In this paper, we use a case study involving a project on missed/delayed follow-up of test results to discuss real-world challenges in using EHR data for patient safety research. We identify three types of challenges that pose as barriers to advance patient safety improvement research, and discuss the complexity of these challenges, all of which are unlikely to be unique to this project, and outline some key next steps that must be taken to support research that uses EHR data to improve safety.
R21 LM 012448 (PI – Allison B. McCoy, PhD 2016-2018) Billions of dollars have been spent on implementing health information technology (HIT), including electronic health records (EHRs) with the promise of improved patient safety and reduction of healthcare costs, but recent reports have highlighted potential challenges and unintended consequences of […]
On Dec. 6, The Pew Charitable Trusts and the Office of the National Coordinator for Health Information Technology (ONC) co-hosted Health IT Safety Day, a meeting designed to shed light on the importance of enhancing the safety of electronic health records. Speakers from hospitals, academia, patient organizations, and the federal […]
Currently, there is no standard of care covering which DDI alerts to implement or how to display them to providers. Opportunities to improve DDI alerting include using differential displays based on DDI severity, establishing improved lists of clinically significant DDIs, and thoroughly reviewing organizational implementation decisions regarding DDIs.
OBJECTIVE: To assess problem list completeness using an objective measure across a range of sites, and to identify success factors for problemlist completeness. METHODS: We conducted a retrospective analysis of electronic health record data and interviews at ten healthcare organizations within the United States, United Kingdom, and Argentina who use […]
ISQua Education is delighted to present our Global Debate for 2015: “Health Information Technology is already improving healthcare safety and current regulation around it is sufficient“. Substantial evidence exists to show that HIT can improve safety, and it is being increasingly widely adopted in many developed countries. While there […]
Improving Outcomes with Clinical Decision Support: An Implementer’s Guide, 2cd Edition Co-published by HIMSS, the Scottsdale Institute, AMIA, AMDIS and SHM, this second edition of the authoritative guide to CDS implementation has been substantially enhanced with expanded and updated guidance on using CDS interventions to improve care delivery and outcomes. […]