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Search results for "Information Professionals"

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Journal Article > Review

An overview of research priorities in surgical simulation: what the literature shows has been achieved during the 21st century and what remains.

Johnston MJ, Paige JT, Aggarwal R, et al; Association for Surgical Education Simulation Committee. Am J Surg. 2016;211:214-225.

Simulation has been explored as a way to improve teamwork, crisis management, and technical skills in surgery. This review analyzes the evidence base on surgical simulation and identifies areas of progress, including curricula development, training techniques, and feedback methods. However, there is still a lack of data confirming the impact of simulation interventions on patient outcomes.

Newspaper/Magazine Article

Trends influencing the cost of care and patient safety.

Clark R. Health Manage Tech. July 2006:18, 20-21.

The author discusses five aspects to consider in adopting perioperative information technologies: system integration, fault tolerance, accessibility, workflow support, and measurable results.

Journal Article > Study

Association between elements of electronic health record systems and the weekend effect in urgent general surgery.

Kothari AN, Brownlee SA, Blackwell RH, et al. JAMA Surg. 2017;152:602-603.

This statewide, retrospective cross-sectional study identified longer than expected length of stay for urgent surgical procedures on the weekend compared to weekdays. Hospitals with electronic operating room scheduling and electronic bed management systems were less likely to demonstrate the weekend effect. These results suggest that health information technology can be employed to mitigate the weekend effect.

Journal Article > Study

Computer-assisted process modeling to enhance intraoperative safety in cardiac surgery.

Tarola CL, Quin JA, Haime ME, et al. JAMA Surg. 2016;151:1183-1186.

Communication breakdowns in the operating room are associated with preventable adverse events. This study examined the potential of a novel workflow management system—a computerized system which used voice recognition and built-in algorithms to ensure important procedural steps were undertaken appropriately—to improve patient safety. The system was able to detect when intraoperative tasks were being performed and successfully identified omitted steps as well.

Perspectives on Safety > Interview

In Conversation With… Reed V. Tuckson, MD

Telemedicine and Patient Safety, September 2016

Dr. Tuckson is President of the American Telemedicine Association. We spoke with him about telemedicine and patient safety.

Perspectives on Safety > Perspective

Telemedicine and Patient Safety

with commentary by Stephen Agboola, MD, MPH, and Joseph Kvedar, MD, Telemedicine and Patient Safety, September 2016

This piece explores benefits and safety concerns associated with the increased adoption of telemedicine services.

Cases & Commentaries

Falling Between the Cracks in the Software

  • Web M&M

Julia Adler-Milstein, PhD; July/August 2016

Because the hospital and the ambulatory clinic used separate electronic health records on different technology platforms, information on a new outpatient oxycodone prescription for a patient scheduled for total knee replacement was not available to the surgical team. The anesthesiologist placed an epidural catheter to administer morphine, and postoperatively the patient required naloxone and intubation.

Cases & Commentaries

Getting the (Right) Doctor, Right Away

  • Web M&M

Kiran Gupta, MD, MPH, and Raman Khanna, MD; July/August 2016

A woman with a history of chronic obstructive pulmonary disease underwent hip surgery and experienced shortness of breath postoperatively. A chest radiograph showed a pneumothorax, but the radiologist was unable to locate the first call physician to page about this critical finding.

Journal Article > Commentary

Health information technologies: from hazardous to the dark side.

Saunders C, Rutkowski AF, Pluyter J, Spanjers R. J Assoc Inf Sci Technol. 2016;67:1767-1772.

It is important to consider unintended consequences when implementing tools, such has health information technology (IT). This commentary highlights five areas of focus to reduce risks associated with introducing health IT in surgery and recommends systematic training and detailed credentialing to ensure safe use of new technologies.

Perspectives on Safety > Interview

In Conversation With… Bernardo Perea-Pérez, MD, DDS, PhD

Patient Safety in Dentistry, July/August 2016

Dr. Perea-Pérez is Director of the Spanish Observatory for Dental Patient Safety. We spoke with him about patient safety in dentistry.

Journal Article > Study

Remote video auditing with real-time feedback in an academic surgical suite improves safety and efficiency metrics: a cluster randomised study.

  • Classic

Overdyk FJ, Dowling O, Newman S, et al. BMJ Qual Saf. 2016;25:947-953.

Use of the surgical safety checklist has been linked to improved patient outcomes, but checklist compliance has been variable. In this prospective trial, operating rooms (ORs) were equipped with remote video auditing and then cluster-randomized to either receive, or not receive, real-time feedback. Sign-in, timeout, and signout rates improved dramatically in both groups compared to the low baseline rates. ORs that received real-time feedback had significantly higher compliance scores than those that just had video recordings. Following this study period, all ORs received real-time feedback, resulting in pass rates up to 91% for sign-in, 95% for timeout, and 84% for signout. Mean turnover times for scheduled cases decreased with feedback, indicating enhanced efficiency. An accompanying editorial calls implementing videos with feedback the "next great leap forward" for patient safety. A recent PSNet perspective discussed the benefits of using video in clinical and educational settings.

Journal Article > Study

Enhancing surgical safety using digital multimedia technology.

Dixon JL, Mukhopadhyay D, Hunt J, Jupiter D, Smythe WR, Papaconstantinou HT. Am J Surg. 2016;211:1095-1098.

In this study, researchers developed a system for surgical time-outs where scanning a patient's wristband launches a presentation on the operating room monitor, which includes a video of the patient stating his or her name, date of birth, surgical procedure, and operative laterality. Although these took longer than standard timeouts (79 seconds versus 49 seconds), 87% of operating room personnel preferred the digital version, and performance of key safety elements significantly improved.

Journal Article > Study

Where are my instruments? Hazards in delivery of surgical instruments.

Guédon ACP, Wauben LSGL, van der Eijk AC, et al. Surg Endosc. 2016;30:2728-2735.

Insufficient instrument availability in the operating room can delay surgery completion and increase risks. This study used failure mode and effect analysis to characterize instrument delivery to operating rooms at two hospitals. Investigators identified multiple vulnerabilities in delivery processes and recommend enhanced information technology support to optimize instrument availability.

Journal Article > Study

Electronic health record-based triggers to detect adverse events after outpatient orthopaedic surgery.

Menendez ME, Janssen SJ, Ring D. BMJ Qual Saf. 2016;25:25-30.

Trigger tools facilitate detection of adverse events in medical records, which enables more efficient record review. This study identified adverse events following outpatient orthopedic surgeries using a trigger tool. There was an overall adverse event rate of 10%, suggesting significant improvements are needed in this ambulatory surgery setting.

Journal Article > Study

The automated operating room: a team approach to patient safety and communication.

Nissan J, Campos V, Delgado H, Matadial C, Spector S. JAMA Surg. 2014;149:1209-1210.

The introduction of an automated workflow system, which provides a common display of perioperative data elements to every member of the surgical team, improved operative checklist compliance and nearly doubled the number of cases that started on time. The majority of nurses felt this system enhanced patient safety.

Journal Article > Study

Miscount incidents: a novel approach to exploring risk factors for unintentionally retained surgical items.

Judson TJ, Howell MD, Guglielmi C, Canacari E, Sands K. Jt Comm J Qual Patient Saf. 2013;39:468-474.

Case duration and the number of providers involved in a given operation were independent risk factors for retained surgical items, according to this prospective cohort study of nearly 24,000 procedures at a single academic institution.

Journal Article > Study

Quick Response codes for surgical safety: a prospective pilot study.

Dixon JL, Smythe WR, Momsen LS, Jupiter D, Papaconstantinou HT. J Surg Res. 2013;184:157-163.

Implementation of surgical safety checklists in real-world settings has proved to be challenging. In this study, Quick Response codes (mosaic-type barcodes) proved to be an accurate method for transmitting important patient information between providers during surgical time outs.

Journal Article > Study

Effects of CPOE on provider cognitive workload: a randomized crossover trial.

Avansino J, Leu MG. Pediatrics. 2012;130:e547-e552.

Despite previous mixed results for computerized provider order entry interventions, findings from this study suggest that systematically designed order sets can reduce cognitive workload and order variation.

Journal Article > Study

Multimodal system designed to reduce errors in recording and administration of drugs in anaesthesia: prospective randomised clinical evaluation.

Merry AF, Webster CS, Hannam J, et al. BMJ. 2011;343:d5543.

Drug administration errors are a major safety concern in anesthesiology, as even routine cases can require administration of several high-risk medications. In this randomized controlled trial, a novel system for drug administration was evaluated in comparison with usual anesthesia practice. The new system was designed according to human factors engineering principles and included proven safety measures such as barcode medication administration. Although fewer overall errors occurred with the new system, the reduction in administration errors occurred only when barcoding was performed consistently and safety alerts were heeded. The anesthesia field has long been a leader in patient safety, and in fact, some of the earliest studies in the patient safety field evaluated the role of human factors in anesthesia medication administration errors.

Journal Article > Study

Automated identification of postoperative complications within an electronic medical record using natural language processing.

  • Classic

Murff HJ, FitzHenry F, Matheny ME, et al. JAMA. 2011;306:848-855.

Many adverse event identification methods cannot detect errors until well after the event has occurred, as they rely on screening administrative data or review of the entire chart after discharge. Electronic medical records (EMRs) offer several potential patient safety advantages, such as decision support for averting medication or diagnostic errors. This study, conducted in the Veterans Affairs system, reports on the successful development of algorithms for screening clinicians' notes within EMRs to detect postoperative complications. The algorithms accurately identified a range of postoperative adverse events, with a lower false negative rate than the Patient Safety Indicators. As the accompanying editorial notes, these results extend the patient safety possibilities of EMRs to potentially allow for real time identification of adverse events.

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