Safer Electronic Health Records

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SAFER Electronic Health Records

Dean F. Sittig,Hardeep Singh
SAFER Electronic Health Records Book PDF

Author : Dean F. Sittig,Hardeep Singh
Publisher : CRC Press
Page : 506 pages
File Size : 41,6 Mb
Release : 2015-04-14
Category : Business & Economics
ISBN : 9781498726382

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SAFER Electronic Health Records by Dean F. Sittig,Hardeep Singh Pdf

This important volume provide a one-stop resource on the SAFER Guides along with the guides themselves and information on their use, development, and evaluation. The Safety Assurance Factors for EHR Resilience (SAFER) guides, developed by the editors of this book, identify recommended practices to optimize the safety and safe use of electronic health records (EHRs). These guides are designed to help organizations self-assess the safety and effectiveness of their EHR implementations, identify specific areas of vulnerability, and change their cultures and practices to mitigate risks. This book provides EHR designers, developers, implementers, users, and policymakers with the requisite historical context, clinical informatics knowledge, and real-world, practical guidance to enable them to utilize the SAFER Guides to proactively assess the safety and effectiveness of their electronic health records EHR implementations. The first five chapters are designed to provide readers with the conceptual knowledge required to understand why and how the guides were developed. The next nine chapters focus on the underlying informatics concepts, key research activities, and methods used to develop each of the guides. Each of these chapters concludes with a copy of the guide itself. The final chapter provides a vision for the future and the work required to ensure that future generations of EHRs are designed, developed, implemented, and used to improve the overall safety of the EHR-enabled healthcare system. Taken together, the information provided in this book should help any organization, whether large or small, implement its EHR program and improve the safety and effectiveness of its existing EHR-enabled healthcare systems. This volume will be extremely valuable to small, ambulatory physician practices and larger outpatient settings as well as for hospitals and professors and instructors charged with teaching safe and effective implementation and use of EHRs. It will also be highly useful for health information technology professionals responsible for maintaining a safe and effective EHR and for clinical and administrative staff working in EHR-enabled healthcare systems.

Secondary Analysis of Electronic Health Records

MIT Critical Data
Secondary Analysis of Electronic Health Records Book PDF

Author : MIT Critical Data
Publisher : Springer
Page : 427 pages
File Size : 44,6 Mb
Release : 2016-09-09
Category : Medical
ISBN : 9783319437422

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Secondary Analysis of Electronic Health Records by MIT Critical Data Pdf

This book trains the next generation of scientists representing different disciplines to leverage the data generated during routine patient care. It formulates a more complete lexicon of evidence-based recommendations and support shared, ethical decision making by doctors with their patients. Diagnostic and therapeutic technologies continue to evolve rapidly, and both individual practitioners and clinical teams face increasingly complex ethical decisions. Unfortunately, the current state of medical knowledge does not provide the guidance to make the majority of clinical decisions on the basis of evidence. The present research infrastructure is inefficient and frequently produces unreliable results that cannot be replicated. Even randomized controlled trials (RCTs), the traditional gold standards of the research reliability hierarchy, are not without limitations. They can be costly, labor intensive, and slow, and can return results that are seldom generalizable to every patient population. Furthermore, many pertinent but unresolved clinical and medical systems issues do not seem to have attracted the interest of the research enterprise, which has come to focus instead on cellular and molecular investigations and single-agent (e.g., a drug or device) effects. For clinicians, the end result is a bit of a “data desert” when it comes to making decisions. The new research infrastructure proposed in this book will help the medical profession to make ethically sound and well informed decisions for their patients.

Registries for Evaluating Patient Outcomes

Agency for Healthcare Research and Quality/AHRQ
Registries for Evaluating Patient Outcomes Book PDF

Author : Agency for Healthcare Research and Quality/AHRQ
Publisher : Government Printing Office
Page : 396 pages
File Size : 53,8 Mb
Release : 2014-04-01
Category : Medical
ISBN : 9781587634338

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Registries for Evaluating Patient Outcomes by Agency for Healthcare Research and Quality/AHRQ Pdf

This User’s Guide is intended to support the design, implementation, analysis, interpretation, and quality evaluation of registries created to increase understanding of patient outcomes. For the purposes of this guide, a patient registry is an organized system that uses observational study methods to collect uniform data (clinical and other) to evaluate specified outcomes for a population defined by a particular disease, condition, or exposure, and that serves one or more predetermined scientific, clinical, or policy purposes. A registry database is a file (or files) derived from the registry. Although registries can serve many purposes, this guide focuses on registries created for one or more of the following purposes: to describe the natural history of disease, to determine clinical effectiveness or cost-effectiveness of health care products and services, to measure or monitor safety and harm, and/or to measure quality of care. Registries are classified according to how their populations are defined. For example, product registries include patients who have been exposed to biopharmaceutical products or medical devices. Health services registries consist of patients who have had a common procedure, clinical encounter, or hospitalization. Disease or condition registries are defined by patients having the same diagnosis, such as cystic fibrosis or heart failure. The User’s Guide was created by researchers affiliated with AHRQ’s Effective Health Care Program, particularly those who participated in AHRQ’s DEcIDE (Developing Evidence to Inform Decisions About Effectiveness) program. Chapters were subject to multiple internal and external independent reviews.

Process Improvement with Electronic Health Records

Margret Amatayakul
Process Improvement with Electronic Health Records Book PDF

Author : Margret Amatayakul
Publisher : CRC Press
Page : 279 pages
File Size : 48,6 Mb
Release : 2017-07-27
Category : Business & Economics
ISBN : 9781439872345

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Process Improvement with Electronic Health Records by Margret Amatayakul Pdf

Although physicians and hospitals are receiving incentives to use electronic health records (EHRs), there is little emphasis on workflow and process improvement by providers or vendors. As a result, many healthcare organizations end up with incomplete product specifications and poor adoption rates.Process Improvement with Electronic Health Records:

For the Record

National Research Council,Division on Engineering and Physical Sciences,Computer Science and Telecommunications Board,Commission on Physical Sciences, Mathematics, and Applications,Committee on Maintaining Privacy and Security in Health Care Applications of the National Information Infrastructure
For the Record Book PDF

Author : National Research Council,Division on Engineering and Physical Sciences,Computer Science and Telecommunications Board,Commission on Physical Sciences, Mathematics, and Applications,Committee on Maintaining Privacy and Security in Health Care Applications of the National Information Infrastructure
Publisher : National Academies Press
Page : 287 pages
File Size : 40,7 Mb
Release : 1997-07-09
Category : Medical
ISBN : 9780309056977

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For the Record by National Research Council,Division on Engineering and Physical Sciences,Computer Science and Telecommunications Board,Commission on Physical Sciences, Mathematics, and Applications,Committee on Maintaining Privacy and Security in Health Care Applications of the National Information Infrastructure Pdf

When you visit the doctor, information about you may be recorded in an office computer. Your tests may be sent to a laboratory or consulting physician. Relevant information may be transmitted to your health insurer or pharmacy. Your data may be collected by the state government or by an organization that accredits health care or studies medical costs. By making information more readily available to those who need it, greater use of computerized health information can help improve the quality of health care and reduce its costs. Yet health care organizations must find ways to ensure that electronic health information is not improperly divulged. Patient privacy has been an issue since the oath of Hippocrates first called on physicians to "keep silence" on patient matters, and with highly sensitive dataâ€"genetic information, HIV test results, psychiatric recordsâ€"entering patient records, concerns over privacy and security are growing. For the Record responds to the health care industry's need for greater guidance in protecting health information that increasingly flows through the national information infrastructureâ€"from patient to provider, payer, analyst, employer, government agency, medical product manufacturer, and beyond. This book makes practical detailed recommendations for technical and organizational solutions and national-level initiatives. For the Record describes two major types of privacy and security concerns that stem from the availability of health information in electronic form: the increased potential for inappropriate release of information held by individual organizations (whether by those with access to computerized records or those who break into them) and systemic concerns derived from open and widespread sharing of data among various parties. The committee reports on the technological and organizational aspects of security management, including basic principles of security; the effectiveness of technologies for user authentication, access control, and encryption; obstacles and incentives in the adoption of new technologies; and mechanisms for training, monitoring, and enforcement. For the Record reviews the growing interest in electronic medical records; the increasing value of health information to providers, payers, researchers, and administrators; and the current legal and regulatory environment for protecting health data. This information is of immediate interest to policymakers, health policy researchers, patient advocates, professionals in health data management, and other stakeholders.

Implementing an Electronic Health Record System

James M. Walker,Eric J. Bieber,Frank Richards,Sandra Buckley
Implementing an Electronic Health Record System Book PDF

Author : James M. Walker,Eric J. Bieber,Frank Richards,Sandra Buckley
Publisher : Springer Science & Business Media
Page : 276 pages
File Size : 41,8 Mb
Release : 2006-08-07
Category : Medical
ISBN : 1846283302

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Implementing an Electronic Health Record System by James M. Walker,Eric J. Bieber,Frank Richards,Sandra Buckley Pdf

- Practical in its scope and coverage, the authors have provided a tool-kit for the medical professional in the often complex field of medical informatics - All editors are from the Geisinger Health System, which has one of the largest Electron Health systmes in the USA, and is high in the list of the AMIA "100 Most Wire" healthcare systems - Describes the latest successes and pitfalls

Electronic Health Records For Dummies

Trenor Williams,Anita Samarth
Electronic Health Records For Dummies Book PDF

Author : Trenor Williams,Anita Samarth
Publisher : John Wiley & Sons
Page : 340 pages
File Size : 55,5 Mb
Release : 2010-12-03
Category : Medical
ISBN : 9781118023938

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Electronic Health Records For Dummies by Trenor Williams,Anita Samarth Pdf

The straight scoop on choosing and implementing an electronic health records (EHR) system Doctors, nurses, and hospital and clinic administrators are interested in learning the best ways to implement and use an electronic health records system so that they can be shared across different health care settings via a network-connected information system. This helpful, plain-English guide provides need-to-know information on how to choose the right system, assure patients of the security of their records, and implement an EHR in such a way that it causes minimal disruption to the daily demands of a hospital or clinic. Offers a plain-English guide to the many electronic health records (EHR) systems from which to choose Authors are a duo of EHR experts who provide clear, easy-to-understand information on how to choose the right EHR system an implement it effectively Addresses the benefits of implementing an EHR system so that critical information (such as medication, allergies, medical history, lab results, radiology images, etc.) can be shared across different health care settings Discusses ways to talk to patients about the security of their electronic health records Electronic Health Records For Dummies walks you through all the necessary steps to successfully choose the right EHR system, keep it current, and use it effectively.

Key Capabilities of an Electronic Health Record System

Institute of Medicine,Board on Health Care Services,Committee on Data Standards for Patient Safety
Key Capabilities of an Electronic Health Record System Book PDF

Author : Institute of Medicine,Board on Health Care Services,Committee on Data Standards for Patient Safety
Publisher : National Academies Press
Page : 36 pages
File Size : 45,7 Mb
Release : 2003-07-31
Category : Medical
ISBN : 9780309185431

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Key Capabilities of an Electronic Health Record System by Institute of Medicine,Board on Health Care Services,Committee on Data Standards for Patient Safety Pdf

Commissioned by the Department of Health and Human Services, Key Capabilities of an Electronic Health Record System provides guidance on the most significant care delivery-related capabilities of electronic health record (EHR) systems. There is a great deal of interest in both the public and private sectors in encouraging all health care providers to migrate from paper-based health records to a system that stores health information electronically and employs computer-aided decision support systems. In part, this interest is due to a growing recognition that a stronger information technology infrastructure is integral to addressing national concerns such as the need to improve the safety and the quality of health care, rising health care costs, and matters of homeland security related to the health sector. Key Capabilities of an Electronic Health Record System provides a set of basic functionalities that an EHR system must employ to promote patient safety, including detailed patient data (e.g., diagnoses, allergies, laboratory results), as well as decision-support capabilities (e.g., the ability to alert providers to potential drug-drug interactions). The book examines care delivery functions, such as database management and the use of health care data standards to better advance the safety, quality, and efficiency of health care in the United States.

Health IT and Patient Safety

Institute of Medicine,Board on Health Care Services,Committee on Patient Safety and Health Information Technology
Health IT and Patient Safety Book PDF

Author : Institute of Medicine,Board on Health Care Services,Committee on Patient Safety and Health Information Technology
Publisher : National Academies Press
Page : 234 pages
File Size : 53,8 Mb
Release : 2012-03-15
Category : Computers
ISBN : 9780309221153

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Health IT and Patient Safety by Institute of Medicine,Board on Health Care Services,Committee on Patient Safety and Health Information Technology Pdf

IOM's 1999 landmark study To Err is Human estimated that between 44,000 and 98,000 lives are lost every year due to medical errors. This call to action has led to a number of efforts to reduce errors and provide safe and effective health care. Information technology (IT) has been identified as a way to enhance the safety and effectiveness of care. In an effort to catalyze its implementation, the U.S. government has invested billions of dollars toward the development and meaningful use of effective health IT. Designed and properly applied, health IT can be a positive transformative force for delivering safe health care, particularly with computerized prescribing and medication safety. However, if it is designed and applied inappropriately, health IT can add an additional layer of complexity to the already complex delivery of health care. Poorly designed IT can introduce risks that may lead to unsafe conditions, serious injury, or even death. Poor human-computer interactions could result in wrong dosing decisions and wrong diagnoses. Safe implementation of health IT is a complex, dynamic process that requires a shared responsibility between vendors and health care organizations. Health IT and Patient Safety makes recommendations for developing a framework for patient safety and health IT. This book focuses on finding ways to mitigate the risks of health IT-assisted care and identifies areas of concern so that the nation is in a better position to realize the potential benefits of health IT. Health IT and Patient Safety is both comprehensive and specific in terms of recommended options and opportunities for public and private interventions that may improve the safety of care that incorporates the use of health IT. This book will be of interest to the health IT industry, the federal government, healthcare providers and other users of health IT, and patient advocacy groups.

Electronic Health Records

Jerome H. Carter
Electronic Health Records Book PDF

Author : Jerome H. Carter
Publisher : ACP Press
Page : 554 pages
File Size : 44,5 Mb
Release : 2008
Category : Medical
ISBN : 9781930513976

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Electronic Health Records by Jerome H. Carter Pdf

Resource added for the Health Information Technology program 105301.

Electronic Health Records

Margret Amatayakul
Electronic Health Records Book PDF

Author : Margret Amatayakul
Publisher : Unknown
Page : 452 pages
File Size : 42,8 Mb
Release : 2004
Category : Computers
ISBN : NWU:35557000136018

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Electronic Health Records by Margret Amatayakul Pdf

"This book discusses the elements of EHR implementation in a clear, chronological format from planning to execution. Along the way, readers receive a solid background in EHR history, trends, and common pitfalls and gain the skills they will need for a successful implementation."

Advances in Patient Safety

Kerm Henriksen
Advances in Patient Safety Book PDF

Author : Kerm Henriksen
Publisher : Unknown
Page : 526 pages
File Size : 40,8 Mb
Release : 2005
Category : Medical
ISBN : CHI:70548902

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Advances in Patient Safety by Kerm Henriksen Pdf

v. 1. Research findings -- v. 2. Concepts and methodology -- v. 3. Implementation issues -- v. 4. Programs, tools and products.

Capturing Social and Behavioral Domains and Measures in Electronic Health Records

Institute of Medicine,Board on Population Health and Public Health Practice,Committee on the Recommended Social and Behavioral Domains and Measures for Electronic Health Records
Capturing Social and Behavioral Domains and Measures in Electronic Health Records Book PDF

Author : Institute of Medicine,Board on Population Health and Public Health Practice,Committee on the Recommended Social and Behavioral Domains and Measures for Electronic Health Records
Publisher : National Academies Press
Page : 374 pages
File Size : 49,6 Mb
Release : 2015-01-08
Category : Medical
ISBN : 9780309312455

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Capturing Social and Behavioral Domains and Measures in Electronic Health Records by Institute of Medicine,Board on Population Health and Public Health Practice,Committee on the Recommended Social and Behavioral Domains and Measures for Electronic Health Records Pdf

Determinants of health - like physical activity levels and living conditions - have traditionally been the concern of public health and have not been linked closely to clinical practice. However, if standardized social and behavioral data can be incorporated into patient electronic health records (EHRs), those data can provide crucial information about factors that influence health and the effectiveness of treatment. Such information is useful for diagnosis, treatment choices, policy, health care system design, and innovations to improve health outcomes and reduce health care costs. Capturing Social and Behavioral Domains and Measures in Electronic Health Records: Phase 2 identifies domains and measures that capture the social determinants of health to inform the development of recommendations for the meaningful use of EHRs. This report is the second part of a two-part study. The Phase 1 report identified 17 domains for inclusion in EHRs. This report pinpoints 12 measures related to 11 of the initial domains and considers the implications of incorporating them into all EHRs. This book includes three chapters from the Phase 1 report in addition to the new Phase 2 material. Standardized use of EHRs that include social and behavioral domains could provide better patient care, improve population health, and enable more informative research. The recommendations of Capturing Social and Behavioral Domains and Measures in Electronic Health Records: Phase 2 will provide valuable information on which to base problem identification, clinical diagnoses, patient treatment, outcomes assessment, and population health measurement.

To Err Is Human

Institute of Medicine,Committee on Quality of Health Care in America
To Err Is Human Book PDF

Author : Institute of Medicine,Committee on Quality of Health Care in America
Publisher : National Academies Press
Page : 312 pages
File Size : 41,7 Mb
Release : 2000-03-01
Category : Medical
ISBN : 9780309068376

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To Err Is Human by Institute of Medicine,Committee on Quality of Health Care in America Pdf

Experts estimate that as many as 98,000 people die in any given year from medical errors that occur in hospitals. That's more than die from motor vehicle accidents, breast cancer, or AIDSâ€"three causes that receive far more public attention. Indeed, more people die annually from medication errors than from workplace injuries. Add the financial cost to the human tragedy, and medical error easily rises to the top ranks of urgent, widespread public problems. To Err Is Human breaks the silence that has surrounded medical errors and their consequenceâ€"but not by pointing fingers at caring health care professionals who make honest mistakes. After all, to err is human. Instead, this book sets forth a national agendaâ€"with state and local implicationsâ€"for reducing medical errors and improving patient safety through the design of a safer health system. This volume reveals the often startling statistics of medical error and the disparity between the incidence of error and public perception of it, given many patients' expectations that the medical profession always performs perfectly. A careful examination is made of how the surrounding forces of legislation, regulation, and market activity influence the quality of care provided by health care organizations and then looks at their handling of medical mistakes. Using a detailed case study, the book reviews the current understanding of why these mistakes happen. A key theme is that legitimate liability concerns discourage reporting of errorsâ€"which begs the question, "How can we learn from our mistakes?" Balancing regulatory versus market-based initiatives and public versus private efforts, the Institute of Medicine presents wide-ranging recommendations for improving patient safety, in the areas of leadership, improved data collection and analysis, and development of effective systems at the level of direct patient care. To Err Is Human asserts that the problem is not bad people in health careâ€"it is that good people are working in bad systems that need to be made safer. Comprehensive and straightforward, this book offers a clear prescription for raising the level of patient safety in American health care. It also explains how patients themselves can influence the quality of care that they receive once they check into the hospital. This book will be vitally important to federal, state, and local health policy makers and regulators, health professional licensing officials, hospital administrators, medical educators and students, health caregivers, health journalists, patient advocatesâ€"as well as patients themselves. First in a series of publications from the Quality of Health Care in America, a project initiated by the Institute of Medicine

Portable Health Records in a Mobile Society

Egondu R. Onyejekwe,Jon Rokne,Cory L. Hall
Portable Health Records in a Mobile Society Book PDF

Author : Egondu R. Onyejekwe,Jon Rokne,Cory L. Hall
Publisher : Springer Nature
Page : 325 pages
File Size : 48,6 Mb
Release : 2019-09-06
Category : Medical
ISBN : 9783030199371

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Portable Health Records in a Mobile Society by Egondu R. Onyejekwe,Jon Rokne,Cory L. Hall Pdf

This book details how electronic health records (EHRs) and medical records (EMRs) can be optimized to enable meaningful interactions between provider and patient to enhance quality of care in this new era of mHealth. As the technologies evolve to provide greater opportunities for mHealth applications, so do the challenges. This book addresses the issues of interoperability limitations, data processing errors and patient data privacy while providing instruction on how blockchain-like processes can potentially ensure the integrity of an externally maintained EHR. Portable Health Records in a Mobile Society identifies important issues and promising solutions to create a truly portable EHRs. It is a valuable resource for all informaticians and healthcare providers seeking an up-to-date resource on how to improve the availability, reliability, integrity and sustainability of these revolutionary developments in healthcare management.