e-Health Insider Acute
“Conservative MP Richard Bacon has called for a halt to all Cerner Millennium deployments following appointment problems and delays at the latest trusts to go-live with the system – North Bristol and Oxford.
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Mark van Dorresteijn, Zorgvisie
“Ziekenhuizen in Nederland kunnen tussen 100 en 170 miljoen euro besparen door invoering van gestandaardiseerde barcodes bij medische hulpmiddelen. Dit blijkt uit de GS1 business case ‘Patiëntveiligheid en efficiency in de OK’.
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Ken Terry, InformationWeek
“A new AMA report on patient safety in ambulatory care finds that safety problems are widespread but that little is known about which problems cause the most harm. Among the uncertainties cited by the AMA researchers is the contribution of electronic health records (EHRs) to patient safety.
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UPI.com
“U.S. nurses working with electronic health records consistently reported improvements tin nursing care and better health outcomes, researchers say.
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Infection Control Today
“With the prodding of new federal legislation, electronic health records (EHRs) are rapidly becoming part of the daily practice of hospital nurses – the frontline providers of care.
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Kutney-Lee A, Kelly D. The Journal of Nursing Administration, 41(11)
The aim of this study was to examine the effect of having a basic electronic health record (EHR) on nurse-assessed quality of care, including patient safety. Few large-scale studies have examined how adoption of EHRs may be associated with quality of care. A cross-sectional, secondary analysis of nurse and hospital survey data was conducted. The final sample included 16,352 nurses working in 316 hospitals in 4 states.
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InformaticsMD, Health Care Renewal
“A new perspective piece has appeared in the Journal of the American Medical Informatics Association.
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Holden RJ. Journal of Patient Safety, 7(4)
Objectives:
For electronic health record (EHR) systems to have a positive impact on patient safety, clinicians must be able to use these systems effectively after they are made available. This study’s objective is to identify and describe facilitators and barriers to physicians’ use of EHR systems.
Methods:
Twenty research interviews were conducted with attending physicians who were using EHR at 1 of 2 Midwest community hospitals and/or at their respective outpatient clinics.
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Coiera E et al, J Am Med Inform Assoc, 19(1)
There is a paradox in the relationship between information and communication technology (ICT) and patient safety. ICT can improve the quality, safety and effectiveness of clinical services and patient outcomes, although the evidence base for this is sometimes weak. As a consequence, the rapid deployment of ICT on a national scale is a priority for many nations faced with a diminishing clinical workforce, increasing workloads, and resource constraints.
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Joseph Goedert, HDM Breaking News
“A new report published in the Journal of Patient Safety advocates creation of an independent national board to monitor and improve the safety of electronic health records. Among other duties, the board would have the power to implement unannounced, randomly scheduled, on-site EHR safety inspections.
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Al-Dorzi HM et al, BMC Medical Informatics and Decision Making, 11
Background
Computerized physician order entry (CPOE) systems are recommended to improve patient safety and outcomes. However, their effectiveness has been questioned. Our objective was to evaluate the impact of CPOE implementation on the outcome of critically ill patients.
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Howard Anderson, Healthcare Info Security
“A new Institute of Medicine report does a good job of calling attention to the important issue of how electronic health records affect patient safety.
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Ken Terry, InformationWeek
“Hard on the heels of an Institute of Medicine report on regulating the safety of electronic health records (EHRs) and related health IT tools, Ashish K. Jha, MD, and David C. Classen, MD, two of the report’s coauthors, called for patient safety measures to be included in Meaningful Use requirements.
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Singh H et al, Journal of Patient Safety, 2011
Electronic health records (EHRs) have potential quality and safety benefits. However, reports of EHR-related safety hazards are now emerging. The Office of the National Coordinator for Health Information Technology recently sponsored an Institute of Medicine committee to evaluate how health information technology use affects patient safety. In this article, we propose the creation of a national EHR oversight program to provide dedicated surveillance of EHR-related safety hazards and to promote learning from identified errors, close calls, and adverse events. The program calls for data gathering, investigation/analysis, and regulatory components. The first 2 functions will depend on institution-level EHR safety committees that will investigate all known EHR-related adverse events and near-misses and report them nationally using standardized methods.
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Emily P. Walker, MedPage Today
“The government should create a new federal panel to oversee patient safety issues associated with the growing use of health information technology, a new report from the Institute of Medicine (IOM) concludes.
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Jha AK, Classen DC. N Engl J Med, 365(19)
More than a decade ago, the Institute of Medicine released its famous report To Err Is Human, which set an ambitious agenda for the United States to reduce the number of Americans who were hurt or killed by medical errors and adverse events.
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Deborah Hirsch, TMCnet
“Though electronic health records (EHRs) are providing multiple benefits to both patients and healthcare providers, a story by AP writer Ricardo Alonzo-Zaldivar posted at news.yahoo.com says that in their zeal to switch over from paper, many users are overlooking potential patient safety problems, independent advisers warned the Obama administration Tuesday.
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Joseph Conn, ModernHealthcare
“The nation’s health IT czar, responding to the early release Tuesday of the Institute of Medicine’s report on patient-safety issues linked to the use of healthcare information technology, said IT glitches should not overshadow IT systems’ contributions toward improving patient safety.
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Kimberly Leonard, iWatch News
“Making electronic record-keeping systems easier for health providers to use can help prevent dangerous or even fatal mistakes, says the draft of a project by the National Institute of Standards and Technology (NIST).
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“De Inspectie voor de Gezondheidszorg (IGZ) eist dat zorgverleners uiterlijk in 2013 de uitwisseling van medische gegevens van patiënten verbeteren. Anders krijgen huisartsen, apothekers, ziekenhuizen en verpleeghuizen zo’n uitwisselingssysteem opgelegd. Dat zegt de IGZ in het vandaag verschenen rapport De Staat van de Gezondheidszorg 2011.
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