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Approach to Improving Safety
Target Audience
- Health Care Executives and Administrators 5
- Health Care Providers 3
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Non-Health Care Professionals
- Information Professionals
Search results for "Information Professionals"
- Information Professionals
- Postoperative Surgical Complications
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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
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
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.
Journal Article > Study
Effectiveness of an information technology intervention to improve prophylactic antibacterial use in the postoperative period.
Haynes K, Linkin DR, Fishman NO, et al. J Am Med Inform Assoc. 2011;18:164-168.
A standardized order set within a computerized provider order entry system improved appropriateness of antibiotics to prevent surgical site infections.
Cases & Commentaries
Fumbled Handoff
- Web M&M
Arpana Vidyarthi, MD; March 2004
Due to a series of incomplete signouts, information about a patient's post-operative leg pain and chest discomfort is not conveyed to the primary team. A PE is discovered post-mortem.
