Using Health IT to Prevent Adverse Events - AHRQ National ...

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Thank You!
Questions & AnswersOur Panel:George Hripcsak, M.D., M.S., professor and chair of ColumbiaUniversity's department of biomedical informaticsTejal Gandhi, M.D., M.P.H., board certified internist and associateprofessor of medicine at Harvard Medical SchoolKevin B. Johnson, M.D., M.S., professor and vice chair of biomedicalinformatics; joint appointment in the department of pediatrics atVanderbilt University Medical Center
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National Web-Based Teleconference o
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Meaningful Use Incentives
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Benefits of EHR data• symptoms, s
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Framework
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Target errors• Explicit voluntary
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Terminology challenges• Terminolo
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Deep Natural Language Processing“
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Demography of CXRs• 10 years; 889
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Falls• Calibrate database to lite
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Conflicts in the EHR
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Conflicts in the EHR: ―Digital cl
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Self reporting in the EHR
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Self reporting in the EHR• Accide
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Self reporting in the EHR: PPVMista
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Large scale event reporting
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Event reporting• Use NLP and 45 r
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Next-generation detection
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Data quality• All medical record
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Learning from the DataDeviation by
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345New Information ToolsGlucose0.45
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Conclusions
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Thank You!
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Medication Safety• The typical ho
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MDMed OrdersOrderingErrors (49%)Tra
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Barcode/eMAR at the Bedside • Ord
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Real Time Alerts to Nurse
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Evaluating the Impact of Barcode-eM
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Impact on Potential Adverse Drug Ev
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Admin and Transcription Error Study
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Impact on Nurse Workflow• 232 2-h
Page 61 and 62: Implementation Factors• Software
Page 63 and 64: Implementation• 45 Enhancements t
Page 65 and 66: Information System Analyst• Troub
Page 67 and 68: Scanners•Need scanning flexibilit
Page 69 and 70: Bar Coding Inconsistencies• Where
Page 71 and 72: Physician Workflow• Inability toq
Page 73 and 74: Over Reliance• Technology driving
Page 75 and 76: Continued Feedback
Page 77 and 78: In Summary• Barcode technology si
Page 79 and 80: Kevin B. Johnson, MD, MSProfessor B
Page 81 and 82: • Adverse events are often mitiga
Page 83: • Single site study using interna
Page 87 and 88: Funded by AHRQ R 18 HSO17216
Page 89 and 90: • Mismatches between formulationr
Page 91 and 92: Goal - to improve the safety andusa
Page 93 and 94: • Discovered 115 medications to r
Page 95 and 96: • Many allow dosing in0.1 ml incr
Page 98 and 99: UsersE-PrescribingSystem ServerSTEP
Page 100 and 101: •Medication Name•Medication Enc
Page 102 and 103: For each known frequency…PatientW
Page 104 and 105: RecognizedMedication InSTEPSToolsKn
Page 106 and 107: For each dose range…PossibleDoseG
Page 108 and 109: • If the age of the patient is le
Page 110 and 111: • Implementation in two vendor sy
Page 114 and 115: Coming Soon!Our Next EventA webinar
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