The Analytic Link Between Population Health and Leading Hospital and Ambulatory Patient Safety Considerations

The Analytic Link Between Population Health and Leading Hospital and Ambulatory Patient Safety Considerations

John Roman Zaleski (Bernoulli Health, USA) and Ramani Peruvemba (Health Solutions Research, USA)
DOI: 10.4018/978-1-5225-7591-7.ch006
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The use of data for identifying individuals at risk for chronic or high-cost health conditions has been expanding over the past dozen years. The availability of data from patient electronic health records and other sources close to the patient, such as through continuous physiologic monitoring, are demonstrating that information from these sources can greatly assist in both identifying the patients most likely to be at-risk as well as providing the insight into which patients, once diagnosed, are likely to experience adverse events while in-hospital or at-home. In this chapter, the authors discuss key health-related patient safety issues and how the use of data from population-based sources such as health information exchanges (HIEs), electronic health record systems (EHRs), and real-time sources such as continuous physiologic monitoring can assist in diagnosing and identifying key markers of patient adverse events. The interpretation of these data can result in earlier intervention at the bedside that have an impact on patient safety and the health of individuals.
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Acronyms List

Table 1 summarizes the list of acronyms employed in this chapter.

Table 1.
Glossary of acronyms
AAMIAssociation for the Advancement of Medical Instrumentation
CTEPHchronic thromboembolic pulmonary hypertension
EBSEvidence-Based Synthesis Program
EDEmergency Department
ECRIFrom their website, “ECRI Institute…[is] a nonprofit organization…dedicated to bringing the discipline of applied scientific research to discover which medical procedures, devices, drugs, and processes are best, all to enable …[improvements in] patient care.”
EHRElectronic Health Record or
Electronic Health Record System
EMSEmergency Medical Services
EWSSEarly Warning System Score
HIEHealth Information Exchange
HITHealth Information Technology
ICDInternational Classification of Disease
ICUIntensive Care Unit
MSIModified Shock Index
OARM™Opioid Abuse Related Mortality
PDMPPrescription Drug Monitoring Program
P.R.N.Pro Re Nata (“as needed”)
OIVIOpioid-Induced Ventilatory Impairment
SIRSSystemic Inflammatory Response Syndrome
TJCThe Joint Commission

Key Terms in this Chapter

Electronic Health Record System: A charting system for the capture, presentation and clinical interaction of frontline personnel with patients for the purpose of managing, directing and diagnosing patient ailments and directing general care. These systems have supplanted legacy paper charting and provide the single interaction point for assessing patients by housing all relevant patient demographic, historical, discrete vital signs data, orders, imagery (i.e., all captured patient images), medications and dosing.

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