Thursday, September 01, 2005

[Health] Providence once more makes 'Most Wired' list

7.2 percent difference in risk-adjusted mortality rates after controling for size and teaching status, was found in this year's American Hospital Association study the impact of IT on hospital quality and patient survival. This is published in their current Hospitals and Health Networks magazine, itself an interesting read.

The Wall Street Journal analysis (by Laurie Kawakamia) of the HHN article also noted
Among the findings, the survey reports that 41% of the most-wired hospitals have most of their physicians using computerized systems for drug orders. That compares with 27% of all hospitals surveyed and 8% of the 100 least-wired hospitals. For medications ordered at the most-wired hospitals, 28% of all orders are performed by physicians electronically, up slightly from 27% last year and more than twice the average of all hospitals surveyed. At the least-wired hospitals, less than 2% of medication orders are entered electronically by doctors.

Electronic medication alerts, which warn of complications like duplicate orders, drug interactions or wrong dosages, also are more common at the most-wired hospitals. These hospitals are more likely to link their alert systems to electronic surveillance systems that monitor a patient's vital signs, lab-test results and other clinical information designed to notify caregivers if the patient's condition deteriorates.

Getting the hospital fully-integrated is an important step in the process, and I'm very pleased to see Portland Providence leading the way.

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