Medication errors, handoff processes and information quality

Chircu, Alina M.; Gogan, Janis L.; Boss, Scott R.; Baxter, Ryan J.

doi:10.1108/14637151311308286

Cited by 14 publications

(22 citation statements)

References 42 publications

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“…A recent empirical case study that examined one hospital's medication administration processes through the combined ACT/process management lens (Chircu et al, 2013) provides early findings that demonstrate the approach proposed herein.…”

Section: Handoffs Problems Can Occur During Any Stage In the Informatmentioning

confidence: 81%

Handoff processes, information quality and patient safety

Gogan¹,

Baxter²,

Boss³

et al. 2013

Business Process Management Journal

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If you would like to write for this, or any other Emerald publication, then please use our Emerald for Authors service information about how to choose which publication to write for and submission guidelines are available for all. Please visit www.emeraldinsight.com/authors for more information. About Emerald www.emeraldinsight.comEmerald is a global publisher linking research and practice to the benefit of society. The company manages a portfolio of more than 290 journals and over 2,350 books and book series volumes, as well as providing an extensive range of online products and additional customer resources and services.Emerald is both COUNTER 4 and TRANSFER compliant. The organization is a partner of the Committee on Publication Ethics (COPE) and also works with Portico and the LOCKSS initiative for digital archive preservation. AbstractPurpose -Key findings from recent and relevant studies on patient safety and clinical handoffs are summarized and analyzed. After briefly reviewing process management and accounting control theory, the aim of this paper is to discuss how these latter two disciplines can be combined to further improve patient safety in handoffs. Design/methodology/approach -A literature review on studies of patient safety, clinical processes and clinical handoffs was conducted in leading medical, quality, and information systems journals. Findings -This paper issues a call for research using a trans-disciplinary methodology to shed new light on information quality issues in clinical handoff processes, which in turn should improve patient safety.Research limitations/implications -The literature review employed systematic, heuristic, iterative and practical criteria for identifying and selecting papers, trading off completeness for multi-disciplinarity. No prior empirical patient safety studies combined process management and accounting control theory. Practical implications -The above-noted trans-disciplinary analytic approach may help medical professionals develop more effective handoff processes, checklists, standard operating procedures (SOPs), clinical pathways, and supporting software, and audit and continuously monitor their implementation. Originality/value -This paper responds to recent calls for trans-disciplinary research on healthcare quality improvement. The literature review is valuable for understanding clinical handoff problems and solutions from multiple perspectives. The proposed combination of two theories -accounting control theory and business process management -is novel and useful for describing, improving and monitoring handoff processes in the broader context of clinical processes, using a common terminology for information quality traits. consequences of information technology in health care: the nature of patient care information system-related errors",

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Section: Handoffs Problems Can Occur During Any Stage In the Informatmentioning

confidence: 81%

Handoff processes, information quality and patient safety

Gogan¹,

Baxter²,

Boss³

et al. 2013

Business Process Management Journal

Self Cite

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“…No entanto, assumindo-se a hipótese de que a maioria dos PI foram gerados por regulação incorreta, pode-se concluir que a regulação para acesso ao HERP está sendo mais eficiente. Essa diferença pode estar relacionada ao subprocesso de triagem, que não existe no acesso ao HEAB, o que estaria de acordo com Chircu et al 18 , que afirmam que, quando a informação passa por vários profissionais de saúde, há uma chance maior de detecção e correção de falhas.…”

Section: Discussão E Comparação Dos Processosunclassified

Construção e análise de indicadores de desempenho do acesso à atenção especializada do SUS

2019

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RESUMO Este estudo objetiva identificar informações a serem utilizadas para analisar o desempenho do acesso à atenção secundária à saúde. Foram analisados os acessos à especialidade de cirurgia digestiva do Hospital Estadual de Ribeirão Preto (HERP) e do Hospital Estadual de Américo Brasiliense (HEAB). Foram entrevistados 31 atores, em 16 organizações de saúde, com o objetivo de identificar indicadores de desempenho. Os indicadores identificados para ambos foram: 'distribuição de vagas por município', 'situação após a primeira consulta' e 'Pedidos de Interconsulta (PI)'. No acesso ao HERP, acrescentou-se o 'tempo para triagem'. Os dados para análise foram extraídos do Sistema de Apoio a Regulação Assistencial (Sara), utilizado somente no acesso ao HERP; e o sistema do Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto (módulo Athos), utilizado em ambos. Essas informações podem ser úteis para caracterizar os processos, compará-los e auxiliar na identificação de oportunidades de melhoria, tornando-os mais transparentes aos envolvidos. O acesso eficiente permite o uso racional de recursos e a ampliação do acesso dos pacientes aos serviços, uma vez que possibilita redução de desperdício, ociosidade e tempo de espera.PALAVRAS-CHAVE Eficiência. Indicadores de qualidade em assistência à saúde. Atenção secundária à saúde. Sistema Único de Saúde.ABSTRACT This study aims to identify information to be used in order to analyze the performance of access to secondary health care. The accesses to the specialty of digestive surgery of the Ribeirão Preto State Hospital (HERP) and the Américo Brasiliense State Hospital (HEAB) were analyzed. Thirty-one actors, in 16 health organizations, were interviewed, with the purpose of identifying performance indicators. The indicators identified for both were: 'distribution of vacancies by municipality', 'situation after the first consultation' and 'requests for consultation (PI)'. In access to HERP, the 'time for screening' was added. The data for analysis were extracted from the Assistance Regulation Support System (Sara), used only to access the HERP; and the system of the Clinical Hospital of Ribeirão Preto Medical School (Athos module), used in both. This information can be useful for characterizing processes, comparing them and assist in the identification of improvement opportunities by making them more transparent to those involved. Efficient access allows rational use of resources and increased patient access to services, as it enables reduction of waste, idleness and waiting time. (FMRP) -Ribeirão Preto (SP), Brasil. ARTIGO ORIGINAL | ORIGINAL ARTICLEEste é um artigo publicado em acesso aberto (Open Access) sob a licença Creative Commons Attribution, que permite uso, distribuição e reprodução em qualquer meio, sem restrições, desde que o trabalho original seja corretamente citado.

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“…Previous studies have presented case study analyses from a single point of viewfocusing on one healthcare organization (such as a hospital or hospital unit) or on a single patient record (across different sources of patient data), while also emphasized the importance of adopting an end-to-end view when analyzing healthcare processes, since flawed data, information and judgments can enter the care process at multiple points and propagate, sometimes with fatal results, unless adequate controls are in place (Bradley et al, 2012;Çakici et al, 2011;Chircu et al, 2013;Kataria et al, 2011). This paper extends and complements previous studies by analyzing an end-to-end supply chains process across multiple stakeholders, from the manufacturer to distributor, pharmacist, and hospital.…”

Section: Conclusion Limitations and Implicationsmentioning

confidence: 99%

Healthcare RFID In Germany: An Integrated Pharmaceutical Supply Chain Perspective

Chircu¹,

Sultanow²,

Saraswat³

2014

JABR

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Todays healthcare environments are characterized by a variety of products, services, and associated data and information that are transferred across many healthcare sector participants. Pharmaceutical supply chains in particular are one example of fragmented information flows among supply chain participants. Pharmaceutical supply chain processes have a crucial influence on medication quality and ultimate patient outcomes. When manufacturing problems arise, temperature control cannot be maintained throughout the supply chain, counterfeit medications enter the supply chain, containers are damaged or sensitive medication is improperly transported and stored, the drugs effectiveness can be affected and this can result in serious consequences, including patient sickens or even death. In this paper, we analyze Radio Frequency Identification Technology (RFID), a technology that can improve communication of data and information, reduce counterfeiting, and enable monitoring of drug quality in pharmaceutical supply chains. The study is conducted in the context of an RFID platform implemented in Germany. The paper extends and complements previous studies by analyzing the RFID implementation and business value in an end-to-end supply chain process across multiple stakeholders in the pharmaceutical supply chain, from the manufacturer via the wholesaler to pharmacies and hospitals. The results confirm that RFID benefits are realized when supply chain processes are changed with the help of technology, but that different supply chain participants have different benefit realization perceptions. The analysis further reveals specific types of process changes for each supply chain participant and their corresponding benefits.

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Medication errors, handoff processes and information quality

Cited by 14 publications

References 42 publications

Handoff processes, information quality and patient safety

Handoff processes, information quality and patient safety

Construção e análise de indicadores de desempenho do acesso à atenção especializada do SUS

Healthcare RFID In Germany: An Integrated Pharmaceutical Supply Chain Perspective

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