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AHRQ Training Program in Patient Safety and Quality: Using Health Information Technology to Improve Quality and Safety

2008–2013 Agency for Healthcare Research and Quality: 1T32HS017586-01 Total award $2.1 million PI: Dean Sittig

Project Description

The purpose of this program was to train future scientists to design, implement, select, evaluate, and implement health information technology from a systems and human factors perspective, in order to increase the quality and safety of healthcare.

AHRQ Training Program Website

Progress and Outcomes

Over the course of five years, the AHRQ TP has trained twelve pre-doctoral trainees and eight postdoctoral trainees. Six of our former fellows are still in training. Many of our graduates are now working in successful careers, including:

  • Roxana Maffei – Biomedical Informatics Researcher, Columbia University
  • Nnaemeka Okafor – Attending Emergency Department Physician, Memorial Hermann Hospital, Houston, Texas (recently named, Director of Medical Informatics for all Memorial Hermann Hospitals)
  • Claire Loe – Health Informatics Fellow at the CDS
  • Joanna Abraham – Assistant Professor, Biomedical and Health Information Sciences, University of Illinois at Chicago, IL
  • Felix Tsai – Pediatric Cardiology Surgeon, Children’s Hospital of the King’s Daughters, Norfork, Virginia
  • Velma Payne – Post-doc Fellow Government Affairs, Department of Veteran’s Affairs, Houston, Texas
  • Sina Madani – Clinical Informatics Researcher, MD Anderson Cancer Center
  • Matthew Vagnoni – CTO of Ted Ventures, Houston, Texas
  • Ryan Radecki – Assistant Professor, Emergency Medical Services, University of Texas Medical School, Houston, Texas
  • Angelica Roncancio – Assistant Professor, School of Public Health, University of Texas, Houston

Relevant Publications

  1.  Kleinman JC, Kopstein AN. Who is being screened for cervical cancer? Am J Public Health 1981 Nov 7;71(24):73-6. Alberts ME. Immunization [editorial]. Iowa Med 1989 Oct;79(10):489-93.
  2. Abraham J, Kannampallil TG, Almoosa KF, et al. Comparative evaluation of the content and structure of communication using two handoff tools: implications for patient safety. J Crit Care. 2014 Apr;29(2):311.e1-7.
  3. Abraham J, Kannampallil T, Patel B, et al. Ensuring patient safety in care transitions: an empirical evaluation of a Handoff Intervention Tool. AMIA Annu Symp Proc. 2012;2012:17-26.
  4. Abraham J, Nguyen V, Almoosa KF, et al. Falling through the cracks: information breakdowns in critical care handoff communication. AMIA Annu Symp Proc. 2011;2011:28-37.
  5. Abraham J, Kannampallil TG, Patel VL. Bridging gaps in handoffs: a continuity of care based approach. J Biomed Inform. 2012 Apr;45(2):240-54. doi: 10.1016/j.jbi.2011.10.011.
  6. Abraham J, Reddy MC. Challenges to inter-departmental coordination of patient transfers: a workflow perspective. Int J Med Inform. 2010 Feb;79(2):112-22.
  7. Berster BT, Goodwin JC, Cohen T. Hyperdimensional computing approach to word sense disambiguation. AMIA Annu Symp Proc. 2012;2012:1129-38.
  8. Goodwin JC, Johnson TR, Cohen T, et al. Predicting biomedical document access as a function of past use. J Am Med Inform Assoc. 2012 May-Jun;19(3).
  9. Herskovic JR, Goodwin JC, Bozzo Silva PA, et al. Sequential incoherence in a multi-party synchronous computer mediated communication for an introductory Health Informatics course. AMIA Annu Symp Proc. 2010 Nov 13;2010:296-300.
  10. Maffei RM, Dunn K, Zhang J, et al. Understanding behavioral intent to participate in shared decision-making in medically uncertain situations. Methods Inf Med. 2012;51(4):301-8.
  11. Ruland CM, Maffei RM, Børøsund E, et al. Evaluation of different features of an eHealth application for personalized illness management support: cancer patients’ use and appraisal of usefulness. Int J Med Inform. 2013 Jul;82(7):593-603.
  12. Maffei RM. Developing a conceptual map of patient information needs in prostate cancer screening. Nurs Inform. 2012 Jun 23;2012:273.
  13. Maffei R, Burciago D, Dunn K. Determining business models for financial sustainability in regional health information organizations (RHIOs): a review. Popul Health Manag. 2009 Oct;12(5):273-8. Maffei R, Hudson Y, Dunn K. Telemedicine for urban uninsured: a pilot framework for specialty care planning for sustainability. Telemed J E Health. 2008 Nov;14(9):925-31.
  14. Maffei R, Dunn K. Determining business models for financial sustainability in regional health information organizations: a literature review. AMIA Annu Symp Proc. 2008 Nov 6:1038.
  15. Maffei RM, Turner N, Dunn K. Building blocks to adopting a pay-for-performance model. JONAS Healthc Law Ethics Regul. 2008 Jul-Sep;10(3):64-9.
  16. Menon S, Singh H, Meyer AN, et al. Electronic health record-related safety concerns: a cross-sectional survey. J Healthc Risk Manag. 2014;34(1):14-26.
  17. Davis Giardina T, Menon S, Parrish DE, et al. Patient access to medical records and healthcare outcomes: a systematic review. J Am Med Inform Assoc. 2014 Jul-Aug;21(4):737-41.
  18. Abraham J, Nguyen V, Almoosa KF, et al. Falling through the cracks: information breakdowns in critical care handoff communication. AMIA Annu Symp Proc. 2011;2011:28-37.
  19. Walji MF, Kalenderian E, Tran D, et al. Detection and characterization of usability problems in structured data entry interfaces in dentistry. Int J Med Inform. 2013 Feb;82(2):128-38.
  20. Franklin A, Liu Y, Li Z, et al. Opportunistic decision making and complexity in emergency care. J Biomed Inform. 2011 Jun;44(3):469-76.
  21. Franklin A, Liu Y, Li Z, et al. Opportunistic decision making and complexity in emergency care. J Biomed Inform. 2011 Jun;44(3):469-76.
  22. Payne VL, Singh H, Meyer AN, et al. Patient-initiated second opinions: systematic review of characteristics and impact on diagnosis, treatment, and satisfaction. Mayo Clin Proc. 2014 May;89(5):687-96.
  23. Meyer AN, Payne VL, Meeks DW, et al. Physicians’ diagnostic accuracy, confidence, and resource requests: a vignette study. JAMA Intern Med. 2013 Nov 25;173(21):1952-8.
  24. Trautner BW, Bhimani RD, Amspoker AB, et al. Development and validation of an algorithm to recalibrate mental models and reduce diagnostic errors associated with catheter-associated bacteriuria. BMC Med Inform Decis Mak. 2013 Apr 15;13:48.
  25. Graber ML, Kissam S, Payne VL, et al. Cognitive interventions to reduce diagnostic error: a narrative review. BMJ Qual Saf. 2012 Jul;21(7):535-57.
  26. Radecki RP. Acute ischemic stroke and timing of treatment. JAMA. 2013 Nov 6;310(17):1855-6.
  27. Radecki RP. Pharmaceutical sponsorship bias influences thrombolytic literature in acute ischemic stroke. West J Emerg Med. 2011 Nov;12(4):435-41.
  28. Radecki RP, Chathampally YG, Press GM. Annals of Emergency Medicine Journal Club. rt-PA and Stroke: does IST-3 make it all clear or muddy the waters? Ann Emerg Med. 2012 Nov;60(5):666-7.
  29. Radecki RP, Chathampally YG, Press GM. rt-PA and stroke: does IST-3 make it all clear or muddy the waters? Answers to the November 2012 Journal Club questions. Ann Emerg Med. 2013 Apr;61(4):489-98.
  30. Radecki RP. CT coronary angiography: new risks for low-risk chest pain. Emerg Med J. 2013 Oct;30(10):856-7.
  31. Radecki RP. Thrombolytic use in transient ischemic attack and stroke mimics. Ann Emerg Med. 2012 Apr;59(4):336-7; author reply 337-8.
  32. Radecki RP. Letter by Radecki regarding article, “safety of thrombolysis in stroke mimics: results from a multicenter cohort study”. Stroke. 2013 Sep;44(9):e105
  33. Radecki RP, McCoy AB, Sirajuddin AM, et al. Effectiveness of bar coded medication alerts for elevated potassium. AMIA Annu Symp Proc.2012;2012:1360-5.
  34. Radecki RP. Skepticism about thrombolytics in stroke is not unreasonable. Nat Rev Neurol. 2012 Jan 17;8(3):176.
  35. Spiegel RJ, Nickson CP, Radecki RP. Fibrinolysis for intermediate-risk pulmonary embolism. N Engl J Med. 2014 Aug 7;371(6):581.
  36. Resnick MP, Santana F, de Araujo Novaes M, et al. Representing second opinion requests from primary care within the Brazilian tele-health program: international classification of primary care, second edition. Stud Health Technol Inform. 2013;192:1190.
  37. Rosemblat G, Resnick MP, Auston I, et al. Extending SemRep to the Public Health Domain. J Am Soc Inf Sci Technol. 2013 Oct;64(10):1963-1974.
  38. Roncancio AM, Ward KK, Fernandez ME. Understanding cervical cancer screening intentions among Latinas using an expanded theory of planned behavior model. Behav Med. 2013;39(3):66-72.
  39. Ward KK, Roncancio AM, Cano MA, et al. An ecological analysis of the incidence of invasive squamous cell carcinoma of the cervix in Hispanic women in the United States. Ethn Dis. 2014 Spring;24(2):243-7.
  40. Cano MA, Castillo LG, Castro Y, et al. Acculturative Stress and Depressive Symptomatology Among Mexican and Mexican American Students in the U.S.: Examining Associations with Cultural Incongruity and Intragroup Marginalization. Int J Adv Couns. 2014 Jun 1;36(2):136-149.
  41. Roncancio AM, Ward KK, Fernandez ME. The Influence of Time Perspective on Cervical Cancer Screening among Latinas in the United States. J Health Psychol. 2013 Aug 8.
  42. Webster F, Bremner S, Katz J, et al. Patients’ perceptions of joint replacement care in a changing healthcare system: a qualitative study. Healthc Policy. 2014 Feb;9(3):55-66.
  43. Singh H, Spitzmueller C, Petersen NJ, et al. Information overload and missed test results in electronic health record-based settings. JAMA Intern Med. 2013 Apr 22;173(8):702-4.
  44. Singh H, Spitzmueller C, Petersen NJ, et al. Primary care practitioners’ views on test result management in EHR-enabled health systems: a national survey. J Am Med Inform Assoc. 2013 Jul-Aug;20(4):727-35.
  45. Hysong SJ, Sawhney MK, Wilson L, et al. Understanding the management of electronic test result notifications in the outpatient setting. BMC Med Inform Decis Mak. 2011 Apr 12;11:22.
  46. Singh H, Wilson L, Reis B, et al. Ten strategies to improve management of abnormal test result alerts in the electronic health record. i. 2010 Jun;6(2):121-3.
  47. Hysong SJ, Sawhney MK, Wilson L, et al. Provider management strategies of abnormal test result alerts: a cognitive task analysis. J Am Med Inform Assoc. 2010 Jan-Feb;17(1):71-7.
  48. Singh H, Wilson L, Petersen LA, et al. Improving follow-up of abnormal cancer screens using electronic health records: trust but verify test result communication. BMC Med Inform Decis Mak. 2009 Dec 9;9:49.
  49. Hysong SJ, Sawhney MK, Wilson L, et al. Improving outpatient safety through effective electronic communication: a study protocol. Implement Sci. 2009 Sep 25;4:62.
  50. Xu A, Chomutare T, Iyengar S. Persuasive attributes of medication adherence interventions for older adults: a systematic review. Technol Health Care. 2014 Jan 1;22(2):189-98.

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