0 comments

8 seconds or less: How physician input improved usability

  • Jeanne Armstrong, M.D.
  • 05/24/2016

Physician input is vital for good Health IT design. The only way we can continue to improve adoption, usability – and ultimately patient safety – is to engage users early, often and through all stages of software design. Involving users is one of the guiding principles of Allscripts’ user-centered design (UCD) process, the subject of a recent white paper. When building new products or improving existing solutions, we follow those best practices. Formative testing catches mistakes before it’s too late All too often, users don’t get a chance to weigh in until Health IT solutions are about to be released. But we take great care to conduct formative testing for our new features and solutions. This type of testing occurs with early versions of solutions, such as wireframes, sketches or prototypes. Designers hold one-on-one sessions with actual users. They provide […]

Technology is one of the biggest paradoxes in health care. On the clinical front, modern day technologies offer patients life-saving therapies and improvement in quality of life. But communication among providers has seen little evolution over the past decades, still relying on pagers, fax machines and paper printouts. So we shouldn’t be surprised by a recently published study that revealed preventable medical errors are the third leading cause of death after heart disease and cancer. The majority of medical errors are due to poor ability to effectively communicate as a team of providers about the patient’s health. These sobering statistics, coupled with the day-to-day struggle to deliver high-quality care with outdated care coordination tools, inspired a group of Harvard-trained physicians and engineers to join forces. Together, they created a unique mobile care coordination platform for the hospital setting, called Yosko. […]

0 comments

Saving children’s lives with data

Data and reports are unlikely tools for heroes. But the team at Texas Children’s Hospital (Houston, Texas, U.S.A.) is analyzing patient information and tracking clinical results to help improve care for vulnerable, critically ill children. A recent success story outlines some of the many ways Texas Children’s is using Allscripts EPSi™ to support clinical initiatives throughout the organization. One example of these efforts is helping infants who have difficulty swallowing. Better evaluation of babies with swallowing difficulty, to reduce risk of aspiration Children who do not swallow safely are at risk for feeding and respiratory problems. Unfortunately, the primary tool to assess swallowing disorders is invasive and its radiation may have long-term negative effects. Occupational therapists approached Senior Decision Support Analyst Mary Watson with a request to develop a way to identify infants at risk for aspiration. Using EPSi, Watson […]

8 comments

That moment a nurse never forgets

  • Kerry D. Bruning, RN, BSN, MBA
  • 05/05/2016

Every nurse has at least one eye-opening experience that changes them forever. One of mine happened in a pediatric oncology unit almost 20 years ago. I was taking care of a seven-year-old boy, Jack*, who was recovering from a bone marrow transplant. Weakened by intense radiology and chemotherapy treatments, he had been unresponsive for several days. Despite his illness, Jack was an optimist. He was raising money to buy a bicycle so he could ride home from the hospital one day. Jack made and sold buttons for 50 cents each to help reach his goal. When I was doing rounds one night, I dropped two quarters in the jar next to his bed and took a button. I pinned it to my scrubs and gave the jar a shake to let Jack know he was one step closer to that […]

Implementing electronic health records (EHR) is no easy task, but there are key lessons learned from successful implementations that can ensure success. Allscripts Sunrise™ clients have shared tips about how they’ve implemented EHR projects on time, on budget and with the outcomes they expected. Here are a few tips I’ve gleaned from clients who know best: 1  It all starts with strong leadership An EHR implementation requires a massive amount of change, which is never easy. But if the leadership team supports the project, it will be easier to motivate and align the team to the organization’s goals. Leaders at the highest level need to visibly and consistently reinforce the message that failure is not an option. 2. Focus on outcomes – Understand the WHY Driving change is much easier when clinicians understand “the why.”  It is critical to articulate […]