Health information exchange and patient safety

One of the most promising advantages for health information exchange (HIE) is improved patient safety. Up to 18% of the patient safety errors generally and as many as 70% of adverse drug events could be eliminated if the right information about the right patient is available at the right time. Health information exchange makes this possible. Here we present an overview of six different ways in which HIE can improve patient safety-improved medication information processing, improved laboratory information processing, improved radiology information processing, improved communication among providers, improved communication between patients and providers, and improved public health information processing. Within the area of improved medication information processing we discuss drug-allergy information processing, drug-dose information processing, drug-drug information processing, drug-diagnosis information processing, and drug-gene information processing. We also briefly discuss HIE and decreased patient safety as well as standards and completeness of information for HIE and patient safety.

[1]  D W Bates,et al.  Appropriateness of antiepileptic drug level monitoring. , 1995, JAMA.

[2]  David W Bates,et al.  A computer-based intervention for improving the appropriateness of antiepileptic drug level monitoring. , 2003, American journal of clinical pathology.

[3]  D. Bates,et al.  Medication errors and adverse drug events in pediatric inpatients. , 2001, JAMA.

[4]  Ross Koppel,et al.  Computerized Physician Order Entry Systems and Medication Errors—Reply , 2005 .

[5]  K. Sutcliffe,et al.  Communication Failures: An Insidious Contributor to Medical Mishaps , 2004, Academic medicine : journal of the Association of American Medical Colleges.

[6]  T S Lesar,et al.  Antiretroviral Prescribing Errors in Hospitalized Patients , 2000, The Annals of pharmacotherapy.

[7]  S. Walton,et al.  Impact of adherence to concomitant gastroprotective therapy on nonsteroidal-related gastroduodenal ulcer complications. , 2006, Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association.

[8]  L. Kohn,et al.  To Err Is Human : Building a Safer Health System , 2007 .

[9]  T. Brennan,et al.  Using a computerized sign-out program to improve continuity of inpatient care and prevent adverse events. , 1998, The Joint Commission journal on quality improvement.

[10]  D W Bates,et al.  Evaluating the appropriateness of digoxin level monitoring. , 1999, Archives of internal medicine.

[11]  D. Bates,et al.  Guided prescription of psychotropic medications for geriatric inpatients. , 2005, Archives of internal medicine.

[12]  A. Avery,et al.  Investigation into the reasons for preventable drug related admissions to a medical admissions unit: observational study , 2003, Quality & safety in health care.

[13]  Purdy Bd,et al.  Antiretroviral medication errors for patients with HIV infection. , 1999 .

[14]  Florence T. Bourgeois,et al.  Influenza and Other Respiratory Virus–Related Emergency Department Visits Among Young Children , 2006, Pediatrics.

[15]  Harry F Lukens,et al.  Computerized physician order entry systems and medication errors. , 2005, JAMA.

[16]  Eric C. Pan,et al.  The value of health care information exchange and interoperability. , 2005, Health affairs.

[17]  T. Clemmer,et al.  A computer-assisted management program for antibiotics and other antiinfective agents. , 1998, The New England journal of medicine.

[18]  D. Bates,et al.  Preventable adverse drug events in hospitalized patients: a comparative study of intensive care and general care units. , 1997, Critical care medicine.

[19]  C. Bulpitt,et al.  Probiotics in prevention of antibiotic associated diarrhoea: meta-analysis , 2002, BMJ : British Medical Journal.

[20]  Matthew A. Eisenberg,et al.  Computerized Provider Order Entry Implementation: No Association With Increased Mortality Rates in an Intensive Care Unit , 2006, Pediatrics.

[21]  N. Laird,et al.  Incidence of Adverse Drug Events and Potential Adverse Drug Events: Implications for Prevention , 1995 .

[22]  H Jick,et al.  Adverse drug reactions: the magnitude of the problem. , 1984, The Journal of allergy and clinical immunology.

[23]  M G Amato,et al.  Comparison of an anticoagulation clinic with usual medical care: anticoagulation control, patient outcomes, and health care costs. , 1998, Archives of internal medicine.

[24]  R. Raschke,et al.  A computer alert system to prevent injury from adverse drug events: development and evaluation in a community teaching hospital. , 1998, JAMA.

[25]  Howard L McLeod,et al.  Pharmacogenomics--drug disposition, drug targets, and side effects. , 2003, The New England journal of medicine.

[26]  D. Bates,et al.  Systems analysis of adverse drug events. ADE Prevention Study Group. , 1995, JAMA.

[27]  P Tugwell,et al.  The prevention of chronic NSAID induced upper gastrointestinal toxicity: a Cochrane collaboration metaanalysis of randomized controlled trials. , 2000, The Journal of rheumatology.

[28]  Timothy S Lesar,et al.  Tenfold Medication Dose Prescribing Errors , 2002, The Annals of pharmacotherapy.

[29]  Timothy S Lesar,et al.  Update on prescribing errors with HAART. , 2003, The AIDS reader.

[30]  D. Bates,et al.  Outpatient prescribing errors and the impact of computerized prescribing , 2005, Journal of General Internal Medicine.

[31]  Ragnhild Hellesø,et al.  Challenging the information gap - the patients transfer from hospital to home health care , 2004, Int. J. Medical Informatics.

[32]  Gilad J. Kuperman,et al.  Case Report: Comprehensive Analysis of a Medication Dosing Error Related to CPOE , 2005, J. Am. Medical Informatics Assoc..

[33]  Johnathan L Hadley,et al.  Potential impact of the American College of Radiology appropriateness criteria on CT for trauma. , 2006, AJR. American journal of roentgenology.

[34]  J C Russo,et al.  Medication error prevention by clinical pharmacists in two children's hospitals. , 1987, Pediatrics.

[35]  Anthony J Avery,et al.  Incidence and Possible Causes of Prescribing Potentially Hazardous/Contraindicated Drug Combinations in General Practice , 2005, Drug safety.

[36]  Liav Goldstein,et al.  Nonradiologist utilization of American College of Radiology Appropriateness Criteria in a preauthorization center for MRI requests: applicability and effects. , 2006, AJR. American journal of roentgenology.

[37]  D. Classen,et al.  Adverse drug events in hospitalized patients. Excess length of stay, extra costs, and attributable mortality. , 1997, JAMA.

[38]  N. Dickey,et al.  Systems analysis of adverse drug events. , 1996, JAMA.

[39]  D. Symmons,et al.  A comparison of the cost-effectiveness of five strategies for the prevention of non-steroidal anti-inflammatory drug-induced gastrointestinal toxicity: a systematic review with economic modelling. , 2006, Health technology assessment.

[40]  R D deShazo,et al.  Allergic reactions to drugs and biologic agents. , 1997, JAMA.

[41]  Y. Han,et al.  Unexpected Increased Mortality After Implementation of a Commercially Sold Computerized Physician Order Entry System , 2005, Pediatrics.

[42]  Christoph U. Lehmann,et al.  Computerized provider order entry and patient safety. , 2006, Pediatric clinics of North America.

[43]  D S Stein,et al.  Factors related to errors in medication prescribing. , 1997, JAMA.

[44]  G. Kuperman,et al.  Approaches to patient health information exchange and their impact on emergency medicine. , 2006, Annals of emergency medicine.

[45]  H Pohl,et al.  Medication prescribing errors in a teaching hospital. , 1990, JAMA.

[46]  L. Leape Error in Medicine , 1994 .

[47]  A. Localio,et al.  Role of computerized physician order entry systems in facilitating medication errors. , 2005 .

[48]  J A Anderson,et al.  Allergic reactions to drugs and biological agents. , 1982, JAMA.

[49]  A. Wall,et al.  Book ReviewTo Err is Human: building a safer health system Kohn L T Corrigan J M Donaldson M S Washington DC USA: Institute of Medicine/National Academy Press ISBN 0 309 06837 1 $34.95 , 2000 .

[50]  Gideon Koren,et al.  Large errors in the dosing of medications for children. , 2002, The New England journal of medicine.

[51]  J. Feinglass,et al.  The epidemiology of prescribing errors: the potential impact of computerized prescriber order entry. , 2004, Archives of internal medicine.

[52]  D W Bates,et al.  Use and monitoring of "statin" lipid-lowering drugs compared with guidelines. , 2001, Archives of internal medicine.

[53]  C. Marn,et al.  Efficiency of a semiautomated coding and review process for notification of critical findings in diagnostic imaging. , 2006, AJR. American journal of roentgenology.

[54]  D. Bates,et al.  Guided medication dosing for inpatients with renal insufficiency. , 2001, JAMA.

[55]  P. Corey,et al.  Incidence of Adverse Drug Reactions in Hospitalized Patients , 2012 .

[56]  P Tugwell,et al.  Prevention of NSAID-induced gastroduodenal ulcers. , 2002, The Cochrane database of systematic reviews.

[57]  Christoph Hiemke,et al.  Appropriateness of plasma level determinations for lithium and valproate in routine care of psychiatric inpatients with affective disorders. , 2006, Journal of clinical psychopharmacology.

[58]  Christoph Hiemke,et al.  Appropriateness of Therapeutic Drug Monitoring for Antidepressants in Routine Psychiatric Inpatient Care , 2006, Therapeutic drug monitoring.

[59]  O. Hung,et al.  Drug allergies in the surgical population , 1994, Canadian journal of anaesthesia = Journal canadien d'anesthesie.

[60]  T. Klaukka,et al.  Multiuse of Medicines in Finland , 1993, Medical care.