Innovative Web-Based Tool for Safer Transitions of Patients through Healthcare Systems

  • Ranjit Singh
  • Raj Sharman
  • Ashok Singh
  • Ron Brooks
  • Don McLean
  • Gurdev Singh
Chapter
Part of the Lecture Notes in Electrical Engineering book series (LNEE, volume 125)

Abstract

Improved quality and safety of care and patient satisfaction can be achieved with structured inter-unit and inter-setting communication with computers. Presented here is a new tool designed to implement a web-based innovative transitions improvement process for creation of situation-aware teams to monitor quality of transitions. The tool is designed to promote the competencies of practice-based learning and improvement, and systems-based practice, as well as the development of a context-sensitive culture of safety. The system is based on visual workflow models of the entities and interactions necessary for reliable and timely transitions from or to any setting. In pilot studies the tool has been well received by staff who found it to be intuitive and user-friendly. We propose that healthcare teams tailor the tool for their unique setting, and continually improve it based on internal evaluation and feedback.

Keywords

Patient Safety Personal Health Information Safe Transition Primary Care Office Adequate Privacy 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    British Medical Association. Safe handover: safe patientsGoogle Scholar
  2. 2.
    Aspden, P., Corrigan, J.M., Wolcott, J., et al. (eds.): Patient safety: Achieving a new standard for care. Institute of Medicine, Committee on Data Stand ards for Patient Safety, Washington, DC (2004)Google Scholar
  3. 3.
    JCAHO. Patient Safety Goals for 2006Google Scholar
  4. 4.
    National Quality Forum, Agency for Health research and Quality. Safe Practices for Better Healthcare: A consensus Report (2003)Google Scholar
  5. 5.
    HMO Workgroup on Care Management. One patient, many places: Managing health care transitions. AAHP_HIAA Foundation, Washington, DC, http://www.ahip.org
  6. 6.
    WHO. World Alliance for Patient Safety, http://www.who.int/patientsafety/en
  7. 7.
    Research Priority Setting Working Group of the World Alliance for Patient Safety. Summary of Evidence on Patient Safety: Implications for Research (2008), http://www.who.int/patientsafety/information_center
  8. 8.
    JCAHO. Sentinel event analysis statistics (1995-2004), http://www.jointcommission.org
  9. 9.
    Medicare Payment Advisory Commission. Reforming America’s Health Care System. Statement before the Senate Finance Committee Roundtable (2009) Google Scholar
  10. 10.
    Clancy, C.: How to Avoid the Round-Trip Visit to Hospital. Navigating the Health Care System. AHRQ, http://www.ahrq.gov/cosumer/cc/cc060110.html
  11. 11.
    Singh, R., Singh, A., Taylor, J.S., Rosenthal, T., Singh, G.: Building learning practices with self- empowered teams for improving patient safety. J. Health Manag. 8, 91–118 (2006)CrossRefGoogle Scholar
  12. 12.
    Singh, R., Singh, A., Servoss, T.J., Singh, G.: Prioritizing threats to patient safety in rural primary care. J. Rural Health 23(2), 173–178 (2007)CrossRefGoogle Scholar
  13. 13.
    Singh, R., Naughton, B., Anderson, D.R., Singh, G.: Building Self-Empowered Teams for Improving Safety in Post-operative Pain Management. In: Henriksen, K., Battles, J.B., KeyesGoogle Scholar
  14. 14.
    Singh, G., Singh, R., Thomas, E.J., et al.: Measuring Safety Climate in Primary Care Offices. In: Henriksen, K., Battles, J.B., Keyes, M.A., Grady, M.L. (eds.) Advances in Patient Safety: New Directions and Alternative Approaches. Culture and Redesign, vol. 2, pp. 59–72. Agency for Healthcare Research and Quality, Rockville (2008); ; AHRQ Publication No. 08-0034-2Google Scholar
  15. 15.
    Singh, R., Pace, W., Singh, A., et al.: A Visual Computer Interface Concept for Making Error Reporting Useful at the Point of Care. In: Henriksen, K., Battles, J.B., Keyes, M.A., Grady, M.L. (eds.) Advances in Patient Safety: New Directions and Alternative Approaches, Assessment, vol. 1, pp. 307–320. Agency for Healthcare Research and Quality, Rockville (2008); AHRQ Pub., No. 08-0034-1Google Scholar
  16. 16.
    House of Commons Committee of Public Accounts. A Safer Place for Patients: learning to improve patient safety. HMO. HC 831, London (2006)Google Scholar
  17. 17.
    Singh, R., Pace, W., Singh, S., et al.: A concept for a visual computer interface to make error taxonomies useful at the point of primary care. Informat. Prim. Care. 15, 221–229 (2007)Google Scholar
  18. 18.
    Joint Commission. What does JCAHO expect for handoffs? OR Manager 22(4), 11 (2006)Google Scholar
  19. 19.
    Singh, R., Roberts, A., Singh, A., et al.: Improving Transitions in In-Patient and Out-Patient Care Using a Paper Or Web-based Journal. Journal of the Royal Society of Medicine (London) Short Report (2011)Google Scholar

Copyright information

© Springer-Verlag GmbH Berlin Heidelberg 2012

Authors and Affiliations

  • Ranjit Singh
    • 1
  • Raj Sharman
    • 1
  • Ashok Singh
    • 2
  • Ron Brooks
    • 3
  • Don McLean
    • 4
  • Gurdev Singh
    • 1
  1. 1.State UniversityBuffaloUSA
  2. 2.Niagara Family Medicine AssociatesNew YorkUSA
  3. 3.Dendress CorporationBuffaloUSA
  4. 4.Niagara Falls Memorial Medical CenterNew YorkUSA

Personalised recommendations