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Search results for "Electronic Health Records"
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Cases & Commentaries
- Web M&M
Ross Koppel, PhD; April 2009
A patient hospitalized with Pneumocystis jiroveci pneumonia and advanced AIDS is given another patient's malignant biopsy results, leading his primary physician to mistakenly recommend hospice care.
Journal Article > Study
Linder JA, Ma J, Bates DW, Middleton B, Stafford BS. Arch Intern Med. 2007;167:1400-1405.
This cross-sectional study found that outpatient practices' use of an electronic health record (EHR) was not associated with higher quality care. The authors posit several reasons for this finding, including the possibility that EHRs were not implemented as fully as at benchmark institutions, or lacked decision support.
Gardner E. Mod Healthc. May 18, 2009;39:28-31.
This article describes how one health system markedly improved its quality and safety by applying a safety technique used in the nuclear power industry.
Journal Article > Commentary
Health information technology is a vehicle, not a destination: a conversation with David J. Brailer.
Milstein A. Health Aff (Millwood). 2007;26:w236-w241.
Brailer, the National Coordinator for Health Information Technology ("the IT Czar") from 2004-2006, discusses the fundamental changes needed for the United States to optimize the use of health information technology, including patient ownership of their health care information, universal access to provider performance data, and changes in health care policy.
Journal Article > Study
Longo DR, Hewett JE, Ge B, Schubert S. JAMA. 2005;294:2858-2865.
To grade progress since release of the landmark Institute of Medicine (IOM) report, this AHRQ-funded study examined the status and evolution of patient safety systems through a survey of acute care hospitals in Missouri and Utah. Investigators characterized their assessment based on variables that included presence of computerized physician order entry systems, computerized test results, evaluation of adverse drug events, specific patient safety policies, use of data in patient safety programs, drug administration and safety procedures, error reporting processes, prevention policies, and root cause analyses. More than 100 hospitals completed the survey in 2002 and again in 2004. Findings demonstrated only modest improvements in certain areas with variability noted in others. For instance, surgical areas and medication processes seemed to embrace the greatest level of patient safety systems. However, the authors point out that the overall findings fall short of the IOM recommendations and necessitate a more intensive agenda for accelerated improvements. An accompanying editorial (link below) provides an overview of the factors and challenges involved in promoting change to improve patient safety.