Back to Browse Journals » Advances in Medical Education and Practice » Volume 4

Improvement of workflow and processes to ease and enrich meaningful use of health information technology

Authors Singh R, Singh A, Singh DR, Singh G

Published Date November 2013 Volume 2013:4 Pages 231—236

DOI http://dx.doi.org/10.2147/AMEP.S53307

Received 20 August 2013, Accepted 13 September 2013, Published 7 November 2013

Video abstract presented by Ranjit Singh

Views: 226

Ranjit Singh,1 Ashok Singh,2 Devan R Singh,3 Gurdev Singh1

1Department of Family Medicine, UB Patient Safety Research Center, School of Medicine and Management, State University of NY at Buffalo, NY, USA; 2Niagara Family Medicine Associates, Niagara Falls, NY, USA; 3SaferPatients LLC, Lewiston, NY, USA

Abstract: The introduction of health information technology (HIT) can have unexpected and unintended patient safety and/or quality consequences. This highly desirable but complex intervention requires workflow changes in order to be effective. Workflow is often cited by providers as the number one 'pain point'. Its redesign needs to be tailored to the organizational context, current workflow, HIT system being introduced, and the resources available. Primary care practices lack the required expertise and need external assistance. Unfortunately, the current methods of using esoteric charts or software are alien to health care workers and are, therefore, perceived to be barriers. Most importantly and ironically, these do not readily educate or enable staff to inculcate a common vision, ownership, and empowerment among all stakeholders. These attributes are necessary for creating highly reliable organizations. We present a tool that addresses US Accreditation Council for Graduate Medical (ACGME) competency requirements. Of the six competencies called for by the ACGME, the two that this tool particularly addresses are 'system-based practice' and 'practice-based learning and continuing improvement'. This toolkit is founded on a systems engineering approach. It includes a motivational and orientation presentation, 128 magnetic pictorial and write-erase icons of 40 designs, dry-erase magnetic board, and five visual aids for reducing cognitive and emotive biases in staff. Pilot tests were carried out in practices in Western New York and Colorado, USA. In addition, the toolkit was presented at the 2011 North American Primary Care Research Group (NAPCRG) meeting and an Agency for Health Research and Quality (AHRQ) meeting in 2013 to solicit responses from attendees. It was also presented to the officers of the Office of the National Coordinator (ONC) for HIT. All qualitative feedback was extremely positive and enthusiastic. The respondents recommended that the toolkit be disseminated widely to improve staff education and training, leading to practice improvements.

Keywords: education, health, practice, quality, reliability, safety

Download Article [PDF] View Full Text [HTML] 

Creative Commons License This work is published by Dove Medical Press Limited, and licensed under Creative Commons Attribution - Non Commercial (unported, v3.0) License. The full terms of the License are available at http://creativecommons.org/licenses/by-nc/3.0/. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. Permissions beyond the scope of the License are administered by Dove Medical Press Limited. Information on how to request permission may be found at: http://www.dovepress.com/permissions.php

Readers of this article also read:

Inertial sensors as measurement tools of elbow range of motion in gerontology

Sacco G, Turpin JM, Marteu A, Sakarovitch C, Teboul B, Boscher L, Brocker P, Robert P, Guerin O

Clinical Interventions in Aging 2015, 10:491-497

Published Date: 23 February 2015

Target-controlled infusion and population pharmacokinetics of landiolol hydrochloride in patients with peripheral arterial disease

Kunisawa T, Yamagishi A, Suno M, Nakade S, Honda N, Kurosawa A, Sugawara A, Tasaki Y, Iwasaki H

Therapeutics and Clinical Risk Management 2015, 11:107-114

Published Date: 17 January 2015

Managing comorbidities in COPD

Hillas G, Perlikos F, Tsiligianni I, Tzanakis N

International Journal of Chronic Obstructive Pulmonary Disease 2015, 10:95-109

Published Date: 7 January 2015

Optimal management of breast cancer in the elderly patient: current perspectives

Le Saux O, Ripamonti B, Bruyas A, Bonin O, Freyer G, Bonnefoy M, Falandry C

Clinical Interventions in Aging 2015, 10:157-174

Published Date: 6 January 2015

Knowledge, practice, and barriers toward cervical cancer screening in Elmina, Southern Ghana

Ebu NI, Mupepi SC, Siakwa MP, Sampselle CM

International Journal of Women's Health 2015, 7:31-39

Published Date: 24 December 2014

Introduction of virtual patients onto a final year anesthesia course: Hong Kong experience

Joseph YC Leung, Lester AH Critchley, Alex LK Yung, et al

Advances in Medical Education and Practice 2011, 2:71-83

Published Date: 25 February 2011

Station-based deconstructed training model for teaching procedural skills to medical students: a quasi-experimental study

Seyyed M Razavi, Mojgan Karbakhsh, Mahdi Panah Khahi, et al

Advances in Medical Education and Practice 2010, 1:17-23

Published Date: 30 September 2010