EHR Management Tops ECRI's List of Top Safety Concerns

Safe implementation of new technologies and therapies accompany classic patient safety challenges on ECRI Institute's 2017 Top 10 Patient Safety Concerns for Healthcare Organizations. The report highlights concerns from HIM, clinical decision support, and new oral anticoagulants to long-standing concerns like test result reporting and follow-up and unrecognized patient deterioration.

ECRI Institute relied on its Patient Safety Organization (PSO) event data, concerns raised by health care provider organizations, and on expert judgment to select the topics for the 2017 list. Since 2009, when ECRI Institute PSO began collecting patient safety events, the PSO and partner PSOs have received more than 1.5 million event reports and reviewed hundreds of root cause analyses.

"The 10 patient safety concerns listed in our report are very real," says Catherine Pusey, RN, MBA, associate director at ECRI Institute PSO. "They are causing harm—often serious harm—to real people."

This year's list includes the following:

1. Information Management in EHRs
2. Unrecognized Patient Deterioration
3. Implementation and Use of Clinical Decision Support
4. Test Result Reporting and Follow-Up
5. Antimicrobial Stewardship
6. Patient Identification
7. Opioid Administration and Monitoring in Acute Care
8. Behavioral Health Issues in Nonbehavioral-Health Settings
9. Management of New Oral Anticoagulants
10. Inadequate Organization Systems or Processes to Improve Safety and Quality

Topping the list this year is information management in EHRs. Health care providers have troves of information to manage, and the advent of EHRs has brought this challenge to the forefront.

"But the object is still for people to have the information that they need to make the best clinical decision," says Lorraine B. Possanza, DPM, JD, MBE, program director of Partnership for Health IT Patient Safety at ECRI Institute. "Health information needs to be clear, accurate, up-to-date, readily available, and easily accessible."

Patient deterioration, second on this year's list, can have catastrophic consequences if undetected. Over the past few decades, improved clinical protocols, training and education for providers, and public awareness campaigns have enabled speedier recognition of and response to stroke and ST-elevation myocardial infarction (STEMI).

"People have seen how well the campaigns have worked for stroke and STEMI and how much they've improved outcomes," says Patricia N. Neumann, RN, MS, senior patient safety analyst and consultant at ECRI Institute. "What if those same principles could be applied to other conditions that require fast recognition and management? We could have a big impact on improving outcomes," Neumann suggests.

Implementation and use of clinical decision support (CDS), third on this year's list, encompasses "tools that we use to ensure that the right information is presented at the right time within the workflow," explains Robert C. Giannini, NHA, CHTS-IM/CP, patient safety analyst and consultant at ECRI Institute. But if implementation or use is suboptimal, opportunities for CDS to aid decision making may be missed. Care could suffer, and patient harm could result.

The list and associated guidance is intended to help health care organizations identify priorities and aid them in creating corrective action plans. ECRI Institute is providing free access to the Executive Brief at www.ecri.org/PatientSafetyTop10. Additional resources linked to throughout the report are available to members of ECRI Institute PSO and to ECRI's Healthcare Risk Control program.

ECRI Institute encourages organizations to adapt relevant patient safety interventions to meet each care setting. Although not all patient safety concerns on the list apply to all health care organizations, many are relevant to a range of settings across the continuum of care.

Source: ECRI Institute