{"id":4137,"date":"2012-12-16T18:00:50","date_gmt":"2012-12-16T23:00:50","guid":{"rendered":"http:\/\/www.poweryourpractice.com\/?p=4137"},"modified":"2012-12-16T18:00:50","modified_gmt":"2012-12-16T23:00:50","slug":"ecri-breaking-down-2013-top-health-tech-hazards","status":"publish","type":"post","link":"https:\/\/carecloud.com\/continuum\/ecri-breaking-down-2013-top-health-tech-hazards\/","title":{"rendered":"Breaking Down 2013&#8217;s Top Health Tech Hazards: A Chat with ECRI Institute&#8217;s James P. Keller"},"content":{"rendered":"<p>&nbsp;<\/p>\n<p>In 1964, a Philadelphia boy died as a result of a poorly preserved defibrillator. The event spawned the\u00a0<strong>Emergency Care Research Institute, or ECRI<\/strong>, a non-profit organization that evaluates the safety of medical procedures, processes, drugs, products and systems via applied scientific research methods.<\/p>\n<p>We believe ECRI&#8217;s thought leadership is imperative to the way we conceive of certain technologies within the health IT industry. Case in point: James P. Keller, Jr., ECRI\u2019s VP of Health Technology Evaluation and Safety, <a href=\"https:\/\/www.carecloud.com\/continuum\/breaking-down-the-top-health-technology-hazards-for-2012\/\">sat down with us last year to discuss the annual &#8220;Top 10 Health Technology Hazards&#8221; list<\/a>, detailing why data loss was excluded from the final group despite ranking prominently in 2011.<\/p>\n<p><!--more-->Power Your Practice brought Mr. Keller back for a second round this year. We discuss why patient\/data mismatches in EHRs and interoperability rank as threats in 2013, and <strong>outline preventive measures physicians and their practices can take.<\/strong><\/p>\n<p><em>1. What criteria do you use to compile each year\u2019s list? What kind of research is involved?<\/em><\/p>\n<p>Each of the ten hazards on our list met one or more of the following criteria:<\/p>\n<ul>\n<li>It can harm or kill someone.<\/li>\n<li>It has frequently occurred.<\/li>\n<li>It can affect a large number of individuals.<\/li>\n<li>It\u2019s had a high profile, for example, from widespread coverage in the news.<\/li>\n<\/ul>\n<p>Another factor that determined if an item made our list is that there must be clear steps for hospitals to take now to minimize the risk.<\/p>\n<p>Some of the research we used to help come up with our Top Ten list includes (1) review and analysis of problem reports submitted to ECRI Institute and other organizations like FDA, (2) review of our technology-related accident investigation files, (3) review of technology-related concerns covered in the clinical literature and lay press, (4) discussions among our clinical and technical experts and with those from other organizations, and (5) monitoring\u00a0<a href=\"https:\/\/www.carecloud.com\/continuum\/5-things-your-medical-practice-can-learn-from-steve-jobs\/\">trends for how health technology is being used<\/a>.<\/p>\n<p><em>2. What factors come into play with patient\/data mismatches in EHRs? What are some of the immediate dangers?<\/em><\/p>\n<p>ECRI Institute\u2019s research and testing show that patient\/data association errors with health IT systems do occur.\u00a0 With the rapid adoption of health IT systems from the government\u2019s meaningful use-related incentives, there\u2019s a significant risk that there will be many more of these errors.<\/p>\n<p><em>3. What are some tips for addressing said dangers?<\/em><\/p>\n<p>Carefully consider how all the connected technologies facilitate placing the right patient data into the right record.\u00a0 Options may include choosing a patient from a picklist or scanning the bar code on a patient\u2019s wristband.<\/p>\n<p><em>4. Preventive measures?\u00a0<\/em><\/p>\n<p>Fully test IT systems before installation or after significant software changes.\u00a0 Include test procedures that look for patient and data disassociation errors.<\/p>\n<p><em>5. Why is interoperability with medical devices and health IT systems such a huge hurdle for the industry?\u00a0<\/em><\/p>\n<p>Interoperability between medical devices and health IT systems adds a new level of complexity to these systems so that they are effectively interdependent.\u00a0 Without connectivity, a device problem can only affect the device itself.\u00a0 With connectivity, the problem can potentially cascade to many devices and systems.<\/p>\n<p><em>6. Can vendors integrate their EHRs by following, say, the \u201cnetwork of networks\u201d model used by the banking industry? Would that increase security?\u00a0<\/em><\/p>\n<p>The integration definitely needs to follow the network of networks model.\u00a0 And if done right, that should increase security.\u00a0 However, the devil is in the details and there is no plug-and-play way to apply the network of network principles for hospital systems today.\u00a0 A good way to move in that direction though is for hospitals to adopt the IEC 80001 standard on the Application of risk management for IT networks incorporating medical devices.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>&nbsp; In 1964, a Philadelphia boy died as a result of a poorly preserved defibrillator. The event spawned the\u00a0Emergency Care Research Institute, or ECRI, a non-profit organization that evaluates the safety of medical procedures, processes, drugs, products and systems via applied scientific research methods. We believe ECRI&#8217;s thought leadership is imperative to the way we [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":32785,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[8],"tags":[],"class_list":["post-4137","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-trends"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Breaking Down 2013&#039;s Top Health Tech Hazards \u2013 Continuum<\/title>\n<meta name=\"description\" content=\"Want to know what health technology hazards to look out for next year? Here is what ECRI Institute&#039;s James P. 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