From the First Visit On: Information Technology and Communication

Hoverman, J. Russell

doi:10.1200/jop.2013.000974

Cited by 3 publications

(3 citation statements)

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“…This pervasive computing power is an opportunity for involving patients in mobile health “mHealth” and to a greater extent in their care (68). In the future, mobile apps will be able to link outpatients to the transplant clinic for reporting of symptoms, medication compliance and clinical messaging.…”

Section: Five Years Into the Futurementioning

confidence: 99%

Next-generation long-term transplant clinics: improving resource utilization and the quality of care through health information technology

Rioth

Warner

Savani

et al. 2015

Bone Marrow Transplant

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By the year 2020, potentially one half million hematopoietic cell transplant (HCT) recipients will need long-term follow up care to address not only chronic GvHD but also multiple other late consequences of transplant. Despite this increase in patients, there will not be a concomitant increase in the HCT workforce. Thus the future of long-term patient management will require a new “next-generation” clinical model that utilizes technological solutions to make the care of the HCT patient efficient, safe, and cost-effective. Guideline-based decision support will be embedded in clinical workflows. Documentation requirements will be reduced as automated data collection from electronic medical records (EMRs) will populate registries and provide feedback for a rapid learning health system. Interoperable EMRs will disseminate treatment protocols to multiple care providers in a distributed long-term clinic model, such that providers outside of the transplant center can provide services closer to the patient. Patients will increase their participatory role through patient portals and mobile devices. At Vanderbilt, we have responded so some of these future challenges by embedding guideline-based decision support, structuring clinical documentation, and being early adopters of communication technology. This manuscript describes the current state of some of these innovations, and a vision for the future of the long-term transplant clinic.

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Section: Five Years Into the Futurementioning

confidence: 99%

Next-generation long-term transplant clinics: improving resource utilization and the quality of care through health information technology

Rioth

Warner

Savani

et al. 2015

Bone Marrow Transplant

View full text Add to dashboard Cite

show abstract

“…The Institute of Medicine recommended in their 2013 report 6 to develop HIT for achieving high-quality cancer care: electronic charts should not be a digitalized version of the paper-based charts, but be a real-time, comprehensive patient-centered representation of information, e.g., patient's history, allergies, lab results. Despite the hope for a safer and more efficient oncology care process using HIT 5,7 , there is growing evidence that the use of HIT bears risks for patient safety [8][9][10][11] . The term e-iatrogenesis has been coined to describe patient harm coming from HIT use 12 .…”

Section: Introductionmentioning

confidence: 99%

“…Despite the hope for a safer and more efficient oncology care process using HIT, 5,7 there is growing evidence that the use of HIT bears risks for patient safety. [8][9][10][11] The term e-iatrogenesis has been coined to describe patient harm coming from HIT use. 12 Analyzing retrospectively patient safety event reports to investigate the negative impact of HIT use on patient safety 13,14 identified important HIT-related risks, such as poor user interface design leading to selecting the wrong tests or medication.…”

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confidence: 99%

Patient Safety Threats in Information Management Using Health Information Technology in Ambulatory Cancer Care: An Exploratory, Prospective Study

2021

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Background. Cancer care is complex, involving highly toxic drugs, critically ill patients and various different care providers. As it is important for clinicians to have the latest and complete information about the patient available, this study focused on patient safety issues in information management developing from Health Information Technology use (HIT) use in oncology ambulatory infusion centers.Objectives. The aim was to exploratively and prospectively assess patient safety risks from an expert perspective: instead of retrospectively analyzing safety events, we assessed the information management hazards inherent to the daily work processes; instead of asking healthcare workers at the front-line, we used them as information sources to construct our patient safety expert view on the hazards.Methods. The work processes of clinicians in three ambulatory infusion centers were assessed and evaluated based on interviews and observations with a nurse and a physician of each unit. The 125 identified patient safety issues were described and sorted into thematic groups.Results. A broad range of patient safety issues was identified, such as data fragmentation, or information islands, meaning that patient data is stored across different cases or software and that different professional groups do not use the same set of information.Conclusions. The current design and implementation of HIT-systems does not support adequate information management: clinicians needed to play very close attention and improvise to avoid errors in using HIT and treat cancer patients safely. It is important to take the clinical front-end practice into account when evaluating or planning further HIT improvements.

From the First Visit On: Information Technology and Communication

Abstract: The oncology community has found that communication is key to the patient's quality of life, the well-being of family members, hospice enrollment, and costs. The challenge is to make these conversations happen.

Cited by 3 publications

References 20 publications

Next-generation long-term transplant clinics: improving resource utilization and the quality of care through health information technology

Next-generation long-term transplant clinics: improving resource utilization and the quality of care through health information technology

Patient Safety Threats in Information Management Using Health Information Technology in Ambulatory Cancer Care: An Exploratory, Prospective Study

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