Health IT Safe Practices
Recommendations and implementation toolkits to make health IT safer
Workgroups established by the Partnership for Health IT Patient Safety (Partnership) for in-depth study of health IT events have developed safe practice recommendations and toolkits. These resources are intended to help healthcare providers across the continuum of care address key health IT issues.
Drug Allergy Interactions
Access to accurate drug allergy information through electronic health records (EHR) is vital to providing safe patient care. While utilization of this information and clinical decision support (CDS) tools have reduced negative medication interactions, adverse events still happen. Working collaboratively, it is possible to identify new ways to improve drug allergy alerts, a common type of CDS, and improve safety. The Partnership established a workgroup—chaired by Michael R. Cohen, RPh, MS, ScD, DPS, FASHP and Christina Michalek, RPh, BSc Pharm, FASHP of The Institute for Safe Medication Practices—to address this topic.
Safer Opioid Prescribing
The Partnership, together with the HIMSS Electronic Health Record Association (EHRA), have released new guidance for safer opioid prescribing through electronic health records (EHRs). This workgroup brought together experts from companies that develop, market, and support EHRs to develop strategies to support clinicians with pain management decisions at the point of care.
Closing the Loop
The Partnership's newest workgroup—chaired by Christoph U. Lehmann, MD, professor of pediatrics and biomedical informatics, Vanderbilt University—has just released three safe practice recommendations related to test tracking and medication changes.
- Health IT Safe Practices for Closing the Loop Toolkit
- Closing the Loop: Evidence-based Literature Review
A three-part podcast series featuring workgroup leaders Dr. Christoph Lehmann, Dr. Hardeep Singh, Dr. Mark Segal, Dr. Dean Sittig, Patricia Giuffrida, and Robert Giannini.
- Part 1: Diagnostic Error and the Importance of Closing the Loop
- Part 2: Closing the Loop through Technology and Collaboration
Health IT Safety Program
Health IT is an integral part of healthcare today. Development and use of these technologies can both positively and negatively affect patient safety. Working collaboratively it is possible to see the benefits of incorporating health IT safety and safety lessons into a safety program. The Partnership established a workgroup—chaired by Patricia P. Sengstack, DNP, RN-BC, FAAN, of Vanderbilt University—to address this topic.
- Podcast for Integrating a Health IT Safety Program
- Safe Practice Recommendations for Developing, Implementing, and Integrating a Health IT Safety Program
- Toolkit for Developing, Implementing, and Integrating a Health IT Safety Program
Patient identification errors can result in grave consequences, including delayed or inappropriate care and misdiagnoses. The workgroup—chaired by Hardeep Singh, MD, MPH, Michael E. DeBakey Veterans Affairs Medical Center and Baylor College of Medicine, Houston—established eight safe practice recommendations.
- Toolkit for the Safe Use of Health IT for Patient Identification
- Patient Identification Errors: Evidence Review
- ECRI Institute PSO Deep Dive: Patient Identification
- Patient Identification is a Top Patient Safety Concern
Copy and Paste
The issue of copying and pasting health information (e.g., orders, notes, labels) is widespread, often underreported, and has the potential to cause adverse patient safety events. The multidisciplinary group of stakeholders—chaired by—Tejal Gandhi, MD, MPH, CPPS, National Patient Safety Foundation (NPSF)/Institute for Healthcare Improvement—agreed upon and endorsed four safe practice recommendations.
- Health IT Safe Practices: Toolkit on the Safe Use of Copy and Paste
- Copy/Paste: Prevalence, Problems, and Best Practices
- ASHRM Podcasts: Collaborating on Health IT Safe Practices (5/15/2017 recording)
- NISTIR 8166—Examining the Copy and Paste Function in the Use of Health Records
The Partnership for Health IT Patient Safety is sponsored through funding from the Gordon and Betty Moore Foundation.
Patient Safety 20 Years after 'To Err is Human'
Allscripts, a Partnership Collaborator, recently looked at the state of patient safety 20 years after the seminal report To Err is Human. In their report, Allscripts sought input from various stakeholders.