Hyman D et al, Pediatrics, 2012
OBJECTIVE:
To determine whether an order verification screen, including a patient photograph, is an effective strategy for reducing the risk that providers will place orders in an unintended patient’s electronic medical record (EMR).
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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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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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Sittig DF, Singh H. Archives of Internal Medicine, 171(14)
Despite the promise of health information technology (HIT), recent literature has revealed possible safety hazards associated with its use. The Office of the National Coordinator for HIT recently sponsored an Institute of Medicine committee to synthesize evidence and experience from the field on how HIT affects patient safety. To lay the groundwork for defining, measuring, and analyzing HIT-related safety hazards, we propose that HIT-related error occurs anytime HIT is unavailable for use, malfunctions during use, is used incorrectly by someone, or when HIT interacts with another system component incorrectly, resulting in data being lost or incorrectly entered, displayed, or transmitted.
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Furukawa MF et al, Medical Care Research and Review, 68(3)
Electronic medical records (EMR) have the potential to improve nursing care in the hospital setting. This study estimated the association of EMR implementation with nurse staffing levels, skill mix, contract/agency percent, and nurse-sensitive patient outcomes in U.S. hospitals. Data on nurse staffing and patient outcomes came from the 2004-2008 National Database of Nursing Quality Indicators. Data on EMR implementation came from the 2004-2008 HIMSS Analytics Database.
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Daniels, Jeremy P. et al, International Journal of Medical Informatics, 2010
Purpose
Adverse event reporting systems allow healthcare institutions to detect and prevent recurrence of avoidable patient harm. It is known that standard reporting systems, which are initiated by clinicians, detect only a minority of chart-documented adverse events. The objective of the study was to develop a web-based system, the Family Reporting System (FRS), to elicit adverse event reports from families of children admitted to hospital through survey methodology and human factors engineering techniques.
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Soop, Michael et al, International Journal for Quality in Health Care, 21(4)
Objectives.
To estimate the incidence, nature and consequences of adverse events and preventable adverse events in Swedish hospitals.
Design.
A three-stage structured retrospective medical record review based on the use of 18 screening criteria.
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