Using lean methodology to improve efficiency of electronic order set maintenance in the hospital

"Applying Lean production principles to the order set review process resulted in significant improvement in processing time and increased quality of orders. As use of order sets and other forms of clinical decision support increase, regular evidence and process updates become more critical."

Using lean methodology to improve efficiency of electronic order set maintenance in the hospital
L Idemoto, B Williams, C Blackmore
BMJ Quality Improvement Reports 2016;5: doi:10.1136/bmjquality.u211725.w4724

Read more here.

Optimizing Safety with the Electronic Health Record (audio broadcast)

"As the implementation of electronic health records (EHR) increases across healthcare, so has awareness of new patient safety risks that the technology has either introduced or exposed.  The very same EHR being counted on to improve communication, safety, and continuity of care across multiple settings and providers turns out to have features that can have the opposite effect."

WIHI: Optimizing Safety with the Electronic Health Record: The Latest on Glitches and Fixes from the Frontlines (audio broadcast)
Institute for Healthcare Improvement
November 2014

Access the broadcast here.

Implementing electronic health records in hospitals: a systematic literature review

"Although EHR systems are anticipated as having positive effects on the performance of hospitals, their implementation is a complex undertaking. This systematic review reveals reasons for this complexity and presents a framework of 19 interventions that can help overcome typical problems in EHR implementation."

Implementing electronic health records in hospitals: a systematic literature review
A Boonstra1, A Versluis, JFJ Vos
BMC Health Services Research 2014, 14:370

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Factors affecting physician professional satisfaction

"We found that, when physicians perceived themselves as providing high-quality care or their practices as facilitating their delivery of such care, they reported better professional satisfaction."

Factors affecting physician professional satisfaction and their implications for patient care, health systems, and health policy
MW Friedberg, et al
RAND Corporation
2013

Read more here.

Patient online: the road map

"Patient Online describes access by patients to online services (booking and cancelling of appointments, ordering of repeat prescriptions), online communication with the practice and online records."

Patient online: the road map
The Royal College of General Practitioners
March 2013

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Using electronic health records to improve quality and efficiency

"An examination of nine hospitals that recently implemented a comprehensive electronic health record (EHR) system finds that clinical and administrative leaders built EHR adoption into their strategic plans to integrate inpatient and outpatient care and provide a continuum of coordinated services."

Using electronic health records to improve quality and efficiency: the experiences of leading hospitals
S Silow-Carroll, JN Edwards, D Rodin
The Commonwealth Fund
July 2012

Read more here.

Knowledge management practices and healthcare delivery

"Being a knowledge driven process, healthcare delivery provides opportunity to incorporate knowledge management practices to improve processes."

Knowledge management practices and healthcare delivery: a contingency framework
P Bordoloi, N Islam
Electronic Journal of Knowledge Management, 2012, 10(1)

Read more here.

EHR-based care coordination performance measures in ambulatory care

"Good coordination of care in the ambulatory setting has the potential to reduce unnecessary or duplicative use of health services, prevent hospitalizations for ambulatory care–sensitive conditions, improve patient safety, and potentially reduce costs."

EHR-based care coordination performance measures in ambulatory care
KS Chan, JP Weiner, SH Scholle, JB Fowles, J Holzer, L Samal, P Renner
The Commonwealth Fund
November 2011

Read the issue brief and the technical report.