Health IT Hazard Manager Beta-Test. Final Report – Agency for Healthcare Research and Quality [US] – May 2012

Posted on June 18, 2012. Filed under: Health Informatics, Patient Safety | Tags: |

Health IT Hazard Manager Beta-Test. Final Report – Agency for Healthcare Research and Quality [US] – May 2012

Prepared for: Agency for Healthcare Research and Quality by: Abt Associates and Geisinger Health System

Contributing Authors: James M. Walker, M.D., Principal Investigator; Geisinger Health System Andrea Hassol, M.S.P.H., Project Director; Abt Associates Inc. Bethany Bradshaw, Associate Analyst; Abt Associates Inc. Michael E. Rezaee, M.P.H., Analyst; Abt Associates Inc.

Extract from the executive summary:

“Learning from adverse events is essential for improving patient safety. But, as DeRosier et al. note, the focus of most reporting systems on analyzing adverse events “means that injury has already occurred before any learning takes place.”  A specific health IT application (vendor product), An effective approach to health information technology (health IT) safety requires both retrospective analysis and proactive identification and remediation of hazards. (Throughout this report, the term “hazard” refers to any characteristic of a health IT application or of its interactions with another health care system that increases the risk that care processes will be compromised and patients harmed.) To develop and execute this approach, a learning community, comprised of health care organizations, health IT vendors, researchers, and regulators will be needed. This learning community will need a software tool with which to share information about health IT hazards—a tool that supports the characterization and communication of hazards and their potential and actual adverse effects. Such a tool would support the creation of consistent, comparable information and support shared learning about hazards associated with:

1. A specific health IT application (vendor product),
2. A type of application (e.g., all pharmacy order-management applications),
3. A specific combination of application types (e.g., pharmacy order-management and order entry).

The Health IT Hazard Manager (referred to here as the Hazard Manager) was designed, developed and tested to meet this need.”

… continues

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