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

More documents

Recommendations

Info

Potential US Annual EHR data1,000,000,000 visit notes35,000,000 admit notes, discharge sum.46,000,000 procedure notes3,000,000,000 prescriptions1,000,000,000 labora<strong>to</strong>ry tests>50,000,000,000 facts
Benefits of EHR data• symp<strong>to</strong>ms, signs, and detailed treatments• detailed temporal course• clinician’s reasoning• good redundancyMuch is in the narrative notes
Page 1 and 2: National Web-Based Teleconference o
Page 3: Meaningful Use Incentives
Page 7 and 8: Framework
Page 9 and 10: Target errors• Explicit voluntary
Page 11 and 12: Terminology challenges• Terminolo
Page 13 and 14: Deep Natural Language Processing“
Page 15 and 16: Demography of CXRs• 10 years; 889
Page 17 and 18: Falls• Calibrate database to lite
Page 19 and 20: Conflicts in the EHR
Page 21 and 22: Conflicts in the EHR: ―Digital cl
Page 23 and 24: Self reporting in the EHR
Page 25 and 26: Self reporting in the EHR• Accide
Page 27 and 28: Self reporting in the EHR: PPVMista
Page 29 and 30: Large scale event reporting
Page 31 and 32: Event reporting• Use NLP and 45 r
Page 33 and 34: Next-generation detection
Page 35 and 36: Data quality• All medical record
Page 37 and 38: Learning from the DataDeviation by
Page 39 and 40: 345New Information ToolsGlucose0.45
Page 41 and 42: Conclusions
Page 43 and 44: Thank You!
Page 45 and 46: Medication Safety• The typical ho
Page 47 and 48: MDMed OrdersOrderingErrors (49%)Tra
Page 49 and 50: Barcode/eMAR at the Bedside • Ord
Page 51 and 52: Real Time Alerts to Nurse
Page 53 and 54: Evaluating the Impact of Barcode-eM
Page 55 and 56:
Impact on Potential Adverse Drug Ev
Page 57 and 58:
Admin and Transcription Error Study
Page 59 and 60:
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 112 and 113:
Thank You!
Page 114 and 115:
Coming Soon!Our Next EventA webinar
show all

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

Create successful ePaper yourself

Delete template?

Save as template?