title: Applied informatics for quality assessment and improvement.
abstract: In our hospital, transition planning for order entry and clinical documentation has presented an opportunity for process changes and the ability to capture quality initiatives into data warehouses, where they can be utilized for building evidence-based practice. For example, the order entry and clinical documentation system allows for data retrieval of performance measures set by organizations including the Joint Commission on Accreditation of Healthcare Organizations, Centers for Medicare & Medicaid Services, and National Quality Forum. These data will reside in one system where they can be mined and extracted for reporting. Details of this magnitude are crucial when developing a CPR that will serve as the primary data source of clinical information. As we continue to seek IT solutions to improve patient safety and provide quality care, the use of informatics as a foundation in quality programs will provide the structure and database needed to support evidence-based practice at the point-of-care and reduce potential for error.
authors.affiliation: New York-Presbyterian Hospital, NY 10032, USA. trudy@nyp.org
authors.forename: Trudy
authors.initials: T
authors.lastname: Johnson
authors.forename: Rosemary
authors.initials: R
authors.lastname: Ventura
mesh_terms: D000046:Academic Medical Centers; D003197:Computer Literacy; D019317:Evidence-Based Medicine; D005544:Forecasting; D006273:Health Facility Merger; D006751:Hospital Information Systems / Q000458:organization & administration*; D006801:Humans; D019300:Medical Errors / Q000517:prevention & control; D008491:Medical Informatics Applications; D008498:Medical Record Linkage / Q000379:methods; D016347:Medical Records Systems, Computerized / Q000458:organization & administration; D009096:Multi-Institutional Systems; D009518:New York; D011361:Professional Competence / Q000592:standards; D011785:Quality Assurance, Health Care / Q000458:organization & administration*; D017751:Safety Management / Q000379:methods; D017749:Total Quality Management / Q000458:organization & administration*; D018875:Vocabulary, Controlled