ArticleEGEMS (Washington, DC)2014
Electronic Clinical Surveillance to Improve Outpatient Care: Diverse Applications within an Integrated Delivery System.
Article in EGEMS (Washington, DC), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
22 citing papers in PubMed.
- Electronic Trigger-Based Intervention to Reduce Delays in Diagnostic Evaluation for Cancer: A Cluster Randomized Controlled Trial.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2015Trial
- A Hybrid Chart Review of Premature Coronary Artery Disease: An Opportunity to Improve Diagnostic Excellence and Management.The Permanente journal · 2025Article
- Development and Implementation of a Digital Quality Measure of Emergency Cancer Diagnosis.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2024Article
- Identification of recurrent atrial fibrillation using natural language processing applied to electronic health records.European heart journal. Quality of care & clinical outcomes · 2024Article
- Preventing lost-to-follow up diagnostic imaging in ambulatory care: evaluation of an electronic notification tool.BMJ open quality · 2023Article
- Closing the Loop: Re-engineering the Assessment and Tracking of Symptoms in Primary Care.Journal of general internal medicine · 2023Article
- Creating a Safety Net Process to Improve Colon Cancer Diagnosis in Patients With Rectal Bleeding.The Permanente journal · 2022Article
- Automated interpretation of stress echocardiography reports using natural language processing.European heart journal. Digital health · 2022Article
- Optimization of a Quality Improvement Tool for Cancer Diagnosis in Primary Care: Qualitative Study.JMIR formative research · 2022Article
- Laboratory monitoring to reduce adverse drug-related events: a mixed methods study.Journal of managed care & specialty pharmacy · 2022Article
- Why Test Results Are Still Getting "Lost" to Follow-up: a Qualitative Study of Implementation Gaps.Journal of general internal medicine · 2022Article
- Validation of an electronic trigger to measure missed diagnosis of stroke in emergency departments.Journal of the American Medical Informatics Association : JAMIA · 2021Article
- Learning health systems in primary care: a systematic scoping review.BMC family practice · 2021Article
- Temporal trends in heart failure mortality in an integrated healthcare delivery system, California, and the US, 2001-2017.BMC cardiovascular disorders · 2021Article
- Assessment of Health Information Technology-Related Outpatient Diagnostic Delays in the US Veterans Affairs Health Care System: A Qualitative Study of Aggregated Root Cause Analysis Data.JAMA network open · 2020Article
- Preventing Diagnostic Errors in Ambulatory Care: An Electronic Notification Tool for Incomplete Radiology Tests.Applied clinical informatics · 2020Article
- Measures to Improve Diagnostic Safety in Clinical Practice.Journal of patient safety · 2019Article
- Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer.Joint Commission journal on quality and patient safety · 2019Article
- Application of electronic trigger tools to identify targets for improving diagnostic safety.BMJ quality & safety · 2019Article
- Temporal Trends in Mortality Rates among Kaiser Permanente Southern California Health Plan Enrollees, 2001-2016.The Permanente journal · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Efforts to improve patient safety have largely focused on inpatient or emergency settings, but the importance of patient safety in ambulatory care is increasingly being recognized as a key component of overall health care quality. Care gaps in outpatient settings may include missed diagnoses, medication errors, or insufficient monitoring of patients with chronic conditions or on certain medications. Further, care gaps may occur across a wide range of clinical conditions. We report here an innovative approach to improve patient safety in ambulatory settings - the Kaiser Permanente Southern California (KPSC) Outpatient Safety Net Program - which leverages electronic health information to efficiently identify and address a variety of potential care gaps across different clinical conditions. Between 2006 and 2012, the KPSC Outpatient Safety Net Program implemented 24 distinct electronic clinical surveillance programs, which routinely scan the electronic health record to identify patients with a particular condition or event. For example, electronic clinical surveillance may be used to scan for harmful medication interactions or potentially missed diagnoses (e.g., abnormal test results without evidence of subsequent care). Keys to the success of the program include strong leadership support, a proactive clinical culture, the blame-free nature of the program, and the availability of electronic health information. The Outpatient Safety Net Program framework may be adopted by other organizations, including those who have electronic health information but not an electronic health record. In the future, the creation of a forum to share electronic clinical surveillance programs across organizations may facilitate more rapid improvements in outpatient safety.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.