HIT Safety Organization Releases Copy and Paste Recommendations 

The Partnership for Health IT Patient Safety, a multistakeholder collaborative convened by ECRI Institute, announces the release of "Safe Practice Recommendations for Copy and Paste," at HIMSS16 in Las Vegas. This is the partnership's first release in a series of evidence-based recommendations designed to improve HIT safety.

The partnership, established in 2013, includes health care providers, HIT developers, academic researchers, patient safety organizations, liability insurers, and professional societies. The widespread and often underreported practice of copy and paste was chosen for its first set of recommended practices.

The copy and paste workgroup, chaired by National Patient Safety Foundation President and CEO Tejal Gandhi, MD, MPH, CPPS, comprised 40 leaders from participating organizations.

"We defined copy and paste, looked at uses, looked at the literature, reviewed events that had come into ECRI Institute's Patient Safety Organization, talked about vendor functionalities, and explored best practices from a couple of organizations and how they're working on copy and paste, and then, at the end, got to some recommendations," Gandhi says.

Following extensive review and discussion of the information, the group identified the following Safe Practice Recommendations for the use of copy and paste. They encourage stakeholders to do the following:

• Provide a mechanism to make copy and paste material easily identifiable.
• Ensure that the provenance of copy and paste material is readily available.
• Ensure adequate staff training and education regarding the appropriate and safe use of copy and paste.
• Ensure that copy and paste practices are regularly monitored, measured, and assessed.

In the just-released and publicly-available toolkit, "Health IT Safe Practices: Toolkit for the Safe Use of Copy and Paste," the partnership presents the four safe practice recommendations, along with actionable resources to facilitate the implementation of these recommended safe practices.

"I hope the toolkit will stimulate discussions about safe practices, so that all of the stakeholders, including frontline staff, are aware of what the current copy and paste practices are, what the rationale is when using copy and paste, and then how to best maintain the accuracy and reliability of the record when reusing information," says ECRI Institute's Lorraine Possanza, DPM, JD, MBE, senior patient safety, risk, and quality analyst.

Andrew Gettinger, chief information officer of the Office of the National Coordinator for Health Information Technology, highlighted the collaborative nature of the workgroup and the toolkit issued, commenting that he was "delighted with the work that came out of this group."

The safe practice recommendations have been agreed upon by those participating in the partnership and are supported by American Association for Physician Leadership, Association for Healthcare Documentation Integrity, AHIMA, Allscripts, American Medical Association, American Medical Directors of Information Systems, AMIA, American Nursing Informatics Association, Alliance for Quality Improvement and Patient Safety, athenahealth, Constellation, ECRI Institute, Health Care Improvement Foundation, Henry Ford Health System, HIMSS, Institute for Healthcare Improvement, Institute for Safe Medication Practices, Joint Commission, McKesson, MHA Keystone Center, Midwest Alliance for Patient Safety, NextGen, Northwell Health, National Patient Safety Foundation, PSOFlorida, St. Charles Health System, Tennessee Center for Patient Safety, and University of Pennsylvania Health System. To see additional supporters, visit the partnership website.

The partnership, sponsored in part through a grant from the Jayne Koskinas Ted Giovanis Foundation for Health and Policy, leverages the work of multiple PSOs, along with providers, HIT vendors, an expert advisory panel, and professional societies to create a nonpunitive learning environment that mitigates risk and facilitates improvement.

To learn more about the partnership, visit www.ecri.org/HITpartnership or the HIMSS Spot in the HIMSS16 Exhibit Hall on Wednesday, March 2, at 4:00 pm.

Source: ECRI Institute