the iom report, hit and patient safety: building safer systems for better

The IOM Report, Health IT and Patient Safety: Building Safer Systems for Better Care, was published in November 2011. 8 This Health IT Patient Safety Action and Surveillance Plan (the “Health IT Safety Plan” or “Plan”) addresses the role of health IT within HHS’s commitment on the IOM committee’s to patient safety.

Full Answer

Who is responsible for safe use of hit?

ANS. A,C,D Rationale: The safe use of HIT relies on many factors, including clinicians, patients, and socio-technical issues such as the interplay of people, process, and technology. Vendors, users, government, and the private sector all have roles to play. 45.

What is the purpose of the book @Health IT and patient safety?

Health IT and Patient Safetymakes recommendations for developing a framework for patient safety and health IT. This book focuses on finding ways to mitigate the risks of health IT-assisted care and identifies areas of concern so that the nation is in a better position to realize the potential benefits of health IT.

What are the factors that make hit safe?

Rationale: The safe use of HIT relies on many factors, including clinicians, patients, and socio-technical issues such as the interplay of people, process, and technology. Vendors, users, government, and the private sector all have roles to play. 45. The maxim "Doctors know best": a. is the paradigm for the paternalistic care model.

Is it safe to use hit?

Rationale: The safe use of HIT relies on many factors, including clinicians, patients, and socio-technical issues such as the interplay of people, process, and technology. Vendors, users, government, and the private sector all have roles to play. 45.

When was the IOM right?

It is good to know that the evidence, so far, suggests that the IOM was right back in 2000. We should be going down this path. The widespread adoption of health IT has been a clear benefit to patient safety. We need to continue to work on making health IT even better in a redesigned health system with patient safety and quality its first priority.

What is health IT?

Health IT, when well designed and implemented, is a tool that can help health information flow in ways that allow for improvements in patient health and safety. Whatever the drawbacks to health IT systems, the evidence suggests that health IT has raised the floor on safety.

Does advanced health IT improve surgical safety?

One recent study also showed health IT has improved surgical safety.

Does health IT improve patient safety?

Since then, whether health IT actually improves patient safety has remained an open question. The nation has seen widespread adoption of health IT as a result of the Medicare and Medicaid EHR Incentive Programs. With that increase in adoption, there should be more and better evidence on the actual impact of health IT on safety.

Why is health information technology important?

Health information technology has been touted as crucial to better health care, but a new report says an entirely new regulatory agency is needed to oversee this largely unregulated sector, which can also injure or kill patients if it’s not operating properly.

How to get a copy of the National Academies report?

Reporters can obtain a copy of the report by contacting the National Academies' Office of News and Public Information; tel. 202-334-2138 or e-mail news@nas.edu.

Why is health IT data lacking?

Several reasons health IT–related safety data are lacking include the absence of measures and a central repository (or linkages among decentralized repositories) to collect, analyze, and act on information related to safety of this technology.

Does FDA restrict innovation in health IT?

In its report, the IOM committee says the FDA would likely restrict market innovation in health IT, which could also jeopardize patient safety. There has been little to no real "innovation" in health IT in well over a decade; if anything, the usability and quality has deteriorated.

Does the FDA have investigative capabilities?

The report also notes the agency does not have the investigative capabilities, funding or manpower to regulate devices such as electronic health records, personal health records or health information exchanges. Then give them the resources, not develop an entire new agency. The FDA has the talent and experience.

What did President Clinton do in response to the IOM report?

In response to the IOM report, President Clinton announced on December 7, 1999, that he had signed an executive order directing a task force to analyze the report and report back within 60 days about ways to implement its recommendations. He also directed the task force to evaluate the extent to which medical errors are caused by misuse of medications or medical devices, and to develop additional strategies to reduce these errors. He further directed each of the more than 300 private health plans participating in the Federal Employee Health Benefits Program to institute quality improvement and patient safety initiatives. He also signed legislation reauthorizing the Agency for Healthcare Research and Quality and providing $25 million for research to improve health care quality and prevent medical errors. The AHRQ will convene a national conference with state health officials to promote best practices in preventing medical errors. In addition, the President announced that he was directing his budget and health care teams to develop quality and patient safety initiatives for next year's budget.

What is mandatory reporting?

It explains that mandatory reporting systems are needed to hold providers accountable for their performance. It further advises that mandatory reporting should focus on the identification of serious adverse events (deaths or injuries resulting from medical interventions). The IOM notes that the focus of a mandatory reporting system should be narrowly defined. It recommends that the Forum for Health Quality Care Measurement and Reporting (The Quality Forum), a recently formed public/private partnership charged with developing a comprehensive quality measurement and public reporting strategy, should be responsible for promulgating and maintaining reporting standards.

Why is voluntary reporting important?

It notes that the aim of voluntary systems is to lead to improvements in patient safety and that the cooperation of health care professionals is essential. The IOM clearly recommends that voluntary reporting systems must be protected from legal discovery. IOM further recommends that Congress pass legislation to extend peer review protections to data related to patient safety and quality improvement that are collected and analyzed by health care organizations for internal use or shared with others solely for purposes of improving safety and quality.

What is the ACP-ASIM report?

ACP-ASIM is strongly supportive of the recommendations of the IOM report, To Err is Human: Building a Safer Health System. The College agrees that far too many preventable errors are committed that do not get reported and that solutions are needed to improve the quality and safety of patient care. ACP-ASIM concurs with the IOM's conclusion that the focus must be the reform of the system, not the punishment of individuals. ACP-ASIM encourages the profession to take up the challenge raised by the IOM to improve the quality and safety of patient care. The College supports setting a national goal of reducing medical errors by 50% within five years. Such an achievement will require substantial commitment of resources and effort. Substantial financial costs will be involved, but these may be largely offset by benefits in improved patient care and better health outcomes. Regardless of the costs, the public has a right to expect health care that is safe and effective. The profession is responsible to individual patients and to the public to continuously seek to improve the quality of medical care and make sure that health care services are provided as safely as possible.

How does health IT improve patient safety?

Indeed, the potential for health IT to improve patient safety is one of the reasons for the creation of the Medicare and Medicaid EHR Incentive Programs, which provide incentive payments to eligible providers who adopt and meaningfully use health IT to advance national priorities.15

What is health IT and patient safety?

Health IT and Patient Safety: Building Safer Systems for Better Care

How does HHS use common formats?

HHS will promote the use of the Common Formats to standardize and streamline reporting . HHS will also support PSOs to use the Common Formats to identify, aggregate, and analyze health IT safety event and hazard reports to increase knowledge about health IT patient safety and ways through which it can be improved. ONC will propose standards and certification criteria to ensure that, where appropriate, certified EHR technology can facilitate reporting of patient safety events and unsafe conditions using the Common Formats. ONC will also incorporate health IT safety in post-market surveillance of certified EHR technology.

How does HHS help PSOs?

HHS will assist PSOs to improve the range and consistency of health IT safety data that they collect, as well as the ability of PSOs to use this data to identify, analyze, and mitigate health IT-related events and hazards. HHS will also assist PSOs to de-identify and share this data, in compliance with applicable laws , so that it can be aggregated and used to analyze national health IT patient safety risks and trends.

How does HHS work with the private sector?

For health IT to achieve its full potential to make care safer, the private sector must work together to develop a culture of safety, shared responsibility, learning, and continuous improvement. HHS will coordinate with health IT developers, users, PSOs, and other stakeholders to work together to advance patient safety through health IT. HHS will promote business practices that support a well-informed health IT marketplace that can drive innovations that continuously improve the safety of health IT.

How does health IT make care safer?

To achieve the objectives of this Health IT Safety Plan—(1) using health IT to make care safer while (2) continuously improving the safety of health IT —a better understanding is needed regarding the impact of health IT on patient care, both as a cause of and means of preventing patient harm across a wide array of care settings. The need for more research on the role of health IT in the delivery of safe care was emphasized throughout the IOM Report. 24

What is the goal of HHS?

HHS’s goal is that patients and providers have confidence in the safety of the health care system, including its health IT infrastructure, based on evidence of safety. Patient safety and the factors by which it is affected have been studied for decades. The IOM, the Agency for Healthcare Research and Quality (AHRQ), and other such organizations have contributed to a body of literature focused on patient safety.9 Many efforts in the public and private sectors are already in place to improve patient safety and the overall quality of care.10

Which is the most effective health IT governance structure?

2. A centralized health IT governance structure is always the most effective.

What is Health 2.0?

ANS. A,C,E. Rationale: Health 2.0 is defined by health-related mobile applications, web-based content, and social networks. Updated versions of old health information, marketing health products based on the patient's Internet preferences, and mobile health-monitoring devices do not define Health 2.0.

Why is ongoing evaluation important?

Ongoing evaluation provides the opportunity to evaluate the effectiveness of the system for current and future needs.

Why is not keeping patient records up to date?

Rationale: By not keeping a patient's records current and up to date, the healthcare provider is violating the fair information principle of data quality and integrity. Correction involves allowing individuals to dispute he accuracy of their information, openness and transparency involve keeping patients informed on policies regarding PHI, and safeguards are actions implemented to protect sensitive data.

Is a sleep diary a quantified selfer?

Rationale: Graphs data, records lab values, and uses a sleep diary are all traits of a quantified selfer; however, tracking personal metrics best describes the quantified selfer.

Is the measurement of patient falls an outcome?

These may include clinical outcomes. The measurement of patient falls is considered an outcome.