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Patient Safety Achieving a New Standard for Care (2004) / Chapter Skim
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PART I: BUILDING THE NATIONAL HEALTH INFORMATION INFRASTRUCTURE
Pages 45-51

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From page 45...
... All health care organizations should establish comprehensive patient safety sys tems that: • Provide immediate access to complete patient information and decision support tools (e.g., alerts, reminders) for clinicians and their patients.
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From page 46...
... At the national level, the federal government, working collaboratively with the private sector, will need to provide financial resources and establish national standards for the NHII. Other IOM committees have recommended that the federal government provide both capital resources for the development of key aspects of the NHII and financial incentives to health care providers to invest in EHRs (Institute of Medicine, 2001, 2002a, b)
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From page 47...
... • The federal government should facilitate deployment of the na tional health information infrastructure through the provision of tar geted financial support and the ongoing promulgation and mainte nance of standards for data that support patient safety. • Health care providers should invest in electronic health record systems that possess the key capabilities necessary to provide safe and effective care and to enable the continuous redesign of care pro cesses to improve patient safety.
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From page 48...
... ensure the development of implementation guides, certification procedures, and conformance testing for all data standards; (3) provide financial support and oversight for develop mental activities to fill gaps in data standards; and (4)
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From page 49...
... Federal financial support should be provided to accomplish this agenda. – After ample time for provider compliance, government health care programs should incorporate into their contractual and regulatory requirements standards already approved by the sec retaries of DHHS, the Veterans Administration, and the De partment of Defense (i.e., the HL7 version 2.x series for clinical data messaging, DICOM for medical imaging, IEEE 1073 for medical devices, LOINC for laboratory test results, and NCPDP Script for prescription data)
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From page 50...
... The federal government should pro vide support for the accelerated development of knowledge represen tation standards to facilitate effective use of decision support in clini cal information systems. – The National Library of Medicine should provide support for the development of standards for evidence-based knowledge representation.
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From page 51...
... 2002b. Leadership by Example: Coordinating Government Roles in Improving Health Care Quality.
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Key Terms

  • data standards
  • support patient
  • health information
  • information infrastructure
  • care delivery

  • national committee
  • improve patient
  • decision support
  • care data
  • health statistics

  • clinical terminologies
  • clinical data
  • individual health
  • health data
  • health record

  • unique health
  • provide support
  • national library
  • electronic health
  • national data

  • implementation guides
  • safety data
  • health identifier
  • receive services
  • safe health

  • safety impedes
  • patients receive
  • provide administrative
  • existing health
  • veterans administration


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