Recent Research in Patient Safety
Electronic prescribing reduces adverse drug events:
Electronic prescribing is meant to reduce errors in prescribing by ensuring that prescriptions are clear, legible and send directly to pharmacies. A recent study shows that e-prescribing is tied to lower risks of adverse drug events among diabetic patients who required emergency department visits.
In an AHRQ-supported study, researchers examined data for 3.1 million Medicare beneficiaries and found that rates of adverse drug events were lower (21 in 1000) in patients had 75% or more of their medications e-prescribed (compared to 44 in 1000 for patients with 25% or less of their medications e-prescribed).
Leading the way to a culture of safetyJamie Santistevan, MD
The Joint Commission recently published a sentinel event alert to highlight the importance of leadership in promoting a culture of safety. Safety culture is defined as what an organization is and does in pursuit of safety. Leaders in healthcare can model behaviors that establish a strong culture of safety in their organizations. On the opposite end of the spectrum, lack of strong leadership in promoting and developing a culture of safety can be responsible for systems flaws that lead to errors and patient harm. Leaders actions that promote this safety culture include:
For more information about developing a robust culture of safety through effective leadership read the entire report here (PDF): https://www.jointcommission.org/assets/1/18/SEA_57_Safety_Culture_Leadership_0317.pdf
QIPS TIPS #31 To Scribe or Not to Scribe Shari Welch , MD, FACHE, FACEP
There is now a growing body of literature surrounding the use of scribes in clinical practice. The deployment of scribes has spread from its origins in the ED to a whole array of clinical settings including urology offices, cardiology clinics and primary care settings. A number of very positive things have been noted regarding the utilization of scribes in medicine: Physician satisfaction is improved, chart completion is expedited, documentation time is reduced and redirected to patient care, and some studies show improvement of the bottom line. One academic site reported that despite a significant increase in volume, the LOS was maintained and LWBS reduced, with RVUs going up after scribe integration into the practice.
2016-17 Section Officers:
Chair - Brenna M. Farmer, MD, FACEPChair-elect - Brian Sharp, MD, FACEPNewsletter Editor - Joshua Martin Glazer, MDWebsite Editor - Jamie R. Santistevan, MDImmediate Past Chair - Jeffrey J. Pothof, MD, FACEPCouncillor - Brenna M. Farmer, MD, FACEPAlternate Councillor - Brian Sharp, MD, FACEP
Board Liaison – Vidor E. Friedman, MD, FACEPStaff Liaison - Pawan Goyal, MD, MHA, CBA, PMP, FHIMSS, FAHIMA
For inquiries, questions, or comments about the section, please send an e-mail to the staff liaison.
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