Expanded the reporting of medical errors and near misses, monitored safety event reporting, and developed a learning network among small, rural hospitals and their associated ambulatory care facilities, long-term care facilities, and home health agencies.
This study examined the relationships between the stage of electronic health record adoption, missed nursing care, and the nursing practice environment’s adverse effect on hospitalized patients’ outcomes and satisfaction.
Integrated an office-based EMR within an acute care hospital, rural community health centers, a community mental health center, a family medicine residency, private physician practices, and a home nursing service for improving use of the EMR as a clinical tool, integrate clinical data, and increase access to the data.
Promoted and evaluated the interchange of patient safety information and the reporting of adverse events and close calls among public and private voluntary incident reporting systems being used at U.S. hospitals.
This project adapted and tested a virtual patient advocate to interact with patients after hospital discharge to address the problems of discontinuity and fragmentation of care that occur in the transition from the hospital to the ambulatory setting.
This study evaluated the impact of providing information through an electronic medical record-based transitional care intervention on the care of older adults discharged from the hospital.
Assessed opportunities to decrease adverse drug events and medication errors in frontier Montana Critical Access Hospitals; identified appropriate, cost effective health IT solutions to challenges in medication use.
Implemented an Epic health IT system and diffused the system community-wide; identified the prevalence of medication errors, near misses, and preventable adverse drug events; assessed costs and customer satisfaction both before and after implementation.
Implemented and evaluated a voluntary system for reporting medical errors and adverse drug events in eight small rural hospitals; identified barriers to technology, described the epidemiology and root causes of the errors, formulated quality-improvement interventions, and disseminated the results of the project.
This project conducted a randomized clinical trial to evaluate the impact of two clinical decision support interventions designed to improve the quality and safety of dental care in patients with medically complex conditions.
