Narrow Results Clear All
Approach to Improving Safety
Safety Target
Target Audience
- Health Care Executives and Administrators 11
-
Non-Health Care Professionals
- Information Professionals
Search results for "Information Professionals"
- Information Professionals
- Nosocomial Infections
Download Citation File:
- View: Basic | Expanded
- Sort: Best Match | Most Recent
Journal Article > Review
Identifying patients with sepsis on the hospital wards.
Bhattacharjee P, Edelson DP, Churpek MM. Chest. 2017;151:898-907.
Undiagnosed sepsis can lead to serious patient harm. This review describes proactive methods of monitoring patients to augment detection and early treatment of sepsis. The authors discuss how this process has evolved over time and suggest that automated tools can aid in identifying and managing sepsis.
Journal Article > Review
Automated and electronically assisted hand hygiene monitoring systems: a systematic review.
Ward MA, Schweizer ML, Polgreen PM, Gupta K, Reisinger HS, Perencevich EN. Am J Infect Control. 2014;42:472-478.
This systematic review evaluated new technologies for assisting hand hygiene monitoring, including automated counting systems, video monitoring, and fully automated monitoring systems. Currently, there is very limited data about how accurate, effective, and valuable these strategies are in enhancing hand hygiene compliance.
Journal Article > Study
Identifying critically ill patients at risk for inappropriate antibiotic therapy: a pilot study of a point-of-care decision support alert.
Micek ST, Heard KM, Gowan M, Kollef MH. Crit Care Med. 2014;42:1832-1838.
A decision support alert within an electronic medical record was able to identify patients with health care–associated infections (HAIs) who were being administered inappropriate antibiotic therapy. These findings suggest that clinical decision support systems can improve safety of antibiotic prescribing for intensive care unit patients with suspected HAIs.
Journal Article > Study
Comparison of computerized surveillance and manual chart review for adverse events.
Tinoco A, Evans RS, Staes CJ, Lloyd JF, Rothschild JM, Haug PJ. J Am Med Inform Assoc. 2011;18:491-497.
This study found that computerized surveillance systems detected more hospital-acquired infections than manual chart review, but both methods detected similar rates of adverse drug events. The authors discuss the tradeoffs of each surveillance method and highlight how each system used information from different sources.
Journal Article > Review
The safety implications of missed test results for hospitalised patients: a systematic review.
- Classic
Callen J, Georgiou A, Li J, Westbrook JI. BMJ Qual Saf 2011;20:194-199.
Adverse events after hospital discharge are a growing driver for safety interventions, including a focus on readmissions, adverse drug events, and hospital-acquired infections. Another safety area ripe for intervention is managing test results after hospital discharge. This systematic review analyzed 12 studies and found wide variation in rates of test follow-up and related management systems. Critical test results and results for patients moving across health care settings were highlighted as particularly concerning areas that could be addressed with better clinical information systems. A past AHRQ WebM&M commentary discussed a case where a patient was incorrectly treated based on failure to follow up a urine culture after hospital discharge.
Newspaper/Magazine Article
As industry automates, adverse events continue to haunt caregivers.
Wetzel TG. Health Data Manage. 2011 Feb;19:86, 88, 90 passim.
This article discusses how several health care organizations used health information technology to improve organizational transparency.
Journal Article > Review
Automated detection of harm in healthcare with information technology: a systematic review.
Govindan M, Van Citters AD, Nelson EC, Kelly-Cummings J, Suresh G. Qual Saf Health Care. 2010;19:e11.
This systematic review identified a number of methods used for automated detection of safety events, including adverse drug events and nosocomial infections. However, the accuracy of error detection varied widely between different systems.
Journal Article > Study
Health information technology and patient safety: evidence from panel data.
Parente ST, McCullough JS. Health Aff (Millwood). 2009;28:357-360.
Despite widespread interest in the implementation of health information technology (HIT) and a systematic review demonstrating its positive effects on clinical outcomes, use of HIT remains limited. This AHRQ-funded study focused on the relationship between information technology implementation and patient safety by examining the incidence of selected patient safety indicators (PSIs) after implementation of HIT. Modest but significant improvements in some PSIs, including health care–associated infections, were associated with HIT implementation, corroborating the results of a prior study. The study did not assess whether specific elements of HIT, such as computerized provider order entry, were more effective at preventing errors.
Newspaper/Magazine Article
Building a safety net.
Rogoski RR. Health Manage Tech. August 2006;27:12-14, 16.
This article discusses several electronic database systems being used to improve patient safety.
Newspaper/Magazine Article
How business intelligence can improve patient safety.
Wanless S, McManaway J. Business Intelligence Network. August 30, 2005.
This article illustrates how hospitals can use their own administrative and patient data to reduce hospital-acquired infections.
Legislation/Regulation > Federal Legislation
21st Century Health Information Act of 2005.
HR 2234, 109th Cong, 1st Sess (2005).
This bill, which garnered bipartisan support, proposes developing health information technology networks (known as "Regional Health Information Organizations," or RHIOs) with a strong focus on state- and community-based efforts. It is presently under consideration in the United States House of Representatives.