Ambulatory Safety and Quality Program: Improving Quality through Clinician Use of Health IT (R18)
This project conducted a phased implementation of selected ambulatory care health information technology systems designed to improve chronic disease performance indicators and patient-provider communication.
The project team studied primary care patients with chest pain and found that over one-third of diagnoses of acute myocardial infarction were missed and not directly referred to the emergency department.
The project successfully developed a set of medication safety measures relevant for primary care and incorporated these measures in quarterly performance reports sent to participating practices.
This project conducted three studies to measure the impact of health information technology on patient safety in the ambulatory setting.
This project developed a new application called the Integrated Medication Manager (IMM), which presents to clinicians an integrated representation of a patient’s status and care process over time.
The project team successfully developed a knowledgebase specific to medication management for children. The tools created included an algorithm for rounding of medication doses and a compounded medication knowledgebase.
This project investigated the feasibility and impact of novel approaches to clinician decision support in multidisciplinary ambulatory care, emphasizing high-risk transitions of care.