Health IT and Patient Safety Building Safer Systems for Better Care (2012) / Chapter Skim
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7 Future Research for Care Transformation
7 Future Research for Care Transformation
Pages 169-178
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From page 169... ...
In light of this, research is needed to identify characteristics of safe systems. Some properties of health IT integral to patient safety require further research, including usability, interoperability, understanding the complexity of health care delivery, and the balance between standardization and customization.
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From page 170... ...
The exchange of information between users, collaborative decision making, and the support of complex safety-critical processes will be critical to ensuring health IT operates as expected in health care settings. Unlike some of the other areas where such research is conducted (such as nuclear power plant operations and flying airplanes)
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From page 171... ...
In an age where the average patient record weighs seven pounds, research is needed on summarization, saliency, and understanding to capture the nonlinear nature of the health care work
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From page 172... ...
Limitations in the quality of the literature arise in part from poor availability of high-quality data and adequately powered research methods. Study methods generally considered the gold standard in health care such as randomized controlled trials are often inappropriately applied to evaluations of health care because they are unable to consider the many exogenous factors facing complex systems.
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From page 173... ...
Specific to patient safety, EHR data might be used to identify close calls and adverse events at the community and population levels. Beyond patient safety, trends in health IT–generated data can create a pool for future research.
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From page 174... ...
SUPPORTING FUTURE RESEARCH While many of the above suggested research areas are not necessarily limited to health IT and can also apply to the paper-based world, the application of research to health IT is needed because of the widespread presence of health IT products in health care delivery. More research can foster more
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From page 175... ...
In an effort to create a shared learning environment, a future research program should combine efforts from a cross-disciplinary set of organizations. For example, many statebased programs are driving innovation in health IT and should be leveraged.
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From page 176... ...
Health IT designs require practitioners to select single items from sometimes very long pick lists or menu lists, often containing similar terms presented in alphabetical order. There are lists of patients, lists of tests, lists of drugs, lists of results, and others.
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From page 177... ...
The interoperability at the user level problem: Each health IT vendor has its own "look and feel" and individual implementations are custom ized so that each facility has unique features. Many health professionals work in more than one facility and encounter these different products on a regular basis.
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From page 178... ...
178 HEALTH IT AND PATIENT SAFETY REFERENCES ACHE-NJ (American College of Healthcare Executive of New Jersey)
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