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medication safety dashboard

Brandon Battis, Linda Clifford, Mostaqul Huq, Edrick Pejoro, Scott Mambourg
OBJECTIVES: Patients treated with oral chemotherapy appear to have less contact with the treating providers. As a result, safety, adherence, medication therapy monitoring, and timely follow-up may be compromised. The trend of treating cancer with oral chemotherapy agents is on the rise. However, standard clinical guidance is still lacking for prescribing, monitoring, patient education, and follow-up of patients on oral chemotherapy across the healthcare settings. The purpose of this project is to establish an oral chemotherapy monitoring clinic, to create drug and lab specific provider order sets for prescribing and lab monitoring, and ultimately to ensure safe and effective treatment of the veterans we serve...
October 12, 2016: Journal of Oncology Pharmacy Practice
Sooyoung Yoo, Hee Hwang, Sanghoon Jheon
The different levels of health information technology (IT) adoption and its integration into hospital workflow can affect the maximization of the benefits of using of health IT. We aimed at sharing our experiences and the journey to the successful adoption of health IT over 13 years at a tertiary university hospital in South Korea. The integrated system of comprehensive applications for direct care, support care, and smart care has been implemented with the latest IT and a rich user information platform, achieving the fully digitized hospital...
August 2016: Journal of Thoracic Disease
Austin Rohl, Sven Eriksson, David Metcalf
Texting while driving is a dangerous activity that is on the rise in the United States (U.S.). Since 2011 there has been a 17% increase in the number of people injured in a motor vehicle crash involving a distracted driver. Bans on the act of texting and driving have already taken place in 46 states in the U.S., but studies have shown that they are ineffective. An unstudied method of reducing texting while driving is sticker reminders. Sticker reminders have already been proven to be an effective intervention in the realm of driver safety; one study found that a "Buckle-Up" dashboard sticker doubled the use of safety belts by front seat passengers...
2016: Curēus
Lisa Ishii, Peter J Pronovost, Renee Demski, Gill Wylie, Michael Zenilman
PROBLEM: An increasing volume of ambulatory surgeries has led to an increase in the number of ambulatory surgery centers (ASCs). Some academic health systems have aligned with ASCs to create a more integrated care delivery system. Yet, these centers are diverse in many areas, including specialty types, ownership models, management, physician employment, and regulatory oversight. Academic health systems then face challenges in integrating these ASCs into their organizations. APPROACH: Johns Hopkins Medicine created the Ambulatory Surgery Coordinating Council in 2014 to manage, standardize, and promote peer learning among its eight ASCs...
June 2016: Academic Medicine: Journal of the Association of American Medical Colleges
Francesco Frosini, Roberto Miniati, Paolo Avezzano, Giulio Cecconi, Fabrizio Dori, Guido Biffi Gentili, Andrea Belardinelli
BACKGROUND: The management and the monitoring of the operating rooms on the part of the general management have the objective of optimizing their use and maximizing the internal safety. The expenses owed to their safe use represent, besides reimbursements coming from the surgical activity, important factors for the analysis of the medical facility. OBJECTIVE: Given that it is not possible to reduce the safety, it is necessary to develop supporting systems with the aim to enhance and optimize the use of the rooms...
2016: Technology and Health Care: Official Journal of the European Society for Engineering and Medicine
Susanna J Shaw, Brian Jacobs, David C Stockwell, Craig Futterman, Michael C Spaeder
BACKGROUND: Patient daily goal sheets have been shown to improve compliance with hospital policies but might not represent the dynamic nature of care delivery in the pediatric ICU (PICU) setting. A study was conducted at Children's National Health System (Washington, DC) to determine the effect of a visible, unitwide, real-time dashboard on timeliness of compliance with quality and safety measures. METHODS: An automated electronic health record (EHR)- querying tool was created to assess compliance with a PICU Safety Bundle...
September 2015: Joint Commission Journal on Quality and Patient Safety
Henry J Michtalik, Howard T Carolan, Elliott R Haut, Brandyn D Lau, Michael B Streiff, Joseph Finkelstein, Peter J Pronovost, Nowella Durkin, Daniel J Brotman
BACKGROUND: Despite safe and cost-effective venous thromboembolism (VTE) prevention measures, VTE prophylaxis rates are often suboptimal. Healthcare reform efforts emphasize transparency through programs to report performance and payment incentives through pay-for-performance programs. OBJECTIVE: To sequentially examine an individualized physician dashboard and pay-for-performance program to improve VTE prophylaxis rates among hospitalists. DESIGN: Retrospective analysis of 3144 inpatient admissions...
March 2015: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
Tessa S Cook, Paul Nagy
Although it remains absent from most programs today, business intelligence (BI) has become an integral part of modern radiology practice management. BI facilitates the transition away from lack of understanding about a system and the data it produces toward incrementally more sophisticated comprehension of what has happened, could happen, and should happen. The individual components that make up BI are common across industries and include data extraction and transformation, process analysis and improvement, outcomes measures, performance assessment, graphical dashboarding, alerting, workflow analysis, and scenario modeling...
December 2014: Journal of the American College of Radiology: JACR
Brent D Weinberg, Jeffrey B Guild, Gary M Arbique, David P Chason, Jon A Anderson
Fluoroscopically guided procedures are an area of radiology in which radiation exposure to the patient is highly operator dependent. Modern fluoroscopy machines display a variety of information, including technique factors, field of view, operating geometry, exposure mode, fluoroscopic time, air kerma at the reference point (RAK), and air kerma area-product. However, the presentation of this information is highly vendor specific, and many users are unaware of how to interpret this information and use it to perform a study with the minimum necessary dose...
January 2015: Current Problems in Diagnostic Radiology
Raj M Ratwani, Allan Fong
An increasing number of healthcare providers are adopting patient safety event reporting systems, yet leveraging these data to improve safety remains a challenge, particularly with large datasets composed of thousands of event reports. A MedStar Health research team, with expertise in data analytics and human factors, developed intuitive visualization dashboards to facilitate data exploration and trend analysis. Dashboards were developed using an iterative design and development process that was end-user focused...
March 2015: Journal of the American Medical Informatics Association: JAMIA
Allan F Simpao, Luis M Ahumada, Bimal R Desai, Christopher P Bonafide, Jorge A Gálvez, Mohamed A Rehman, Abbas F Jawad, Krisha L Palma, Eric D Shelov
OBJECTIVE: To develop and evaluate an electronic dashboard of hospital-wide electronic health record medication alerts for an alert fatigue reduction quality improvement project. METHODS: We used visual analytics software to develop the dashboard. We collaborated with the hospital-wide Clinical Decision Support committee to perform three interventions successively deactivating clinically irrelevant drug-drug interaction (DDI) alert rules. We analyzed the impact of the interventions on care providers' and pharmacists' alert and override rates using an interrupted time series framework with piecewise regression...
March 2015: Journal of the American Medical Informatics Association: JAMIA
Timothy Judson, Mark Haas, Tara Lagu
BACKGROUND: Medical identity theft refers to the misuse of another individual's identifying medical information to receive medical care. Beyond the financial burden on patients, hospitals, health insurance companies, and government insurance programs, undetected cases pose major patient safety challenges. Inaccuracies in the medical record may persist even after the theft has been identified because of restrictions imposed by patient privacy laws. Massachusetts General Hospital (MGH; Boston) has conducted initiatives to prevent medical identity theft and to better identify and respond to cases when they occur...
July 2014: Joint Commission Journal on Quality and Patient Safety
Nancy McLaughlin, Nasim Afsar-Manesh, Victoria Ragland, Farzad Buxey, Neil A Martin
Increasingly, hospitals and physicians are becoming acquainted with business intelligence strategies and tools to improve quality of care. In 2007, the University of California Los Angeles (UCLA) Department of Neurosurgery created a quality dashboard to help manage process measures and outcomes and ultimately to enhance clinical performance and patient care. At that time, the dashboard was in a platform that required data to be entered manually. It was then reviewed monthly to allow the department to make informed decisions...
March 2014: Neurosurgery
Brent I Fox, Joshua C Hollingsworth, Michael D Gray, Michael L Hollingsworth, Juan Gao, Richard A Hansen
OBJECTIVES: Drug safety surveillance using observational data requires valid adverse event, or health outcome of interest (HOI) measurement. The objectives of this study were to develop a method to review HOI definitions in claims databases using (1) web-based digital tools to present de-identified patient data, (2) a systematic expert panel review process, and (3) a data collection process enabling analysis of concepts-of-interest that influence panelists' determination of HOI. METHODS: De-identified patient data were presented via an interactive web-based dashboard to enable case review and determine if specific HOIs were present or absent...
October 2013: Journal of Biomedical Informatics
Jamie J Coleman, James Hodson, Hannah L Brooks, David Rosser
OBJECTIVE: To investigate the changes in overdue doses rates over a 4-year period in an National Health Service (NHS) teaching hospital, following the implementation of interventions associated with an electronic prescribing system used within the hospital. DESIGN: Retrospective time-series analysis of weekly dose administration data. SETTING: University teaching hospital using a locally developed electronic prescribing and administration system (Prescribing, Information and Communication System or PICS) with an audit database containing details on every drug prescription and dose administration...
October 2013: International Journal for Quality in Health Care
Sabi Redwood, Nothando B Ngwenya, James Hodson, Robin E Ferner, Jamie J Coleman
BACKGROUND: The behaviour of doctors and their responses to warnings can inform the effective design of Clinical Decision Support Systems. We used data from a University hospital electronic prescribing and laboratory reporting system with hierarchical warnings and alerts to explore junior doctors' behaviour. The objective of this trial was to establish whether a Junior Doctor Dashboard providing feedback on prescription warning information and laboratory alerting acceptance rates was effective in changing junior doctors' behaviour...
2013: BMC Medical Informatics and Decision Making
William A Conway, Susan Hawkins, Jack Jordan, Mary J Voutt-Goos
BACKGROUND: In 2008 Henry Ford Health System launched its "No Harm Campaign," designed to integrate harm-reduction interventions into a systemwide initiative and, ultimately, to eliminate harm from the health care experience. METHODS: The No Harm Campaign aims to decrease harm events through enhancing the system's culture of safety by reporting and studying harm events, researching causality, identifying priorities, and redesigning care to eliminate harm. The campaign uses a comprehensive set of 27 measures for harm reduction, covering infection-, medication-, and procedure-related harm, as well as other types of harm, all of which are combined to comprise a unique global harm score...
July 2012: Joint Commission Journal on Quality and Patient Safety
Sharon Silow-Carroll, Jennifer N Edwards, Diana Rodin
An examination of nine hospitals that recently implemented a comprehensive electronic health record (EHR) system finds that clinical and administrative leaders built EHR adoption into their strategic plans to integrate inpatient and outpatient care and provide a continuum of coordinated services. Successful implementation depended on: strong leadership, full involvement of clinical staff in design and implementation, mandatory staff training, and strict adherence to timeline and budget. The EHR systems facilitate patient safety and quality improvement through: use of checklists, alerts, and predictive tools; embedded clinical guidelines that promote standardized, evidence-based practices; electronic prescribing and test-ordering that reduces errors and redundancy; and discrete data fields that foster use of performance dashboards and compliance reports...
July 2012: Issue Brief of the Commonwealth Fund
Jonathan B Kruskal, Allen Reedy, Laurie Pascal, Max P Rosen, Phillip M Boiselle
Many hospital radiology departments are adopting "lean" methods developed in automobile manufacturing to improve operational efficiency, eliminate waste, and optimize the value of their services. The lean approach, which emphasizes process analysis, has particular relevance to radiology departments, which depend on a smooth flow of patients and uninterrupted equipment function for efficient operation. However, the application of lean methods to isolated problems is not likely to improve overall efficiency or to produce a sustained improvement...
March 2012: Radiographics: a Review Publication of the Radiological Society of North America, Inc
Lemuel R Waitman, Ira E Phillips, Allison B McCoy, Ioana Danciu, Robert M Halpenny, Cori L Nelsen, Daniel C Johnson, John M Starmer, Josh F Peterson
BACKGROUND: High-alert medications are frequently responsible for adverse drug events and present significant hazards to inpatients, despite technical improvements in the way they are ordered, dispensed, and administered. METHODS: A real-time surveillance application was designed and implemented to enable pharmacy review of high-alert medication orders to complement existing computerized provider order entry and integrated clinical decision support systems in a tertiary care hospital...
July 2011: Joint Commission Journal on Quality and Patient Safety
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