
Lau F, Bartle-Clar JA, Bliss G, et al, eds. Stud Health Technol Inform. 2019;257:1-539. ISBN: 9781614999508.
Information technology is prevalent in health care and is associated with both optimized processes and unintended consequences. This publication is a compilation of papers from an international conference that explored the potential of health information technology and the research needed to achieve success. Topics covered include usability, implementation, interoperability, and policy.
Croskerry P, Cosby K, Graber ML, Singh H. Boca Raton, FL: CRC Press; 2017. ISBN: 9781409432333.
Efforts to enhance the reliability of the diagnostic process must take various elements into consideration. This publication discusses diagnosis, the role of reasoning in the process, challenges to diagnostic effectiveness, and strategies to make diagnosis more reliable such as patient engagement and using information technology.
Lehmann CU, Séroussi B, Jaulent MC, eds. Yearb Med Inform. 2016;1:1-271.
Unexpected effects associated with implementation and use of health information technology (IT) are a recognized risk in care environments. This special issue includes studies, commentaries, and reviews exploring consequences of health IT, including unique problems such as hazards introduced when systems are down and the role of natural language processing in optimizing health information systems.
Washington, DC: National Quality Forum; February 2016.
Health information technology (IT) has transformed health care and improved patient safety, but it has also led to unintended consequences that increase the risk for patient harm. This comprehensive report from the National Quality Forum aims to define and prioritize measures of health IT–related safety so that issues can be quantified and monitored over time. The report identifies nine priority areas for measurement, ranging from tracking the extent of system interoperability to clinical decision support to patient engagement. For each area, the authors recommend using a previously published framework to examine three domains: data considerations like availability and interoperability; technology–work system interaction, such as usability, training, governance, and safety monitoring; and application of health IT to make care safer. The committee proposes to hold health IT vendors, health care organizations, and clinicians accountable for specific safety metrics for health IT systems. Although these measures require further development and testing, this report lays the foundation for more systematically evaluating the safety gains and concerns associated with widespread health IT implementation.
RTI International. Washington, DC: Office of the National Coordinator for Health Information Technology; July 2015.
The Institute of Medicine called for enhanced transparency in the reporting of health IT safety incidents to inform implementation and use of such technologies. This report reviews insights from a multidisciplinary task force that discussed how to design an entity focused on improving health IT–related safety that enables collaboration and learning.
Zheng K, Ciemins EL, Lanham HJ, Lindberg C. Rockville, MD: Agency for Healthcare Research and Quality; July 2015. AHRQ Publication No. 15-0058-EF.
Ineffective implementation of health information technology (IT) can result in workarounds and other workflow changes that disrupt care delivery. This report examines how health IT implementation can affect clinician and staff workload in the ambulatory care environment, including increase interruptions and multitasking, and recommends workload considerations to enable staff to adapt to changes in practice.
Wachter R. New York, NY: McGraw-Hill; 2015. ISBN: 9780071849463.
Over the past few years, driven by $30 billion of federal incentives to doctors and hospitals, the adoption rate for electronic health records has dramatically increased, from approximately 10% in 2008 to 70% today. In essence, health care has switched from being a primarily analog to a primarily digital industry. While evidence suggests that the digitization of health care is having a positive effect on safety and quality, many challenges and unanticipated consequences have emerged. Written by a national leader in patient safety, this book chronicles some of these, including physician dissatisfaction, changing relationships among providers and between providers and patients, new kinds of medical mistakes, and problems with clinician work flow. It also highlights some of the opportunities arising from increasingly engaged patients and the entry of Silicon Valley into the health care market. Ultimately, it paints a hopeful picture of where health care information technology may take us, making the case that this positive future state will depend on both the evolution of the software and on changes in culture, training, and the organization of the work.
Washington, DC: Office of the National Coordinator for Health Information Technology; July 2, 2013.
This report from the Department of Health and Human Services (HHS) describes a plan to bolster implementation of health information technology (IT) and reduce risks associated with its use. Building on recommendations of the Institute of Medicine report, Health IT and Patient Safety, the plan includes specific action items for HHS organizations and the private sector to augment health IT safety. Responsibilities will be shared across a number of HHS organizations: the Office of the National Coordinator (ONC), the Agency for Healthcare Research and Quality, and the Centers for Medicare and Medicaid Services. Goals involve making it easier for clinicians to report health IT–related incidents and hazards, encouraging reporting to Patient Safety Organizations, supporting the use of standardized forms in hospital incident reporting systems, and training surveyors to identify safe and unsafe practices associated with health IT. The Joint Commission has also contracted with ONC to better detect and address potential health IT–related safety issues across health care settings.
Findings and Lessons From the Improving Quality Through Clinician Use of Health IT Grant Initiative.
Rockville, MD: Agency for Healthcare Research and Quality. May 2013. AHRQ Publication No 13-0042-EF.
Committee on Patient Safety and Health Information Technology, Board on Health Care Services, Institute of Medicine. Washington, DC: National Academies Press; 2011. ISBN: 9780309221122.
Although health information technology (IT) holds great promise for improving patient safety, many of the purported benefits have not yet been realized, and an ever-lengthening list of implementation problems and unintended consequences have been documented. This Institute of Medicine report states that "the current state of safety and health IT is not acceptable" and discusses various safety issues associated with health IT. The report contains a series of recommendations for evaluating and monitoring the safety of health IT, ranging from greater attention to interoperability and human factors engineering in the health IT design process to revisiting the "hold harmless" clause that currently limits health IT vendor liability should systems fail. The Agency for Healthcare Research and Quality recently published an online guide to reducing safety consequences of electronic health records.
AMIA Annu Symp Proc. 2011;19-1667.
This publication includes numerous articles discussing how health information technologies can improve patient safety.
Incorporating Health Information Technology Into Workflow Redesign: Request for Information Summary Report.
Carayon P, Karsh B-T, Cartmill RS, et al. Rockville, MD: Agency for Healthcare Research and Quality; October 2010. AHRQ Publication No. 10-0098-EF.
The report summarizes evidence related to the impact of health information technology on workflow in outpatient settings.
Woods DD, Dekker S, Cook R, Johannesen L, Sarter N. Burlington, VT: Ashgate; 2010. ISBN: 9780754678335.
"Human error," the authors of this book argue, is an inherently misleading term. Drawing on the field of complexity science, the authors contend that viewing error as a definable and measurable entity fails to account for the complex social and organizational dynamics that allow errors to occur. In this viewpoint, approaches to improving patient safety that focus on measuring adverse events and limiting variability are inherently limited, as they only measure practitioners' behaviors and do not account for the organizational characteristics and influences that establish a culture of safety. The book uses insights from high-reliability organizations and the field of human factors engineering to establish a new paradigm for analyzing safety across a variety of industries.
Valdez RS, Ramly E, Brennan PF. Rockville, MD: Agency for Healthcare Research and Quality; May 2010. AHRQ Publication No. 10-0079-EF.
This workshop report explores why efforts to apply industrial and systems engineering (ISyE) knowledge to health care have been generally unsuccessful and suggests a research and action agenda using ISyE knowledge to create an ideal health care delivery system.
Adlassnig KP, Blobel B, Mantas J, Masic I, eds. Stud Health Technol Inform. 2009;150:497-566. In: Medical Informatics in a United and Healthy Europe. Washington, DC: IOS Press. ISBN: 9781607500445.
Part of a comprehensive electronic compilation on medical informatics, this series of papers examines topics surrounding the use of health information technology (HIT) to detect, report, and learn from adverse events.
Rockville, MD: Agency for Healthcare Research and Quality; July 2008. AHRQ Publication Nos. 080034 (1-4).
The 115 articles freely available in this latest issue of AHRQ's Advances in Patient Safety represent the state of the art in patient safety. Serving as an update and extension to the prior volume, the articles are grouped into four major content areas—assessment, culture and redesign, performance and tools, and technology and medication safety—and are freely available online through the link below.
Stroetmann VN, Thierry J-P, Stroetmann KA, Dobrev A. Brussels, Belgium: European Commission Information Society and Media; October 2007. ISBN: 9789279068416.
This European report foresees the impact that new communication technologies could have on information delivery in health care.
Rockville, MD: Agency for Healthcare Research and Quality; February 2005. AHRQ Publication Nos. 050021 (1-4).
With 4 volumes and 140 articles (all of which are freely available through the link below), this expansive collection of literature illustrates the progress made since the 1999 Institute of Medicine's report, To Err is Human: Building a Safer Health System. The efforts represent a successful collaboration between the Agency for Healthcare Research and Quality and the Department of Defense-Health Affairs in meeting the challenge of improving patient safety knowledge, research, and implementation.