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January-February 2010
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Five Essential Components of an Effective Stroke System

Approximately 795,000 Americans will have a stroke this year. Stroke is the third leading cause of death in the United States and a leading cause of serious, long-term adult disability. The direct and indirect costs associated with stroke are projected to exceed $65 billion in 2009, according to the National Stroke Association.

Last Updated on Wednesday, 03 February 2010 13:41
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Connectivity to Improve Patient Safety

For the past 5 years the Medical Device “Plug-and-Play” Interoperability Program has been leading the evaluation and adoption of open standards and technology for medical device interoperability to support clinical innovation and improve patient safety.

Last Updated on Wednesday, 03 February 2010 13:31
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Online Connectivity

The government campaign to stimulate physician adoption of health information technology is focused on electronic health records. But other types of information technology that are considerably more affordable and less difficult to implement can also help improve safety and care quality.
Last Updated on Monday, 01 February 2010 16:34
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Clinical Documentation: More than a Cumbersome Chore

“Charting” is often viewed by nurses as a necessary evil. Sure, deep down most nurses know that the exercise is essential — and that regulatory bodies such as the Joint Commission, National Quality Forum, and Centers for Medicare & Medicaid Services are looking for the clinical documentation that illustrates that care is being delivered in line with a set of established standards.

Last Updated on Wednesday, 03 February 2010 13:11
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The Laboratory as a Service Line and Revenue Generator

At a time when clinical quality, cost-effectiveness, and healthcare automation have become daily news topics, inexplicably one of the most advanced sectors of healthcare has been largely ignored: the laboratory and its laboratory information system or LIS.
Last Updated on Wednesday, 03 February 2010 13:04
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Editor's Notebook

Seeing the World Through Patient Safety Eyes

I wish that everyone could learn and practice the skills we ask healthcare professionals to acquire in the name of safety and quality improvement. We’d all be better off, and many things in the world would work better if we respected each other and communicated well.

Last Updated on Friday, 29 January 2010 13:30
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Health IT & Quality

Raison d’Être

What is the purpose of health information technology? Why are we spending all these billions of dollars on this “thing” we struggle to understand, implement, and use? Is it achieving the goals of its purpose?

Last Updated on Friday, 29 January 2010 13:57
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Health Information Exchange

NHIN: The New Health Internet

I have not been a big fan of the National Health Information Network (NHIN) concept. It was — and in large part still is — a top-heavy federal government effort to create a nationwide infrastructure to facilitate the exchange of clinical information. That is a high, lofty, and admirable goal, but one that is too far in front of where the market is today.

Last Updated on Friday, 29 January 2010 15:04
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EMR Implementation

Clinical Informatics and the CMIO

If you have a pulse, you’ve probably heard about the HITECH Act, which promises financial compensation (and IT bragging rights) for hospitals and physicians using an EMR in a “meaningful way.”

Last Updated on Friday, 29 January 2010 15:19
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Patient Communications

Enhancing Patient Safety by Automating Discharge Instructions

By Pattie Boast and Cathy Potts, MT (ASCP)It has been well documented that providing patients with the tools to become active, informed participants in their own care improves decision quality and prevents overuse of medical options (O’Connor et al., 2004).

Last Updated on Wednesday, 03 February 2010 13:50
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