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Center for Patient Safety Research And Practice Update Executive Council, Spring 2014.

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Presentation on theme: "Center for Patient Safety Research And Practice Update Executive Council, Spring 2014."— Presentation transcript:

1 Center for Patient Safety Research And Practice Update Executive Council, Spring 2014

2 Developments as Result of Executive Council Discussion with BD about doing an evaluation around diabetes care Discussion with BD about doing an evaluation around diabetes care Continue to work with JK&B to evaluate companies Continue to work with JK&B to evaluate companies Have built Hill-Rom relationship through introduction from Avner Have built Hill-Rom relationship through introduction from Avner On-going collaboration with Northeastern industrial engineering group on CMS work which Vin helped broker On-going collaboration with Northeastern industrial engineering group on CMS work which Vin helped broker

3 EarlySense Two major papers just accepted Two major papers just accepted  Overall impact—Am J Med  Economic analysis—Critical Care Med Evaluating impact of technology with focus on usability and effectiveness Evaluating impact of technology with focus on usability and effectiveness Evaluation of impact on provider satisfaction at NWH and MetroWest Evaluation of impact on provider satisfaction at NWH and MetroWest

4 Grant from Gordon and Betty Moore Foundation Transform the acute care environment through implementation of a patient- centered intervention Transform the acute care environment through implementation of a patient- centered intervention  Focus on patients and care partners  Patient-centered Intervention:  Patient SatisfActive Model  Web-based “Patient-centered Toolkit” Goes live June 9 Goes live June 9

5 New Grant from Commonwealth Fund on Mobile Apps Survey of the mobile app landscape focusing on: Survey of the mobile app landscape focusing on:  Patients with chronic diseases  Patients with access issues for some reason (language, literacy, other)  Recommendations for app manufacturers, policymakers

6 Publications I (selected) Brown H, Terrence J, Vasquez P, Bates DW, Zimlichman E. Continuous monitoring in an inpatient medical-surgical unit: a controlled clinical trial. Am J Med. 2014 Mar;127(3):226-32. Brown H, Terrence J, Vasquez P, Bates DW, Zimlichman E. Continuous monitoring in an inpatient medical-surgical unit: a controlled clinical trial. Am J Med. 2014 Mar;127(3):226-32.Continuous monitoring in an inpatient medical-surgical unit: a controlled clinical trial.Continuous monitoring in an inpatient medical-surgical unit: a controlled clinical trial. Slight SP, Franz C, Olugbile M, Brown HV, Bates DW, Zimlichman E. The Return on Investment of Implementing a Continuous Monitoring System in General Medical-Surgical Units. Crit Care Med. 2014 Apr 8. Slight SP, Franz C, Olugbile M, Brown HV, Bates DW, Zimlichman E. The Return on Investment of Implementing a Continuous Monitoring System in General Medical-Surgical Units. Crit Care Med. 2014 Apr 8.The Return on Investment of Implementing a Continuous Monitoring System in General Medical-Surgical UnitsThe Return on Investment of Implementing a Continuous Monitoring System in General Medical-Surgical Units

7 Publications II (selected) Liao JM, Roy CL, Eibensteiner K, Nolido N, Schnipper JL, Dalal AK. Lost in transition: Discrepancies in how physicians perceive the actionability of the results of tests pending at discharge. J Hosp Med. 2014 Feb 28. Liao JM, Roy CL, Eibensteiner K, Nolido N, Schnipper JL, Dalal AK. Lost in transition: Discrepancies in how physicians perceive the actionability of the results of tests pending at discharge. J Hosp Med. 2014 Feb 28.Lost in transition: Discrepancies in how physicians perceive the actionability of the results of tests pending at discharge.Lost in transition: Discrepancies in how physicians perceive the actionability of the results of tests pending at discharge. Dalal AK, et al Impact of an automated email notification system for results of tests pending at discharge: a cluster-randomized controlled trial. J Am Med Inform Assoc. 2014 May 1;21(3):473- 80. Dalal AK, et al Impact of an automated email notification system for results of tests pending at discharge: a cluster-randomized controlled trial. J Am Med Inform Assoc. 2014 May 1;21(3):473- 80.

8 Publications III (selected) Schiff G, Griswold P, Ellis BR, Puopolo AL, Brede N, Nieva HR, Federico F, Leydon N, Ling J, Wachenheim D, Leape LL, Biondolillo M. Doing right by our patients when things go wrong in the ambulatory setting. Jt Comm J Qual Patient Saf. 2014 Feb;40(2):91-6. Schiff G, Griswold P, Ellis BR, Puopolo AL, Brede N, Nieva HR, Federico F, Leydon N, Ling J, Wachenheim D, Leape LL, Biondolillo M. Doing right by our patients when things go wrong in the ambulatory setting. Jt Comm J Qual Patient Saf. 2014 Feb;40(2):91-6.Doing right by our patients when things go wrong in the ambulatory setting.Doing right by our patients when things go wrong in the ambulatory setting. Cresswell KM, Bates DW, Williams R, Morrison Z, Slee A, Coleman J, Robertson A, Sheikh A. Evaluation of medium-term consequences of implementing commercial computerized physician order entry and clinical decision support prescribing systems in two 'early adopter' hospitals. J Am Med Inform Assoc. 2014 Jan 15. Cresswell KM, Bates DW, Williams R, Morrison Z, Slee A, Coleman J, Robertson A, Sheikh A. Evaluation of medium-term consequences of implementing commercial computerized physician order entry and clinical decision support prescribing systems in two 'early adopter' hospitals. J Am Med Inform Assoc. 2014 Jan 15. Evaluation of medium-term consequences of implementing commercial computerized physician order entry and clinical decision support prescribing systems in two 'early adopter' hospitals. Evaluation of medium-term consequences of implementing commercial computerized physician order entry and clinical decision support prescribing systems in two 'early adopter' hospitals.

9 Publications IV (selected) Heyworth L, Bitton A, Lipsitz SR, Schilling T, Schiff GD, Bates DW, Simon SR. Patient-centered medical home transformation with payment reform: patient experience outcomes. Am J Manag Care. 2014 Jan;20(1):782-5. Heyworth L, Bitton A, Lipsitz SR, Schilling T, Schiff GD, Bates DW, Simon SR. Patient-centered medical home transformation with payment reform: patient experience outcomes. Am J Manag Care. 2014 Jan;20(1):782-5.Patient-centered medical home transformation with payment reform: patient experience outcomes.Patient-centered medical home transformation with payment reform: patient experience outcomes. Slight SP, Seger DL, Nanji KC, Cho I, Maniam N, Dykes PC, Bates DW. Are we heeding the warning signs? Examining providers' overrides of computerized drug-drug interaction alerts in primary care. PLoS One. 2013 Dec 26;8(12):e85071. Slight SP, Seger DL, Nanji KC, Cho I, Maniam N, Dykes PC, Bates DW. Are we heeding the warning signs? Examining providers' overrides of computerized drug-drug interaction alerts in primary care. PLoS One. 2013 Dec 26;8(12):e85071.Are we heeding the warning signs? Examining providers' overrides of computerized drug-drug interaction alerts in primary care.Are we heeding the warning signs? Examining providers' overrides of computerized drug-drug interaction alerts in primary care.

10 Publications V (selected) Powell AC, Landman AB, Bates DW. In search of a few good apps. JAMA. 2014 Mar 24. Powell AC, Landman AB, Bates DW. In search of a few good apps. JAMA. 2014 Mar 24. Care partners and online patient portals. 2014 Jan 22- 29;311(4):357-8. Sarkar U, Bates DW. Care partners and online patient portals. JAMA. 2014 Jan 22- 29;311(4):357-8. Schiff GD, Puopolo AL, Huben-Kearney A, Yu W, Keohane C, McDonough P, Ellis BR, Bates DW, Biondolillo M. Primary care closed claims experience of Massachusetts malpractice insurers. JAMA Intern Med. 2013 Dec 9- 23;173(22):2063-8. Schiff GD, Puopolo AL, Huben-Kearney A, Yu W, Keohane C, McDonough P, Ellis BR, Bates DW, Biondolillo M. Primary care closed claims experience of Massachusetts malpractice insurers. JAMA Intern Med. 2013 Dec 9- 23;173(22):2063-8.

11 Publications VI (selected) Samal L,Wright A, Healey MJ, Linder JA, Bates DW. Meaningful Use and Quality of Care. JAMA Intern Med. 2014 Apr 14. Samal L,Wright A, Healey MJ, Linder JA, Bates DW. Meaningful Use and Quality of Care. JAMA Intern Med. 2014 Apr 14.Meaningful Use and Quality of Care.Meaningful Use and Quality of Care. Kachalia A, Bates DW. Disclosing medical errors: The view from the USA. Surgeon. 2014 Apr;12(2):64-7. Kachalia A, Bates DW. Disclosing medical errors: The view from the USA. Surgeon. 2014 Apr;12(2):64-7.Disclosing medical errors: The view from the USA.Disclosing medical errors: The view from the USA.

12 Updates Regarding BWH, Partners iHub iHub  Shark Tank  Hackathon eCare eCare  Innovation Council

13 National Updates FDASIA report released—now in public comment period FDASIA report released—now in public comment period

14 Conclusions Center continues research production Center continues research production Ongoing focus re development on professorship Ongoing focus re development on professorship Relatively little federal support for safety Relatively little federal support for safety  Future forecast continues poor on federal front  New head of AHRQ—beginning to provide direction  PCORI idiosyncratic Still huge need for safety work Still huge need for safety work  Numerous questions still to answer  Especially regarding interventions  Lots of innovative technologies Thanks to this group for their help, support Thanks to this group for their help, support  Look forward to your guidance!


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