Research Topics
| R KaushalSummaryAffiliation: Massachusetts General Hospital Country: USA Publications
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Detail Information
Publications
A draft framework for measuring progress towards the development of a National Health Information InfrastructureDean F Sittig
Department of Medical Informatics, Northwest Permanente, P C, Portland, OR, USA
BMC Med Inform Decis Mak 5:14. 2005..We describe a conceptual framework to help measure progress toward that goal...- Assessing the level of healthcare information technology adoption in the United States: a snapshotEric G Poon
Division of General Medicine and Primary Care, Brigham and Women s Hospital, Boston, MA, USA
BMC Med Inform Decis Mak 6:1. 2006..Comprehensive knowledge about the level of healthcare information technology (HIT) adoption in the United States remains limited. We therefore performed a baseline assessment to address this knowledge gap... - Using chart review to screen for medication errors and adverse drug eventsRainu Kaushal
General Medicine Division, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USA
Am J Health Syst Pharm 59:2323-5. 2002 - The costs of a national health information networkRainu Kaushal
Brigham and Women s Hospital, Institute for Health Policy, Massachusetts General Hospital, Partners HealthCare System, Harvard School of Public Health, and Harvard University, Boston, Massachusetts 02120, USA
Ann Intern Med 143:165-73. 2005..The use of information technology may result in a safer and more efficient health care system. However, consensus does not exist about the structure or costs of a national health information network (NHIN)... - Return on investment for a computerized physician order entry systemRainu Kaushal
Division of General Medicine and Primary Care, Department of Medicine, Brigham and Women s Hospital and Harvard Medical School, 1620 Tremont Street, Boston, MA 02120 1613, USA
J Am Med Inform Assoc 13:261-6. 2006..The high costs and limited data on financial benefits of CPOE systems are a major barrier to adoption. The authors assessed the costs and financial benefits of the CPOE system at Brigham and Women's Hospital over ten years... - Pediatric medication errors: what do we know? What gaps remain?Rainu Kaushal
Division of General Internal Medicine, Brigham and Women's Hospital, Boston, MA 02120-1613, USA
Ambul Pediatr 4:73-81. 2004 - Effects of computerized physician order entry and clinical decision support systems on medication safety: a systematic reviewRainu Kaushal
Division of General Internal Medicine, Brigham and Women s Hospital, Partners HealthCare System, Boston, Mass, USA
Arch Intern Med 163:1409-16. 2003..Iatrogenic injuries related to medications are common, costly, and clinically significant. Computerized physician order entry (CPOE) and clinical decision support systems (CDSSs) may reduce medication error rates... - Adverse drug events in pediatric outpatientsRainu Kaushal
Division of General Internal Medicine, Brigham and Women s Hospital, Boston, MA, USA
Ambul Pediatr 7:383-9. 2007..To determine rates and types of adverse drug events (ADEs) in the pediatric ambulatory setting... - Information technology and medication safety: what is the benefit?R Kaushal
Division of General Internal Medicine, Brigham and Women s Hospital, Partners HealthCare System, Harvard Medical School, Boston, MA, USA
Qual Saf Health Care 11:261-5. 2002..Public and private mandates for information technology interventions are growing, but further development, application, evaluation, and dissemination are required... - How can information technology improve patient safety and reduce medication errors in children's health care?R Kaushal
Department of Medicine, Brigham and Women s Hospital, 75 Francis St, Boston, MA 02115, USA
Arch Pediatr Adolesc Med 155:1002-7. 2001..Medication errors are common, costly, and injurious to patients... - Functional gaps in attaining a national health information networkRainu Kaushal
Brigham and Women s Hospital, Boston, USA
Health Aff (Millwood) 24:1281-9. 2005..Smaller stakeholders, such as home health care agencies, will lag in adoption. Policy changes, such as financial incentives to HIT end users or regulatory measures, may help accelerate the adoption of HIT for a model NHIN... - The role of advice in medication administration errors in the pediatric ambulatory settingClaire Lemer
Harkness Health Foundation Fellow, Division of General Internal Medicine, Brigham and Women s Hospital, Boston, Massachusetts, USA
J Patient Saf 5:168-75. 2009..In the pediatric setting, adverse events occurring at the administration stage are the most common type of preventable adverse drug events. Few data are available on the effect of advice from medical professionals on medication safety... - Prioritizing strategies for preventing medication errors and adverse drug events in pediatric inpatientsElizabeth B Fortescue
Department of Medicine, Quality Improvement, and Risk Management, Children's Hospital, Boston, Massachusetts, USA
Pediatrics 111:722-9. 2003..Development, implementation, and assessment of such interventions in the pediatric inpatient setting are needed... - Physicians and electronic health records: a statewide surveySteven R Simon
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA 02215, USA
Arch Intern Med 167:507-12. 2007..Electronic health records (EHRs) allow for a variety of functions, ranging from visit documentation to laboratory test ordering, but little is known about physicians' actual use of these functions... - Medication errors and adverse drug events in pediatric inpatientsR Kaushal
Children's Hospital, Enders 609, Longwood Avenue, Boston, MA 02115, USA
JAMA 285:2114-20. 2001..CONCLUSIONS: Medication errors are common in pediatric inpatient settings, and further efforts are needed to reduce them... - The costs and savings associated with prevention of adverse events by critical care nursesJeffrey M Rothschild
Division of General Medicine and Primary Care, Department of Medicine, Brigham and Women s Hospital, Boston, MA 02120 1613, USA
J Crit Care 24:471.e1-7. 2009..The aim of the study was to determine the costs and savings associated with prevention of adverse events (AEs) by critical care nurses... - Electronic health records in ambulatory care--a national survey of physiciansCatherine M DesRoches
Institute for Health Policy, Massachusetts General Hospital, Boston 02114, USA
N Engl J Med 359:50-60. 2008..This study assessed physicians' adoption of outpatient electronic health records, their satisfaction with such systems, the perceived effect of the systems on the quality of care, and the perceived barriers to adoption... - Time to tackle the tough issues in patient safetyDonald Goldmann
Department of Medicine, Children's Hospital, Boston, MA 02115, USA
Pediatrics 110:823-6. 2002 - Electronic health records: which practices have them, and how are clinicians using them?Steven R Simon
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA 02215, USA
J Eval Clin Pract 14:43-7. 2008..Limited data exist to estimate the use of electronic health records (EHRs) in ambulatory care practices in the United States... - The National Emergency Department Safety Study: study rationale and designAshley F Sullivan
Department of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA
Acad Emerg Med 14:1182-9. 2007..NEDSS is the first comprehensive national study of the frequency and types of medical errors in EDs. This article describes the methods used to develop and implement the study... - Correlates of electronic health record adoption in office practices: a statewide surveySteven R Simon
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, 133 Brookline Avenue, Sixth Floor, Boston, MA 02215, USA
J Am Med Inform Assoc 14:110-7. 2007..We sought to measure the correlates of EHR adoption... - Analysis of medication-related malpractice claims: causes, preventability, and costsJeffrey M Rothschild
Division of General Medicine, Department of Medicine, Brigham and Women s Hospital, 75 Francis St, Boston, MA 02115, USA
Arch Intern Med 162:2414-20. 2002..We also assessed the potential benefits of proved effective ADE prevention strategies on ADE claims prevention... - Overcoming barriers to adopting and implementing computerized physician order entry systems in U.S. hospitalsEric G Poon
Harvard Medical School, Division of General Internal Medicine, Brigham and Women s Hospital, Boston, Massachusetts, USA
Health Aff (Millwood) 23:184-90. 2004..Dissemination of data standards would accelerate the maturation of vendors and lower CPOE costs. These findings highlight several policy levers to speed the adoption of this important patient safety technology... - The Critical Care Safety Study: The incidence and nature of adverse events and serious medical errors in intensive careJeffrey M Rothschild
Divisions of General Internal Medicine, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA
Crit Care Med 33:1694-700. 2005..Although many types of errors were identified, failure to carry out intended treatment correctly was the leading category... - Physicians' use of key functions in electronic health records from 2005 to 2007: a statewide surveySteven R Simon
MPH Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA, USA
J Am Med Inform Assoc 16:465-70. 2009..System refinements, certification efforts, and health policies, including standards development, should address the gaps in both EHR adoption and the use of key functions... - Readiness for electronic health records: comparison of characteristics of practices in a collaborative with the remainder of MassachusettsSteven R Simon
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, 133 Brookline Avenue, Boston, MA 02215, USA
Inform Prim Care 16:129-37. 2008..This study's objective was to assess the degree to which these practices are representative of physicians' practices statewide... - A survey of workplace violence across 65 U.S. emergency departmentsSusan M Kansagra
Department of Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA
Acad Emerg Med 15:1268-74. 2008..Healthcare workers represent a significant portion of the victims, especially those who work in the emergency department (ED). The objective of this study was to examine ED workplace violence and staff perceptions of physical safety... - Quality of care for acute asthma in 63 US emergency departmentsChu Lin Tsai
Department of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, Mass
J Allergy Clin Immunol 123:354-61. 2009..Little is known about the quality of acute asthma care in the emergency department (ED)... - Pediatric medication safety and the media: what does the public see?Claire Stebbing
Division of General Internal Medicine, Brigham and Women's Hospital, Boston, Massachusetts 02120, USA
Pediatrics 117:1907-14. 2006..CONCLUSIONS: Media coverage of pediatric medication safety has increased in the past 10 years. Reporting of patient safety failures was generally fair, and reports were generally framed in light of a culture of safety... - Relationship between use of electronic health record features and health care quality: results of a statewide surveyEric G Poon
Division of General Medicine, Brigham and Women s Hospital, Boston, MA, USA
Med Care 48:203-9. 2010..However, evidence regarding their effectiveness for this purpose is mixed, and existing studies have generally considered EHR usage a binary factor and have not considered the availability and use of specific EHR features... - How to avoid paediatric medication errors: a user's guide to the literatureK E Walsh
The Department of Pediatrics, Boston University School of Medicine Boston Medical Center, Boston, MA 02118, USA
Arch Dis Child 90:698-702. 2005..This report calls for a review of paediatric medication delivery systems to assess safety for children... - Effect of reducing interns' work hours on serious medical errors in intensive care unitsChristopher P Landrigan
Division of Sleep Medicine, Brigham and Women s Hospital, Boston, MA 02115, USA
N Engl J Med 351:1838-48. 2004..Although sleep deprivation has been shown to impair neurobehavioral performance, few studies have measured its effects on medical errors... - Costs of adverse events in intensive care unitsRainu Kaushal
Division of General Internal Medicine and Primary Care, Department of Medicine, Brigham and Women s Hospital, Harvard Medical School, Boston, MA, USA
Crit Care Med 35:2479-83. 2007..Iatrogenic injuries are very common in critically ill adults. However, the financial implications of these events are incompletely understood... - Impact of a patient-centered technology on medication errors during pediatric emergency careStephen C Porter
Division of Emergency Medicine, Children s Hospital Boston, Boston, Massachusetts 02115, USA
Ambul Pediatr 8:329-35. 2008..The aim of this study was to determine the impact of a patient-centered health information technology (HIT) on the error rate for ordering and prescribing of medications during emergency pediatric care... - The who, what, and why of risk adjustment: a technology on the cusp of adoptionDavid Blumenthal
Harvard Medical School, USA
J Health Polit Policy Law 30:453-73. 2005..For the future of RA in particular, its history suggests the need for health service researchers to consider barriers to use adoption and new analytic technologies as they develop them... - Unit-based clinical pharmacists' prevention of serious medication errors in pediatric inpatientsRainu Kaushal
Department of Public Health, Weill Cornell Medical College, New York, NY 10021, USA
Am J Health Syst Pharm 65:1254-60. 2008..Rates of serious medication errors in three pediatric inpatient units (intensive care, general medical, and general surgical) were measured before and after introduction of unit-based clinical pharmacists... - Challenges to EHR implementation in electronic- versus paper-based office practicesStephanie O Zandieh
Department of Pediatrics, Weill Cornell Medical College, New York, NY 10065, USA
J Gen Intern Med 23:755-61. 2008..Challenges in implementing electronic health records (EHRs) have received some attention, but less is known about the process of transitioning from legacy EHRs to newer systems... - Risk factors in preventable adverse drug events in pediatric outpatientsStephanie O Zandieh
Department of Pediatrics, Weill Cornell Medical College and Komansky Center for Children s Health at New York Presbyterian Hospital, New York, New York, USA
J Pediatr 152:225-31. 2008..To determine whether there are racial/ethnic, socioeconomic, parental linguistic, or parental educational disparities in children who experienced an adverse drug event (ADE) in the ambulatory setting... - Electronic result viewing and quality of care in small group practicesLisa M Kern
Department of Public Health, Weill Cornell Medical College, New York, NY 10021, USA
J Gen Intern Med 23:405-10. 2008..In particular, the effect of electronic laboratory result viewing on quality of care, including preventive care, chronic disease management, and patient satisfaction, is unclear... - Potential medication dosing errors in outpatient pediatricsHeather A McPhillips
Department of Pediatrics and Epidemiology, University of Washington, and the Center for Health Studies, Group Health Cooperative, Seattle, Washington, 98105, USA
J Pediatr 147:761-7. 2005..To determine the prevalence of potential dosing errors of medication dispensed to children for 22 common medications... - Prevention of pediatric medication errors by hospital pharmacists and the potential benefit of computerized physician order entryJerome K Wang
Department of Pediatrics, Cedars Sinai Health System, 8700 Beverly Blvd, EIS, Steven Spielberg Building, 3rd Floor, Los Angeles, CA 90048, USA
Pediatrics 119:e77-85. 2007.... - To what extent do pediatricians accept computer-based dosing suggestions?Brigid K Killelea
New York Presbyterian Hospital, New York, New York, USA
Pediatrics 119:e69-75. 2007..Our objective was to determine physician acceptance of dosing and frequency decision support elements in an inpatient pediatric computerized physician order entry system at 1 academic medical center... - The role of communication in paediatric drug safetyClaire Stebbing
Paediatric Department, Chase Farm Hospital, Enfield, Middlesex, UK
Arch Dis Child 92:440-5. 2007..This review is an attempt to identify the importance of communication in paediatric mediation safety and to allow practical application of these findings... - Discovering how to think about a hospital patient information system by struggling to evaluate it: a committee's journalJoseph Schulman
Department of Pediatrics, Division of Newborn Medicine, Weill Medical College of Cornell University, 525 East 68th Street, Box 106, New York, NY 10065, USA
J Am Med Inform Assoc 14:537-41. 2007.... - The United Hospital Fund meeting on evaluating health information exchangeGeorge Hripcsak
Department of Biomedical Informatics, Columbia University, 622 West 168th Street, VC5, New York, NY 10032, USA
J Biomed Inform 40:S3-10. 2007..Unintended consequences should be monitored. A comprehensive study of return on investment requires an assessment of all effects. Program evaluation across several projects may help set future policy... - Health information technology and health information exchange in New York State: new initiatives in implementation and evaluationLisa M Kern
Department of Public Health, Weill Cornell Medical College, 411 East 69th Street, New York, NY 10021, USA
J Biomed Inform 40:S17-20. 2007..The results of these evaluations should inform decisions made by leaders in HIT and HIE in New York State and across the nation...