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January-February 2011




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The Case for Regulating EMRs


Papers reporting serious adverse events (Nebeker, 2005; Yong, 2005) relating to the use of commercial healthcare IT (HIT) applications received significant publicity in 2005. Many of the reports at that time focused on the configuration of decision support systems used in computerized physician order entry (CPOE) systems.

Last Updated on Wednesday, 16 February 2011 12:15
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Standards for Medical Device Interoperability and Integration

At the point-of-care, medical devices provide clinicians with real-time status of the patient’s condition, including the patient’s vital signs. This data is vital for treatment and can be a critical aspect of patient safety since it provides near real-time surveillance of patient status to locations beyond the patient’s bedside.

Last Updated on Wednesday, 16 February 2011 12:28
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Interoperability and Actionable Intelligence: Future Requirements, Current Possibilities


Government requirements for “meaningful use” of electronic health records (EHRs) have focused national attention on the need to integrate and computerize a patient’s medical records to improve performance and support patient care processes.

Last Updated on Tuesday, 15 February 2011 16:56
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Critical Values Reporting: Making Day-to-Day Performance Count


In 2006, the Shepherd Center, a 132-bed spinal cord and brain injury rehabilitation hospital in Atlanta, Georgia, was having trouble meeting The Joint Commission’s (TJC) requirements for reporting critical values: measuring, assessing, and, if appropriate, taking action to improve the timeliness of reporting, as well as the timeliness of receipt by the responsible licensed caregiver of critical tests, results, and values.

Last Updated on Wednesday, 16 February 2011 12:37
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Open Source Health IT in the Psychiatric Care Environment


Silver Hill Hospital of New Canaan, Connecticut, recently joined a select group of psychiatric hospitals in the United States that have implemented an electronic health record (EHR) system. Founded in 1931, Silver Hill Hospital is a 129-bed not-for-profit psychiatric hospital that provides inpatient and residential transitional living programs for adolescents and adults.

Last Updated on Tuesday, 15 February 2011 17:02
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Editor's Notebook

The Lowest and Best Common Denominator

Interoperability is a buzzword with legs. At the moment, it’s everywhere, including on the cover of this issue of PSQH.

Last Updated on Tuesday, 15 February 2011 16:04
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ISMP

Oops, Sorry, Wrong Patient!

Applying the JCAHO “two-identifier” rule beyond the patient’s room


When we think of “wrong patient” errors, the most common scenario that comes to mind is a nurse walking into a patient’s room and administering medications intended for one patient to another patient — often a roommate. However, “wrong patient” errors occur in a variety of ways.

Last Updated on Tuesday, 15 February 2011 16:09
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Clinical Analytics

EMR Implementation Is an Opportunity, Not a Guarantee

As hospital IT leaders consider how to address meaningful use of electronic medical records (EMR) within their own organizations, they should see the next generation of EMRs as an opportunity to take arms against avoidable medical errors, improve the level of personalized medicine, and reduce hospital readmissions to boost quality scores.

Last Updated on Wednesday, 16 February 2011 12:07
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Safety Culture

Oregon Hospitals Use Survey Results to Drive Change

Medical error rates at hospitals are under scrutiny as never before, both from within and outside the healthcare profession. In response, many hospitals have begun transforming their internal cultures to align medical practice more closely with safety goals.

Last Updated on Tuesday, 15 February 2011 17:50
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Last Updated on Thursday, 18 November 2010 19:37
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Health & IT Quality

Failure Is Not an Option

Healthcare could learn much from Gene Kranz. A recipient of the Presidential Medal of Freedom along with other mission scientists and crew, Kranz led his Tiger Team of experts at NASA in its successful effort to bring three astronauts on a perilous 500,000 mile journey around the moon and back home to Earth.

Last Updated on Tuesday, 15 February 2011 16:07
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Diagnostic Radiology

Critical Communication: Improving Patient Safety


The written diagnostic imaging report is the key method of communication between radiologists and referring clinicians. However, the radiology report is valuable not only for its contents, but also for the timeliness of delivery given the important subject matter of radiologic results, including, in some cases, critical findings.

Last Updated on Tuesday, 15 February 2011 17:18
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Event Reporting

How Rhode Island Is Leading a Revolution in Patient Safety


This is the first in a series of articles about the statewide implementation of a standardized web-based event-reporting platform to facilitate the reduction of medical errors.

Last Updated on Wednesday, 16 February 2011 22:00
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RFID Showcase

Coming to the AID of Healthcare


Many companies focus on the realm of RFID (radio frequency identification) for healthcare, and there have been some significant challenges both on the R&D side and the practitioner’s implementation side.

Last Updated on Tuesday, 15 February 2011 18:06
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