Critical Access 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 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.
Documented the patient safety and health care quality challenges in critical access to rural hospitals, and assessed health IT capacity in these rural hospitals and how they would use health IT to improve safety and quality; developed decisionmaking health IT toolkits for other rural hospitals.
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.
Implemented an interactive video-conferencing system at rural hospitals to provide continuing education for pharmacist and pharmacy technicians as well as a model for bedside verification of medication administration and medication bar coding; also evaluated structure, process, and outcomes related to improvement of patient safety and more effective patient medication management.
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.
This project developed an implementation plan for pharmacy and medication-related health information systems in critical access hospitals, and included an on-site health IT survey, two planning conferences, and an assessment of resources.
Implemented a Complete Medical Record (a computerized emergency department communication, documentation, passive tracking, and medical records system) in an emergency department and evaluated the use of this technology toward improving patient safety and quality of care.
Establishes a Web-based electronic medical record system for 10 small rural hospitals to connect them to the area's regional medical center. The project's ultimate goal is to quickly give alImplements a regional health information exchange among an established collaborative of hospitals, clinics, and providers across Nebraska's remote 14,000-square-mile western panhandle; also helps participating providers acquire the equipment and other resources necessary to share laboratory and pharmaceutical data, as well as electronic medical records.
Shared an electronic medical records system that improved patient safety and quality of care. Also served as a critical learning tool for clinicians in a coalition of three large health organizations and 24 primary care clinics in northern Iowa.