Comprehensive Information Technology (IT) Solution for Quality and Patient Safety

Project Final Report (PDF, 330.88 KB) Disclaimer

Project Details -
Completed

Grant Number

UC1 HS015236
Funding Mechanism(s)

Transforming Healthcare Quality Through Information Technology (THQIT) - Implementation Grants
AHRQ Funded Amount

$1,474,271
Principal Investigator(s)

Jose, Jim
Organization

Children's Healthcare of Atlanta, Inc.
Location

Atlanta

Georgia
Project Dates

09/30/2004 - 09/29/2008
Technology

Clinical Documentation

Computerized Provider Order Entry System

Electronic Health Record/Electronic Medical Record

Medication Management System

Pharmacy Information System
Care Setting

Academic Medical Center

Community Health Center

Inpatient
Population

Children

Pharmacist

Physician
Type of Care

Pediatrics

Specialty Care
Health Care Theme

Patient Safety

Medication Errors

Quality Improvement

Technology Usability

Children's Healthcare of Atlanta, one of the leading pediatric healthcare systems in the country, implemented a series of new health information technologies to improve patient safety and quality as well as increase efficiency of all operations. Four related technologies, focusing on pharmacy, were implemented in a carefully staged process over two years:

Inpatient Pharmacy System
Electronic Medication Administration Record
Bar Coding System
Computerized Provider Order Entry System

CHOA partnered with three unique organizations to implement and evaluate the impact of the technologies and the staged approach on safety, quality and efficiency: Epic Systems Corporation, which supplies the technology solutions, the Health Systems Research Center and the Laboratory for Human Computer Interaction and Health Care Informatics at Georgia Tech; and the Emory Center on Health Outcomes and Quality at Emory University. Georgia Tech and Emory together provided the research and evaluation expertise needed to fully document and evaluate the health IT implementation as well as derive generalizable recommendations for optimal health IT implementation creating maximum benefit in terms of quality, safety, and efficiency.

Comprehensive Information Technology (IT) Solution for Quality and Patient Safety - 2009

Implementing a pharmacy system: facilitators and barriers.

Citation: Culler S, Jose J, Kohler S, et al. Implementing a pharmacy system: facilitators and barriers. J Med Syst 2009 Apr;33(2):81-90.

Link: http://www.ncbi.nlm.nih.gov/pubmed/19397092

Principal Investigator: Jose, Jim

Project Name: Comprehensive Information Technology (IT) Solution for Quality and Patient Safety

Document Type: Journal Publication

Research Method: Pre-Post Study

Technology: Bar Coding, Clinical Decision Support System, Computerized Provider Order Entry System, Device, Medication Management System

Population: Infants, Children

Comprehensive IT Solution for Quality and Patient Safety - Final Report

Citation: Jose J. Comprehensive IT Solution for Quality and Patient Safety - Final Report. (Prepared by Children's Healthcare of Atlanta, Inc. under Grant No. UC1 HS015236). Rockville, MD: Agency for Healthcare Research and Quality, 2009.

Link: PDF (330.88 KB)

The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ. No statement in this report should be construed as an official position of AHRQ or of the U.S. Department of Health and Human Services.

Principal Investigator: Jose, Jim

Project Name: Comprehensive Information Technology (IT) Solution for Quality and Patient Safety

Document Type: Report

Technology: Bar Coding, Clinical Decision Support System, Computerized Provider Order Entry System, Device, Medication Management System

Population: Infants, Children

Maximizing your investment in EHR. Utilizing EHRs to inform continuous quality improvement.

Citation: Edwards PJ, Huang DT, Metcalfe LN, et al. Maximizing your investment in EHR. Utilizing EHRs to inform continuous quality improvement. J Healthc Inf Manag 2008 Winter;22(1):32-7.

Link: http://www.ncbi.nlm.nih.gov/pubmed/19267005

Principal Investigator: Jose, Jim

Project Name: Comprehensive Information Technology (IT) Solution for Quality and Patient Safety

Document Type: Journal Publication

Research Method: Descriptive

Technology: Bar Coding, Clinical Decision Support System, Computerized Provider Order Entry System, Device, Medication Management System

Using staff perceptions on patient safety as a tool for improving safety culture in a pediatric hospital system.

Citation: Edwards PJ, Scott T, Richardson P, et al. Using staff perceptions on patient safety as a tool for improving safety culture in a pediatric hospital system. J Patient Saf 2008 Jun;4(2):113-8.

Link: http://journals.lww.com/journalpatientsafety/Abstract/2008/06000/Using_Staff_Perceptions_on_Patient_Safety_as_a.10.aspx

Principal Investigator: Jose, Jim

Project Name: Comprehensive Information Technology (IT) Solution for Quality and Patient Safety

Document Type: Journal Publication

Research Method: Pre-Post Study

Technology: Bar Coding, Clinical Decision Support System, Computerized Provider Order Entry System, Device, Medication Management System

Population: Infants, Children

Evaluating usability of a commercial electronic health record: a case study.

Citation: Edwards PJ, Moloney K, Jacko JA, et al. Evaluating usability of a commercial electronic health record: a case study. Int J Human-Computer Studies 2008 Oct;66(10):718-28.

Link: http://dl.acm.org/citation.cfm?id=1410680

Principal Investigator: Jose, Jim

Project Name: Comprehensive Information Technology (IT) Solution for Quality and Patient Safety

Document Type: Journal Publication

Research Method: Case Report

Technology: Bar Coding, Clinical Decision Support System, Computerized Provider Order Entry System, Device, Medication Management System

Population: Infants, Children

Inpatient Computerized Provider Order Entry (CPOE): Findings from the AHRQ Health IT Portfolio

Citation: Dixon BE, Zafar A. Inpatient Computerized Provider Order Entry (CPOE): Findings from the AHRQ Portfolio (Prepared by the AHRQ National Resource Center for Health IT under Contract No. 290-04-0016). AHRQ Publication No. 09-0031-EF. Rockville, MD: Agency for Healthcare Research and Quality. January 2009.

Link: Inpatient Computerized Provider Order Entry (CPOE): Findings from the AHRQ Health IT Portfolio

Technology: Computerized Provider Order Entry System

Using Barcode Medication Administration to Improve Quality and Safety: Findings from the AHRQ Health IT Portfolio

Citation: Hook J, Pearlstein J, Samarth A, Cusack C. Using Barcode Medication Administration to Improve Quality and Safety: Findings from the AHRQ Health IT Portfolio (Prepared by the AHRQ National Resource Center for Health IT under Contract No. 290-04-0016). AHRQ Publication No. 09-0023-EF. Rockville, MD: Agency for Healthcare Research and Quality. December 2008.

Link: Using Barcode Medication Administration to Improve Quality and Safety: Findings from the AHRQ Health IT Portfolio

Technology: Bar Coding

Comprehensive Information Technology (IT) Solution for Quality and Patient Safety

Disclaimer

Project Details - Completed

Project Details -
Completed