Health Information Technology

2019 ◽  
pp. 80-107
Author(s):  
Erik L. Carlton ◽  
James W. Holsinger Jr. ◽  
Asos Q. Mahmood
Keyword(s):  
Information Technology ◽  
Health Information Technology ◽  
Health Information ◽  
21St Century ◽  
Technical Assistance ◽  
New Technologies ◽  
Patient Experiences ◽  
Physician Satisfaction ◽  
Skills Acquisition ◽  
Improve Patient

Healthcare reform and health information technology (HIT) are transforming physicians' roles in delivering healthcare. New technologies present physicians with exciting new opportunities and challenges to enhance medical practice, reduce costs, and improve patient experiences, as well as opportunities to develop new competencies and standards of professionalism. The Dreyfus model for skills acquisition may provide a helpful framework. Within the competency context, understanding and leveraging drivers of and the barriers to HIT adoption can promote a learning culture that may more readily assimilate new HIT. Involving physicians in designing and implementing HIT systems could result in increasing physician satisfaction. Supportive staffing and technical assistance may aid physicians in successfully implementing the systems without increasing workload or decreasing professional satisfaction. Understanding the needs of 21st century physicians related to HIT solutions should greatly increase the successful integration of HIT into the 21st century healthcare workplace.

Physician Engagement with Health Information Technology

2016 ◽  
Vol 1 (2) ◽  
pp. 51-73 ◽  
Author(s):  
Erik L. Carlton ◽  
James W. Holsinger Jr. ◽  
Nnamdi Anunobi
Keyword(s):  
Information Technology ◽  
Health Information Technology ◽  
Health Information ◽  
21St Century ◽  
Technical Assistance ◽  
New Technologies ◽  
Physician Satisfaction ◽  
Work Place ◽  
Skills Acquisition ◽  
Healthcare Work

In an era of healthcare reform and health information technology (HIT), physicians' roles in delivering healthcare are rapidly involving. New technologies present exciting opportunities and challenges to physicians to enhance medical practice, reduce costs, and improve patient experiences, as well as opportunities to develop new competencies and standards of professionalism. The Dreyfus model for skills acquisition may provide a helpful framework. Understanding and leveraging motivations and barriers to adoption within the context of competency can promote a learning culture that can more readily evolve to include new HIT. Involving physicians in designing and implementing HIT systems could result in increasing physician satisfaction. Supportive staffing and technical assistance may aid physicians to successfully implement the systems without increasing workload or decreasing professional satisfaction. Understanding the needs of 21st century physicians related to HIT solutions should greatly increase the successful integration of HIT into the 21st century healthcare work place.

Physician Engagement With Health Information Technology

2020 ◽  
pp. 417-436
Author(s):  
Erik L. Carlton ◽  
James W. Holsinger Jr. ◽  
Nnamdi Anunobi
Keyword(s):  
Information Technology ◽  
Health Information Technology ◽  
Health Information ◽  
21St Century ◽  
Technical Assistance ◽  
New Technologies ◽  
Work Place ◽  
Skills Acquisition ◽  
Healthcare Work ◽  
Physician Engagement

In an era of healthcare reform and health information technology (HIT), physicians' roles in delivering healthcare are rapidly involving. New technologies present exciting opportunities and challenges to physicians to enhance medical practice, reduce costs, and improve patient experiences, as well as opportunities to develop new competencies and standards of professionalism. The Dreyfus model for skills acquisition may provide a helpful framework. Understanding and leveraging motivations and barriers to adoption within the context of competency can promote a learning culture that can more readily evolve to include new HIT. Involving physicians in designing and implementing HIT systems could result in increasing physician satisfaction. Supportive staffing and technical assistance may aid physicians to successfully implement the systems without increasing workload or decreasing professional satisfaction. Understanding the needs of 21st century physicians related to HIT solutions should greatly increase the successful integration of HIT into the 21st century healthcare work place.

Evaluating the relationship between health information technology and safer-prescribing in the long-term care setting: A systematic review

2020 ◽  
pp. 1-14
Author(s):  
Clemens Scott Kruse ◽  
Michael Mileski ◽  
Rohan Syal ◽  
Lauren MacNeil ◽  
Edward Chabarria ◽  
...  
Keyword(s):  
Systematic Review ◽  
Information Technology ◽  
Health Information Technology ◽  
Health Information ◽  
Long Term Care ◽  
New Technologies ◽  
Term Care ◽  
Care Facilities ◽  
Reduced Risk

BACKGROUND: The prevalence of health information technology (HIT) as an adjunct to increase safety and quality in healthcare applications is well known. There is a relationship between the use of HIT and safer-prescribing practices in long-term care. OBJECTIVE: The objective of this systematic review is to determine an association between the use of HIT and the improvement of prescription administration in long-term care facilities. METHODS: A systematic review was conducted using the MEDLINE and CINAHL databases. With the use of certain key terms, 66 articles were obtained. Each article was then reviewed by two researchers to determine if the study was germane to the research objective. If both reviewers agreed with using the article, it became a source for our review. The review was conducted and structured based on Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. RESULTS: The researchers identified 14 articles to include in a group for analysis from North America, Europe, and Australia. Electronic health records and electronic medication administration records were the two most common forms of technological interventions (6 of 14, 43%). Reduced risk, decreased error, decreased missed dosage, improved documentation, improved clinical process, and stronger clinical focus comprised 92% of the observations. CONCLUSIONS: HIT has shown beneficial effects for many healthcare organizations. Long-term care facilities that implemented health information technologies, have shown reductions in adverse drug events caused by medication errors overall reduced risk to the organization. The implementation of new technologies did not increase the time nurses spent on medication rounds.

scholarly journals Development of a Taxonomy for Medication-Related Patient Safety Events Related to Health Information Technology in Pediatrics

2020 ◽  
Vol 11 (05) ◽  
pp. 714-724
Author(s):  
Kirk D. Wyatt ◽  
Tyler J. Benning ◽  
Timothy I. Morgenthaler ◽  
Grace M. Arteaga
Keyword(s):  
Information Technology ◽  
Patient Safety ◽  
Health Information Technology ◽  
Health Information ◽  
Improve Patient Safety ◽  
Help Desk ◽  
Safety Improvement ◽  
Safety Event ◽  
Improve Patient ◽  
Medication Related Events

Abstract Background Although electronic health records (EHRs) are designed to improve patient safety, they have been associated with serious patient harm. An agreed-upon and standard taxonomy for classifying health information technology (HIT) related patient safety events does not exist. Objectives We aimed to develop and evaluate a taxonomy for medication-related patient safety events associated with HIT and validate it using a set of events involving pediatric patients. Methods We performed a literature search to identify existing classifications for HIT-related safety events, which were assessed using real-world pediatric medication-related patient safety events extracted from two sources: patient safety event reporting system (ERS) reports and information technology help desk (HD) tickets. A team of clinical and patient safety experts used iterative tests of change and consensus building to converge on a single taxonomy. The final devised taxonomy was applied to pediatric medication-related events assess its characteristics, including interrater reliability and agreement. Results Literature review identified four existing classifications for HIT-related patient safety events, and one was iteratively adapted to converge on a singular taxonomy. Safety events relating to usability accounted for a greater proportion of ERS reports, compared with HD tickets (37 vs. 20%, p = 0.022). Conversely, events pertaining to incorrect configuration accounted for a greater proportion of HD tickets, compared with ERS reports (63 vs. 8%, p < 0.01). Interrater agreement (%) and reliability (kappa) were 87.8% and 0.688 for ERS reports and 73.6% and 0.556 for HD tickets, respectively. Discussion A standardized taxonomy for medication-related patient safety events related to HIT is presented. The taxonomy was validated using pediatric events. Further evaluation can assess whether the taxonomy is suitable for nonmedication-related events and those occurring in other patient populations. Conclusion Wider application of standardized taxonomies will allow for peer benchmarking and facilitate collaborative interinstitutional patient safety improvement efforts.

scholarly journals Improving the Effectiveness of Health Information Technology: The Case for Situational Analytics

2019 ◽  
Vol 10 (04) ◽  
pp. 771-776 ◽  
Author(s):  
Laurie Lovett Novak ◽  
Shilo Anders ◽  
Kim M. Unertl ◽  
Daniel J. France ◽  
Matthew B. Weinger
Keyword(s):  
Health Care ◽  
Information Technology ◽  
Health Information Technology ◽  
Health Information ◽  
New Technologies ◽  
Clinical Settings ◽  
Policy Makers ◽  
Complex Interactions ◽  
Technological Context ◽  
Context Specific

AbstractHealth information technology has contributed to improvements in quality and safety in clinical settings. However, the implementation of new technologies in health care has also been associated with the introduction of new sociotechnical hazards, produced through a range of complex interactions that vary with social, physical, temporal, and technological context. Other industries have been confronted with this problem and have developed advanced analytics to examine context-specific activities of workers and related outcomes. The skills and data exist in health care to develop similar insights through situational analytics, defined as the application of analytic methods to characterize human activity in situations and identify patterns in activity and outcomes that are influenced by contextual factors. This article describes the approach of situational analytics and potentially useful data sources, including trace data from electronic health record activity, reports from users, qualitative field data, and locational data. Key implementation requirements are discussed, including the need for collaboration among qualitative researchers and data scientists, organizational and federal level infrastructure requirements, and the need to implement a parallel research program in ethics to understand how the data are being used by organizations and policy makers.

scholarly journals Development and Evaluation of CAHPS Questions to Assess the Impact of Health Information Technology on Patient Experiences With Ambulatory Care

Medical Care ◽  
2012 ◽  
Vol 50 ◽  
pp. S11-S19 ◽  
Author(s):  
D. Keith McInnes ◽  
Julie A. Brown ◽  
Ron D. Hays ◽  
Patricia Gallagher ◽  
James D. Ralston ◽  
...  
Keyword(s):  
Information Technology ◽  
Ambulatory Care ◽  
Health Information Technology ◽  
Health Information ◽  
Patient Experiences ◽  
The Impact
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