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This project will examine health information exchange (HIE) usage patterns, the barriers and facilitators of HIE use, and the impact of HIE use by emergency department clinicians.
The Electronic Data Methods (EDM) Forum facilitated learning and collaboration among researchers and other key stakeholders who are generating the data, methods, and knowledge needed to build learning health systems that will improve patient care and outcomes.
Implemented the time-insensitive predictive instruments built into the computerized electrocardiograph in emergency medical service settings and emergency departments; also evaluated its impact on reducing errors and avoidable delays in emergency care.
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 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.
Implemented advanced information technology in rural and small community hospitals including Web-based business intelligence tools, Internet connectivity, and standardized national measures of patient safety and quality; also provided education intervention to support implementation efforts and evaluate its effects on patient safety and quality.
Built upon an existing infrastructure to construct a fully integrated EMR to give clinicians real-time access to patient data through pharmacy management, laboratory management, patient scheduling, barcoding, clinical physician order entry, electronic signature, insurance eligibility, and Pyxis medication-dispensing units at nursing stations.
Planned the development and implementation of a health IT infrastructure throughout three rural counties, including high-speed Internet access, CPOE, CDSS, EHR, and continuity of care record templates.
Established an automated surveillance system for detecting, reporting, and intervening as well as measuring the incidence and nature of adverse drug events suffered by patients.
The Indiana Network for Patient Care, an operational health information exchange (HIE) in central Indiana, is one of six AHRQ sponsored State and Regional demonstration projects begun in late 2004 and early 2005 to create State or regional HIEs.