Health IT and Diagnostic Safety: Promise and Peril

By Susan Carr   When it comes to information technology (IT), clinicians and hospitals might advise, “Be careful what you wish for.” Embraced as the answer to many of healthcare’s safety problems, technology provides useful tools that may improve but in no way guarantee safety. In fact, health IT can introduce as well as prevent or … Continued

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MACRA Targets Meaningful in Meaningful Use

By Barry P. Chaiken, MD, MPH  The 2015 Medicare Access and CHIP Reauthorization Act (MACRA) opened the way for the U.S. Department of Health and Human Services (DHHS) to streamline the quality improvement and healthcare information technology programs it built over the past several years. Since the passage of the 2009 HITECH Act, the quality … Continued

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To Do No Harm, Rethink How to Measure Hand Hygiene

By Paul Alper, BA Primum non nocere is a Latin phrase that means, “First, do no harm.” It is a precept taught to healthcare students around the world and paraphrased in the Hippocratic Oath. Unfortunately, a vast amount of avoidable harm still takes place in healthcare settings worldwide. The good news is that a new … Continued

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Transforming the Continuum of Care With Technology

By Sally Graver Judy Murphy, RN, FACMI, FHIMSS, FAAN, has been a leader in health information technology (IT) for more than 25 years. She is currently chief nursing officer (CNO) for IBM Global Healthcare. Prior to joining IBM, Murphy served as CNO and deputy national coordinator for programs and policy at the Office of the … Continued

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What Clinical Decision Support Can Offer

By Nancy Zimmerman, RN, BSN Advanced clinical decision support (CDS) systems are playing an increasingly important role in promoting quality and safety in patient care, especially in diagnostic assistance. While arriving at a correct diagnosis will always be a mixture of art and science, with physicians ultimately responsible for all clinical decisions, CDS systems support … Continued

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Health IT & Quality: Why Things Matter

By Barry P. Chaiken, MD, MPH   Compared to automobiles made just a few years ago, new ones provide an amazing driving experience. Expanding beyond the CD changer and iPod® dongle, automobiles now integrate our smartphones and use voice recognition technology, allowing drivers to keep their hands on the steering wheel. In addition to this … Continued

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Using Automated Surveillance to Improve Diagnosis

By Tom Scaletta, MD, CPPS Every day, healthcare becomes more complex, and with that complexity comes a growing need to focus on reducing diagnostic errors. A recent Institute of Medicine (IOM) report, Improving Diagnosis in Healthcare (Balogh, Miller, & Ball, 2015), estimates that 5% of adults seeking outpatient care experience a diagnostic error, while one … Continued

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