Measuring the impact of health information technology.
Author(s): Hanauer, D, Zheng, K
DOI: 10.4338/ACI-2012-06-LE-0025
Author(s): Hanauer, D, Zheng, K
DOI: 10.4338/ACI-2012-06-LE-0025
We designed and implemented an electronic patient tracking system with improved user authentication and patient selection. We then measured access to clinical information from previous clinical encounters before and after implementation of the system. Clinicians accessed longitudinal information for 16% of patient encounters before, and 40% of patient encounters after the intervention, indicating such a system can improve clinician access to information. We also attempted to evaluate the impact of [...]
Author(s): Wilcox, A B, Shen, S, Dorr, D A, Hripcsak, G, Heermann, L, Narus, S P
DOI: 10.4338/ACI-2011-03-RA-0019
Health information exchange is a national priority, but there is limited evidence of its effectiveness.
Author(s): Kern, L M, Barrón, Y, Dhopeshwarkar, R V, Kaushal, R
DOI: 10.4338/ACI-2012-02-RA-0005
To identify and summarize the requirements of an optimized CPOE application for pediatric intensive care.
Author(s): Castellanos, I, Rellensmann, G, Scharf, J, Bürkle, T
DOI: 10.4338/ACI-2011-08-RA-0051
Medication reconciliation was developed to reduce medical mistakes and injuries through a process of creating and comparing a current medication list from independent patient information sources, and resolving discrepancies. The structure and clinician assignments of medication reconciliation varies between institutions, but usually includes physicians, nurses and pharmacists. The Joint Commission has recognized the value of medication reconciliation and mandated implementation in 2006; however, a variety of issues have prevented simple [...]
Author(s): Porcelli, P J, Waitman, L R, Brown, S H
DOI: 10.4338/ACI-2010-02-R-0010
We sought to determine the frequency and type of decision support alerts by location and ordering provider role during Computerized Provider Order Entry (CPOE) medication ordering. Using these data we adjusted the decision support tools to reduce the number of alerts.
Author(s): Beccaro, M A Del, Villanueva, R, Knudson, K M, Harvey, E M, Langle, J M, Paul, W
DOI: 10.4338/ACI-2009-11-RA-0014
To report the incidence and severity of medication safety events before and after initiation of barcode scanning for positive patient identification (PPID) in a large teaching hospital.
Author(s): T, Higgins, Heelon, M, Siano, B, Douglass, L, Liebro, P, Spath, B, Kudler, N, Kerr, G
DOI: 10.4338/ACI-2010-02-RA-0011
The introduction of electronic medical records (EMR) and computerized physician order entry (CPOE) into the intensive care unit (ICU) is transforming the way health care providers currently work. The challenge facing developers of EMR's is to create products which add value to systems of health care delivery. As EMR's become more prevalent, the potential impact they have on the quality and safety, both negative and positive, will be amplified. In [...]
Author(s): Pickering, B W, Herasevich, V, Ahmed, A, Gajic, O
DOI: 10.4338/ACI-2009-12-CR-0027
BACKGROUND: Many natural phenomena demonstrate power-law distributions, where very common items predominate. Problems, medications and lab results represent some of the most important data elements in medicine, but their overall distribution has not been reported. OBJECTIVE: Our objective is to determine whether problems, medications and lab results demonstrate a power law distribution. METHODS: Retrospective review of electronic medical record data for 100,000 randomly selected patients seen at least twice in [...]
Author(s): Wright, Adam, Bates, David W
DOI: 10.4338/ACI-2009-12-RA-0023
This study tested the hypothesis that lactate testing in ED sepsis patients could be increased using a computer alert that automatically recognizes systemic inflammatory response syndrome (SIRS) criteria and recommends lactate testing in cases of sepsis defined as ≥2 SIRS criteria plus physician suspicion of infection. Secondary outcomes included the effect of the alert on lactate testing among admitted sepsis patients, the proportion of admitted patients with lactate ≥4.0 mmol/L [...]
Author(s): Berger, T, Birnbaum, A, Bijur, P, Kuperman, G, Gennis, P
DOI: 10.4338/ACI-2010-09-RA-0054