Real-Time Decision and Documentation Support Increases Adherence to Recommended Care for Respiratory Infections, Diabetes, and Heart Disease
Real-time clinical decision and documentation support through an electronic health record leads to more appropriate prescribing of antibiotics for respiratory infections and increased use of appropriate therapies and improved documentation for patients with diabetes and coronary artery disease.
Electronic System for Tracking Test Results Pending at Hospital Discharge Draws Little Use or Enthusiasm From Hospitalists
Hospitalists used an electronic application to track the pending test results of recently discharged inpatients; the application proved to be of limited value, with nearly half of hospitalists never using it and nearly all reporting multiple barriers to doing so.
Electronic Alerts Related to Black Box Warnings Do Not Affect Overall Physician Prescribing Habits in Outpatient Clinics
Electronic alerts related to black box warnings did not affect overall physician prescribing habits in outpatient clinics; the alerts did influence prescribing related to warnings about the most serious potential drug–drug and drug–pregnancy interactions.
Peer Coaching Combined With Nurse Outreach Improves Adherence to Medical Recommendations Among Elderly Cardiac Patients Who Live Alone Following Discharge
A nurse-guided, patient-centered approach combines ongoing peer support from a trained elder with home visits and followup phone calls from an advanced practice nurse for unpartnered, elderly patients who are discharged from the hospital after a heart attack or bypass surgery. The program is intended to encourage compliance with medication regimens and recommended lifestyle changes, with the goal of reducing hospital readmissions. A 247-patient randomized controlled trial found that the program improved adherence to medical recommendations and reduced hospitalizations due to cardiac-related complications but failed to reduce overall hospital readmissions.
Toolkit-Supported Safety Rounds With Staff and Patients Enhance Reporting of Medical Errors and Near Misses
The Dana-Farber Cancer Institute uses safety rounds with staff and patients, supported by a toolkit, to promote a culture of safety and reduce medical errors by proactively identifying and addressing potential safety problems.
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Time and Motion Database
This database for health care providers accurately captures time and motion data to evaluate whether and to what extent health information technology applications—including computerized provider order entry, electronic prescribing, and electronic health records—help physicians and clinicians perform routine tasks faster.
Fall TIPS (Tailoring Interventions for Patient Safety)
This Web site provides information and tools related to a 2-year study that is currently underway in the Partners Healthcare System (PHS), entitled Fall TIPS (Tailoring Interventions for Patient Safety). The study aims to prevent patient falls in hospitals by identifying better ways to communicate information about a patient's risk for falls, and working with patients and family members to put a plan in place to prevent falls.