Center for Patient Safety Research And Practice Update

Executive Council, Spring 2014

Developments as Result of Executive Council Discussion with BD about doing an evaluation

around diabetes care Continue to work with JK&B to evaluate

companies Have built Hill-Rom relationship through

introduction from Avner On-going collaboration with Northeastern

industrial engineering group on CMS work which Vin helped broker

EarlySense Two major papers just accepted

Overall impact—Am J MedEconomic analysis—Critical Care Med

Evaluating impact of technology with focus on usability and effectiveness

Evaluation of impact on provider satisfaction at NWH and MetroWest

Grant from Gordon and Betty Moore Foundation Transform the acute care environment

through implementation of a patient-centered interventionFocus on patients and care partnersPatient-centered Intervention:

Patient SatisfActive ModelWeb-based “Patient-centered Toolkit”

Goes live June 9

New Grant from Commonwealth Fund on Mobile Apps Survey of the mobile app landscape

focusing on:Patients with chronic diseasesPatients with access issues for some

reason (language, literacy, other)Recommendations for app manufacturers,

policymakers

Publications I (selected) Brown H, Terrence J, Vasquez P, Bates

DW, Zimlichman E. Continuous monitoring in an inpatient medical-surgical unit: a controlled clinical trial. Am J Med. 2014 Mar;127(3):226-32.

 Slight SP, Franz C, Olugbile M, Brown HV, Bates DW, Zimlichman E. The Return on Investment of Implementing a Continuous Monitoring System in General Medical-Surgical Units. Crit Care Med. 2014 Apr 8.

Publications II (selected)

Liao JM, Roy CL, Eibensteiner K, Nolido N, Schnipper JL, Dalal AK. Lost in transition: Discrepancies in how physicians perceive the actionability of the results of tests pending at discharge. J Hosp Med. 2014 Feb 28.

Dalal AK, et al Impact of an automated email notification system for results of tests pending at discharge: a cluster-randomized controlled trial. J Am Med Inform Assoc. 2014 May 1;21(3):473-80.

Publications III (selected) Schiff G, Griswold P, Ellis BR, Puopolo AL, Brede

N, Nieva HR, Federico F, Leydon N, Ling J, Wachenheim D, Leape LL, Biondolillo M. Doing right by our patients when things go wrong in the ambulatory setting. Jt Comm J Qual Patient Saf. 2014 Feb;40(2):91-6.

Cresswell KM, Bates DW, Williams R, Morrison Z, Slee A, Coleman J, Robertson A, Sheikh A. Evaluation of medium-term consequences of implementing commercial computerized physician order entry and clinical decision support prescribing systems in two 'early adopter' hospitals. J Am Med Inform Assoc. 2014 Jan 15.

Publications IV (selected) Heyworth L, Bitton A, Lipsitz SR, Schilling T,

Schiff GD, Bates DW, Simon SR. Patient-centered medical home transformation with payment reform: patient experience outcomes. Am J Manag Care. 2014 Jan;20(1):782-5.

Slight SP, Seger DL, Nanji KC, Cho I, Maniam N, Dykes PC, Bates DW. Are we heeding the warning signs? Examining providers' overrides of computerized drug-drug interaction alerts in primary care. PLoS One. 2013 Dec 26;8(12):e85071.

Publications V (selected) Powell AC, Landman AB, Bates DW. In search

of a few good apps. JAMA. 2014 Mar 24. Sarkar U, Bates DW. Care partners and online

patient portals. JAMA. 2014 Jan 22-29;311(4):357-8.

Schiff GD, Puopolo AL, Huben-Kearney A, Yu W, Keohane C, McDonough P, Ellis BR, Bates DW, Biondolillo M. Primary care closed claims experience of Massachusetts malpractice insurers. JAMA Intern Med. 2013 Dec 9-23;173(22):2063-8.

Publications VI (selected)

Samal L ,Wright A, Healey MJ, Linder JA, Bates DW. Meaningful Use and Quality of Care. JAMA Intern Med. 2014 Apr 14.

Kachalia A, Bates DW. Disclosing medical errors: The view from the USA. Surgeon. 2014 Apr;12(2):64-7.

Updates Regarding BWH, Partners iHub

Shark TankHackathon

eCare Innovation Council

National Updates FDASIA report released—now in public

comment period

Conclusions Center continues research production Ongoing focus re development on professorship Relatively little federal support for safety

Future forecast continues poor on federal front New head of AHRQ—beginning to provide direction PCORI idiosyncratic

Still huge need for safety work Numerous questions still to answer Especially regarding interventions Lots of innovative technologies

Thanks to this group for their help, support Look forward to your guidance!