A5087248896- Clinical Reasoning and Diagnostic Skills
- Electronic Health Records Systems
- Patient Safety and Medication Errors
- Medical Malpractice and Liability Issues
- Radiology practices and education
- Innovations in Medical Education
- Healthcare cost, quality, practices
- Healthcare Systems and Technology
- Ethics in Clinical Research
- Emergency and Acute Care Studies
- Patient-Provider Communication in Healthcare
- Colorectal Cancer Screening and Detection
- Medical Coding and Health Information
- Global Cancer Incidence and Screening
- Healthcare Technology and Patient Monitoring
- Quality and Safety in Healthcare
- Healthcare Policy and Management
- Primary Care and Health Outcomes
- Clinical practice guidelines implementation
- Patient Satisfaction in Healthcare
- Health Systems, Economic Evaluations, Quality of Life
- Pharmaceutical Practices and Patient Outcomes
- Mobile Health and mHealth Applications
- Telemedicine and Telehealth Implementation
- Biomedical Text Mining and Ontologies
Center for Innovation
2016-2025
Baylor College of Medicine
2016-2025
Michael E. DeBakey VA Medical Center
2016-2025
Guru Nanak Dev University
2008-2025
Ecosystem Sciences
2024
Dokkyo Medical University
2024
Shimane University
2024
Government Medical College
2024
University of Surrey
2024
Surrey and Borders Partnership NHS Foundation Trust
2024
<h3>Background</h3> Conceptual models have been developed to address challenges inherent in studying health information technology (HIT). <h3>Method</h3> This manuscript introduces an eight-dimensional model specifically designed the sociotechnical involved design, development, implementation, use and evaluation of HIT within complex adaptive healthcare systems. <h3>Discussion</h3> The eight dimensions are not independent, sequential or hierarchical, but rather interdependent inter-related...
Background The frequency of outpatient diagnostic errors is challenging to determine due varying error definitions and the need review data across multiple providers care settings over time. We estimated in US adult population by synthesising from three previous studies clinic-based populations that used conceptually similar error. Methods Data sources included two electronic triggers, or algorithms, detect unusual patterns return visits after an initial primary visit lack follow-up abnormal...
Diagnostic errors are an understudied aspect of ambulatory patient safety.To determine the types diseases missed and diagnostic processes involved in cases confirmed primary care settings to whether record reviews could shed light on potential contributory factors inform future interventions.We reviewed medical records detected at 2 sites through electronic health record-based triggers. Triggers were based patterns patients' unexpected return visits after initial index visit.A large urban...
Despite wide recognition that the delivery of medical care by trainees involves special risks, information about types and causes errors involving is limited. To describe characteristics factors contributing to trainee errors, we analyzed malpractice claims in which were judged have played an important role harmful errors.The closed between 1984 2004, occurred 1979 2001. Specialist physicians reviewed random samples claim files at 5 liability insurers from 2002 2004 determined whether...
The Institute of Medicine's To Err Is Human, published in 1999, represented a watershed moment for the US health care system. report dramatically raised profile patient safety and stimulated dedicated research funding to this essential aspect care. Highly effective interventions have since been developed adopted hospital-acquired infections medication safety, although impact these varies because their inconsistent implementation practice. Progress addressing other adverse events has...
IMPORTANCELittle is known about the relationship between physicians' diagnostic accuracy and their confidence in that accuracy.OBJECTIVE To evaluate how calibration, defined as accuracy, changes with evolution of process increasing difficulty clinical case vignettes. DESIGN, SETTING, AND PARTICIPANTSWe recruited general internists from an online physician community asked them to diagnose 4 previously validated vignettes variable (2 easier; 2 more difficult).Cases were presented a web-based...
A recent Institute of Medicine report called for attention to safety issues related electronic health records (EHRs). We analyzed EHR-related concerns reported within a large, integrated healthcare system.
Widespread use of health information technology (IT) could potentially increase patients' access to their and facilitate future goals advancing patient-centered care. Despite having increased data, patients do not always understand this or its implications, digital data can be difficult navigate when displayed in a small-format, complex interface. In paper, we discuss two forms patient-facing IT tools-patient portals applications (apps)-and highlight how, despite several limitations each,...
This Viewpoint examines various aspects of using generative artificial intelligence (AI) in health care, including assisting with making clinical diagnoses, and the challenges that come AI, such as ensuring accuracy data on which AI makes its diagnoses.
<h3>Background</h3> Given the fragmentation of outpatient care, timely follow-up abnormal diagnostic imaging results remains a challenge. We hypothesized that an electronic medical record (EMR) facilitates transmission and availability critical through either automated notification (alerting) or direct access to primary report would eliminate this problem. <h3>Methods</h3> studied alert notifications in setting tertiary care Department Veterans Affairs facility from November 2007 June 2008....
Hospitals and clinics are adapting to new technologies implementing electronic health records, but the efforts need be aligned explicitly with goals for patient safety. EHRs bring risks of both technical failures inappropriate use, they can also help monitor improve
Diagnostic errors are major contributors to harmful patient outcomes, yet they remain a relatively understudied and unmeasured area of safety. Although estimated affect about 12 million Americans each year in ambulatory care settings alone, both the conceptual pragmatic scientific foundation for their measurement is under-developed. Health organizations do not have tools strategies measure diagnostic safety most integrated error into existing programs. Further progress toward reducing will...
Despite the promise of health information technology (HIT), recent literature has revealed possible safety hazards associated with its use. The Office National Coordinator for HIT recently sponsored an Institute Medicine committee to synthesize evidence and experience from field on how affects patient safety. To lay groundwork defining, measuring, analyzing HIT-related hazards, we propose that error occurs anytime is unavailable use, malfunctions during used incorrectly by someone, or when...
Electronic health records (EHRs) have been shown to increase physician workload. One EHR feature that contributes increased workload is asynchronous alerts (also known as inbox notifications) related test results, referral responses, medication refill requests, and messages from physicians other care professionals. This alert-related results in negative cognitive outcomes, but its effect on affective such burnout, has understudied.To examine (both objective subjective) a predictor of burnout...
An IOM report highlights diagnostic errors as common patient-safety problems. Its recommendations address myriad system features and activities affecting diagnosis, acknowledging that many contributing factors are intricately related to health care delivery
Abstract Diagnostic errors have emerged as a serious patient safety problem but they are hard to detect and complex define. At the research summit of 2013 Error in Medicine 6th International Conference, we convened multidisciplinary expert panel discuss challenges defining measuring diagnostic real-world settings. In this paper, synthesize these discussions outline key operationalizing definition measurement error. Some include 1) difficulties determining error when disease or diagnosis is...