Using information systems to measure and improve quality

Bates, David W.; Pappius, Elizabeth M.; Kuperman, Gilad J.; Sittig, Dean F.; Burstin, Helen; Fairchild, David G.; Brennan, Troyen A.; Teich, Jonathan M.

doi:10.1016/s1386-5056(98)00152-x

Cited by 90 publications

(51 citation statements)

References 20 publications

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“…This is done through official requests to carry out standardized registrations in the patient record as well as to increasingly use the records as the basis for reports and evaluations of what has been done. (Bates 1999;Berg, Schellekens et al 2005). …”

Section: Introductionmentioning

confidence: 99%

The Electronic Patient Record as a Meaningful Audit Tool:Accountability and Autonomy in General Practitioner Work

Winthereik

Ploeg

Berg

2007

Science, Technology, & Human Values

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Health authorities increasingly request that general practitioners (GPs) use information and communication technologies such as electronic patient records (EPR) for accountability purposes. This article deals with the use of EPRs among general practitioners in Britain. It examines two ways in which GPs use the EPR for accountability purposes. One way is to generate audit reports on the basis of the information that has been entered into the record. The other is to let the computer intervene in the clinical process through prompts. The article argues that GPs' ambivalence toward using the EPR makes them active in finding ways that turn the EPR into a meaningful tool for them, that is, a tool that helps them provide what they see as good care. The article's main contribution is to show how accountability and autonomy are coproduced; less professional autonomy does not follow from more requests to document one's work. Instead, new forms of autonomy are produced in the sociotechnical network that is made up by health policy and local engagements with patients and technology.

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Section: Introductionmentioning

confidence: 99%

The Electronic Patient Record as a Meaningful Audit Tool:Accountability and Autonomy in General Practitioner Work

Winthereik

Ploeg

Berg

2007

Science, Technology, & Human Values

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“…[8,9] The use of information technology to automatically communicate with the responsible provider has been demonstrated to reduce the critical value reporting time in controlled settings. For implementation of automated critical value reporting, interfaces from the LIS to technologies that facilitate bidirectional communication (such as e-mail or 2 -way pagers) need to be developed.…”

Section: Discussionmentioning

confidence: 99%

Analysis of Critical values in NABL (National Accreditation Board for Testing and Calibration Laboratories) accredited Hematology and Clinical Pathology laboratory.

Desai¹,

Chaudhari²

2017

AABS

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Background: Reporting of laboratory critical values has become an issue of national attention as illustrated by recent guidelines described in the National Patient Safety Goals of the Joint Commission on Accreditation of Healthcare Organizations. They may be considered an important laboratory outcome measurement because they reflect clinical effectiveness, patient safety and operational efficiency Aims: To improve effectiveness, patient safety and operational efficiency by improving laboratory outcome measurement. Settings and Design: Cross-sectional study done at Shree Krishna Hospital, Karamsad, from January 2012 to December 2013. Methods and Material:All data were obtained from reports generated by hematology and clinical pathology laboratory that has been recorded into critical call back log. Statistical analysis used:The parameters were evaluated using descriptive statistical analysis with IBM Statistical Package for the Social Sciences v 20.0 and Microsoft Office Excel 2007 software. Results:The hematology and clinical pathology laboratory reported 19,423 critical values. The majority of critical callbacks (78.4%) resulted from testing performed in the hematology laboratory. The analytes most commonly called back were Hemoglobin and Urine Ketone. We have recorded maximum 52.7% call back from inpatient department followed by emergency department 34.2% and outpatient department 13.1%. The mean time between entering value in the critical callback register and conveying the information to the patient location or ordering clinician was 21 minutes for IPD, 30 minutes for OPD and 20 minutes for ED.Conclusions: "Every laboratory should have at its disposal a procedure to notify critical

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“…50 An interesting rapidly growing field is the integration of informatics tools for automated clinical decision support, from anatomical pathology case diagnosis and consultation to patient management, risk assessment, and quality assurance, in addition to others. 51 In the next section, we discuss the impact of informatics on clinical patient management and on translational research in pathology in more detail.…”

Section: The Scope Of Pathology Informaticsmentioning

confidence: 99%

Informatics for practicing anatomical pathologists: marking a new era in pathology practice

Gabril

Yousef

2010

Modern Pathology

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Informatics can be defined as using highly advanced technologies to improve patient diagnosis or management. Pathology informatics had evolved as a response to the overwhelming amount of information that was available, in an attempt to better use and maintain them. The most commonly used tools of informatics can be classified into digital imaging, telepathology, as well as Internet and electronic data mining. Digital imaging is the storage of anatomical pathology information, either gross pictures or microscopic slides, in an electronic format. These images can be used for education, archival, diagnosis, and consultation. Virtual microscopy is the more advanced form of digital imaging with enhanced efficiency and accessibility. Telepathology is now increasingly becoming a useful tool in anatomical pathology practice. Different types of telepathology communications are available for both diagnostic and consultation services. The spectrum of applications of informatics in the field of anatomical pathology is broad and encompasses medical education, clinical services, and pathology research. Informatics is now settling on solid ground as an important tool for pathology teaching, with digital teaching becoming the standard tool in many institutions. After a slow start, we now witness the transition of informatics from the research bench to bedside. As we are moving into a new era of extensive pathology informatics utilization, several challenges have to be addressed, including the cost of the new technology, legal issues, and resistance of pathologists. It is clear from the current evidence that pathology informatics will continue to grow and have a major role in the future of our specialty. However, it is also clear that it is not going to fully replace the human factor or the regular microscope. Modern Pathology (2010) 23, 349-358; doi:10.1038/modpathol.2009; published online 15 January 2010 Keywords: informatics; pathology; telepathology; digital imaging; virtual microscopy; computer This review is directed to practicing anatomical pathologists, especially in non-academic institutions, pathology residents, and medical staff to draw their attention to the emerging and rapidly growing field of informatics in pathology practice. Our objective is to provide a simplified, yet comprehensive, overview of the diverse applications of informatics in anatomical pathology, the challenges faced in our transition into an era of pathology informatics, and a vision of how informatics could be incorporated into our practice in the near future. We will start by defining pathology informatics. We will then summarize the spectrum of applications of informatics in pathology and the overview of the most commonly used informatics tools. We will also address some of the challenges that are faced in the transition to the era of pathology informatics and provide a glimpse into the future of pathology informatics. We will try as much as we can, to avoid technical details and sophistications regarding specific applications, referring the re...

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Using information systems to measure and improve quality

Cited by 90 publications

References 20 publications

The Electronic Patient Record as a Meaningful Audit Tool:Accountability and Autonomy in General Practitioner Work

The Electronic Patient Record as a Meaningful Audit Tool:Accountability and Autonomy in General Practitioner Work

Analysis of Critical values in NABL (National Accreditation Board for Testing and Calibration Laboratories) accredited Hematology and Clinical Pathology laboratory.

Informatics for practicing anatomical pathologists: marking a new era in pathology practice

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