Øvretveit J et al, Health Policy, 84(2-3)
There is evidence that health information technology can improve quality, safety and reduce costs but that health care providers needed more information about how to implement these technologies to realise its potential. This paper summarises the research and proposes a theory of implementation based on the research evidence.
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Schnipper JL et al, J Am Med Inform Assoc, 18(3)
Serious medication errors occur commonly in the period after hospital discharge. Medication reconciliation in the postdischarge ambulatory setting may be one way to reduce the frequency of these errors. The authors describe the design and implementation of a novel tool built into an ambulatory electronic medical record (EMR) to facilitate postdischarge medication reconciliation. The tool compares the preadmission medication list within the ambulatory EMR to the hospital discharge medication list, highlights all changes, and allows the EMR medication list to be easily updated.
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Larry McClain, Healthcare IT News
“Some of the most devastating tornadoes and floods in U.S. history have occurred in just the last two years. IT professionals who survived the storms say their technology held up well. They felt lucky to have paperless systems in place.
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Haughom JL. BMJ, 343
Implementing an electronic health record along with computerised provider order entry and clinical decision support is hard. Integrating these advanced technologies into a complex and rapidly changing healthcare delivery environment is a major task, but the associated cultural, process, and change management obstacles make the task even harder.
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David Harlow, e-patients.net
“On September 14, HHS released for comment draft lab results regulations that will, if finalized, effectively bathe the Achilles’ heel of health data in the River Styx of ¡data liberación! Lab results will be made available to patients, just like all other health data. (See the HHS presser and YouTube video from the consumer health summit … “Putting the ‘I’ in Health IT.”)
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Chloe Herrick, CIO
“The federal government has released draft legislation for its $466.7 million Personally Controlled Electronic Health Records (PCEHR) project, following the release of the Concept of Operations document earlier this month.
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John, EMR and HIPAA
“I’m really excited that this Common EHR implementation issues series has been so popular. If you missed it, you can see the previous posts in the series: Unexpected EHR Expenses, EHR Performance Issues, a little follow up to avoiding the EHR performance issues altogether, and inadequate EHR templates.
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iHealthBeat
“There is significant variability in the standards used to ensure that diabetes-related social media websites provide high-quality health information, according to a survey published in the Archives of Internal Medicine, Healthcare IT News reports.
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Shrank WH et al, Arch Intern Med, 171(17)
With the exponential growth of Facebook and other social networking sites, patients are increasingly seeking information and emotional support online, from other patients. Recent qualitative studies highlight the great potential that online social networks represent as a source of information and encouragement in chronic disease management. However, recent research has also identified potential pitfalls in these unregulated sites.
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Mary Mosquera, Healthcare IT News
“Farzad Mostashari, MD, the national health IT coordinator, urged the Health IT Standards Committee to push forward with standards that are “good enough” to get started on health information exchange rather than waiting until they gain maturity and wide adoption.
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Eryn Brown, Los Angeles Times
“There’s a lot you can read about on Twitter — including, it now appears, the patterns of human moods.
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SanidadTic
“La Comisión Europea ha hecho públicas las directrices sanitarias incluidas en la estrategia denominada ‘Europa 2020’, diseñada para impulsar el crecimiento económico de la UE en la próxima década.
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Marla Durben Hirsch, FierceEMR
“Electronic health records contain features, such as templates, which can help providers reduce the risk of malpractice litigation. But the misuse of EHRs actually can cause providers to be more vulnerable to such lawsuits, according to a recent article in MDNews.com.
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Paul Cerrato, InformationWeek
“If you’ve lived through the transition from paper to electronic health records, odds are you see EHRs as a mixed blessing. They offer faster access to critical clinical information but also create complexities never dreamt of in the paper world.
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Nicole Lewis, InformationWeek Healthcare
“Breast-imaging reports prepared using a speech-recognition system are eight times more likely than conventional dictation transcription reports to contain major errors, according to a study of 615 such documents.
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Rob Brull, HL7 Standards
“On September 9, the Health IT Policy Committee submitted a letter to the National Coordinator for Health IT, Dr. Farzad Mostashari, with recommendations for vocabulary standards.
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e-Health-com News
“Was lange gärt, wird endlich gut? Zumindest werden den Worten diesmal zeitnah Taten folgen, wenn es wieder heißt „die elektronische Gesundheitskarte kommt“. Denn dieses Mal kommt sie wirklich.
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Carl Natale, ICD10 Watch
“So who has ICD-10 nightmares? Do you dream of health records without granularity or electronic claim forms that only accept numbers?
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Lodewijk Bos, ICMCC
Just published: Handbook of Digital Homecare. Successes and Failures.
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Mike Martineau, Technology for Doctors Online
“Physicians have often been portrayed, quite inaccurately in my view, as slow to adopt or reluctant to use information technology. While they may be hesitant to consider products or services that they do not believe will be useful in their daily activities, several recent studies show that they are embracing information technology at a pace similar to or even exceeding that of professionals in other industries.
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