Hardeep Singh

Summary

Affiliation: Baylor College of Medicine
Country: USA

Publications

  1. pmc Missed opportunities to initiate endoscopic evaluation for colorectal cancer diagnosis
    Hardeep Singh
    Houston VA HSR and D Center of Excellence and The Center of Inquiry to Improve Outpatient Safety Through Effective Electronic Communication, Michael E DeBakey Veterans Affairs Medical Center and the Section of Health Services Research, Baylor College of Medicine, Houston, Texas, USA
    Am J Gastroenterol 104:2543-54. 2009
  2. pmc Older patients' enthusiasm to use electronic mail to communicate with their physicians: cross-sectional survey
    Hardeep Singh
    Houston VA Health Services Research and Development HSR and D Center of Excellence, Michael E DeBakey Veterans Affairs Medical Center, Department of Medicine, Baylor College of Medicine, Houston, Texas, USA
    J Med Internet Res 11:e18. 2009
  3. pmc Primary care practitioners' views on test result management in EHR-enabled health systems: a national survey
    Hardeep Singh
    Department of Medicine, Houston VA HSR and D Center of Excellence, Michael E DeBakey Veterans Affairs Medical Center and Section of Health Services Research, Baylor College of Medicine, Houston, Texas 77030, USA
    J Am Med Inform Assoc 20:727-35. 2013
  4. pmc Types and origins of diagnostic errors in primary care settings
    Hardeep Singh
    Michael E DeBakey Veterans Affairs Medical Center, and Section of Health Services Research, Department of Medicine, Baylor College of Medicine, Houston, Texas 77030, USA
    JAMA Intern Med 173:418-25. 2013
  5. pmc Safety Assurance Factors for Electronic Health Record Resilience (SAFER): study protocol
    Hardeep Singh
    Houston VA HSR and D Center of Excellence, the Michael E DeBakey Veterans Affairs Medical Center, Department of Medicine, Baylor College of Medicine, Houston, TX 77030, USA
    BMC Med Inform Decis Mak 13:46. 2013
  6. pmc Postreferral colonoscopy delays in diagnosis of colorectal cancer: a mixed-methods analysis
    Hardeep Singh
    Houston VA HSR and D Center of Excellence, Michael E DeBakey Veterans Affairs Medical Center, Section of Health Services Research, Department of Medicine, Baylor College of Medicine, Houston, Texas 77030, USA
    Qual Manag Health Care 21:252-61. 2012
  7. pmc Underdiagnosis of Lynch syndrome involves more than family history criteria
    Hardeep Singh
    Houston VA HSR and D Center of Excellence, Houston, Texas, USA
    Clin Gastroenterol Hepatol 8:523-9. 2010
  8. ncbi request reprint Eight recommendations for policies for communicating abnormal test results
    Hardeep Singh
    Houston US Department of Veterans Affairs Health Services Research and Development Service VA HSR and D Center of Excellence, Houston, USA
    Jt Comm J Qual Patient Saf 36:226-32. 2010
  9. pmc Electronic health record-based surveillance of diagnostic errors in primary care
    Hardeep Singh
    Houston VA HSR and D Center of Excellence, Michael E DeBakey Veterans Affairs Medical Center, Houston, Texas, USA
    BMJ Qual Saf 21:93-100. 2012
  10. pmc System-related interventions to reduce diagnostic errors: a narrative review
    Hardeep Singh
    Houston VA Health ServicesR and D Center of Excellence, Houston, Texas, USA
    BMJ Qual Saf 21:160-70. 2012

Detail Information

Publications53

  1. pmc Missed opportunities to initiate endoscopic evaluation for colorectal cancer diagnosis
    Hardeep Singh
    Houston VA HSR and D Center of Excellence and The Center of Inquiry to Improve Outpatient Safety Through Effective Electronic Communication, Michael E DeBakey Veterans Affairs Medical Center and the Section of Health Services Research, Baylor College of Medicine, Houston, Texas, USA
    Am J Gastroenterol 104:2543-54. 2009
    ..Our objective was to describe missed opportunities to diagnose CRC before endoscopic referral, in terms of patient characteristics, nature of clinical clues, and types of diagnostic-process breakdowns involved...
  2. pmc Older patients' enthusiasm to use electronic mail to communicate with their physicians: cross-sectional survey
    Hardeep Singh
    Houston VA Health Services Research and Development HSR and D Center of Excellence, Michael E DeBakey Veterans Affairs Medical Center, Department of Medicine, Baylor College of Medicine, Houston, Texas, USA
    J Med Internet Res 11:e18. 2009
    ..Electronic mail (email) represents a means of communication that, coupled with face-to-face communication, could enhance quality of care for older patients...
  3. pmc Primary care practitioners' views on test result management in EHR-enabled health systems: a national survey
    Hardeep Singh
    Department of Medicine, Houston VA HSR and D Center of Excellence, Michael E DeBakey Veterans Affairs Medical Center and Section of Health Services Research, Baylor College of Medicine, Houston, Texas 77030, USA
    J Am Med Inform Assoc 20:727-35. 2013
    ..We sought to understand the broad range of social and technical factors that affect test result management in an integrated EHR-based health system...
  4. pmc Types and origins of diagnostic errors in primary care settings
    Hardeep Singh
    Michael E DeBakey Veterans Affairs Medical Center, and Section of Health Services Research, Department of Medicine, Baylor College of Medicine, Houston, Texas 77030, USA
    JAMA Intern Med 173:418-25. 2013
    ..Diagnostic errors are an understudied aspect of ambulatory patient safety...
  5. pmc Safety Assurance Factors for Electronic Health Record Resilience (SAFER): study protocol
    Hardeep Singh
    Houston VA HSR and D Center of Excellence, the Michael E DeBakey Veterans Affairs Medical Center, Department of Medicine, Baylor College of Medicine, Houston, TX 77030, USA
    BMC Med Inform Decis Mak 13:46. 2013
    ..The overall objective of this project is to develop and validate proactive assessment tools to ensure that EHR-enabled clinical work systems are safe and effective...
  6. pmc Postreferral colonoscopy delays in diagnosis of colorectal cancer: a mixed-methods analysis
    Hardeep Singh
    Houston VA HSR and D Center of Excellence, Michael E DeBakey Veterans Affairs Medical Center, Section of Health Services Research, Department of Medicine, Baylor College of Medicine, Houston, Texas 77030, USA
    Qual Manag Health Care 21:252-61. 2012
    ..Delays in diagnosis of colorectal cancer (CRC) are one of the most common reasons for malpractice claims and lead to poor outcomes. However, they are not well studied...
  7. pmc Underdiagnosis of Lynch syndrome involves more than family history criteria
    Hardeep Singh
    Houston VA HSR and D Center of Excellence, Houston, Texas, USA
    Clin Gastroenterol Hepatol 8:523-9. 2010
    ..We reviewed an integrated electronic health record (EHR) to determine diagnostic evaluation for Lynch syndrome in patients diagnosed with colorectal cancer (CRC)...
  8. ncbi request reprint Eight recommendations for policies for communicating abnormal test results
    Hardeep Singh
    Houston US Department of Veterans Affairs Health Services Research and Development Service VA HSR and D Center of Excellence, Houston, USA
    Jt Comm J Qual Patient Saf 36:226-32. 2010
    ..DeBakey Veterans Affairs Medical Center (Houston), institutional experience with test result management, and findings from research performed locally and elsewhere...
  9. pmc Electronic health record-based surveillance of diagnostic errors in primary care
    Hardeep Singh
    Houston VA HSR and D Center of Excellence, Michael E DeBakey Veterans Affairs Medical Center, Houston, Texas, USA
    BMJ Qual Saf 21:93-100. 2012
    ..Diagnostic errors in primary care are harmful but difficult to detect. The authors tested an electronic health record (EHR)-based method to detect diagnostic errors in routine primary care practice...
  10. pmc System-related interventions to reduce diagnostic errors: a narrative review
    Hardeep Singh
    Houston VA Health ServicesR and D Center of Excellence, Houston, Texas, USA
    BMJ Qual Saf 21:160-70. 2012
    ..The authors reviewed the recent literature and identified interventions that address system-related factors that contribute directly to diagnostic errors...
  11. pmc Exploring situational awareness in diagnostic errors in primary care
    Hardeep Singh
    VA Medical Center, 2002 Holcombe Blvd, Houston, TX 77030, USA
    BMJ Qual Saf 21:30-8. 2012
    ....
  12. pmc Characteristics and predictors of missed opportunities in lung cancer diagnosis: an electronic health record-based study
    Hardeep Singh
    Houston Veterans Affairs Health Services Research and Development Center of Excellence, Michael E DeBakey Veterans Affairs Medical Center, Houston, TX 77030, USA
    J Clin Oncol 28:3307-15. 2010
    ..This information has been difficult to ascertain from paper-based records. We used an integrated electronic health record (EHR) to identify characteristics and predictors of missed opportunities for earlier diagnosis of lung cancer...
  13. pmc Timely follow-up of abnormal diagnostic imaging test results in an outpatient setting: are electronic medical records achieving their potential?
    Hardeep Singh
    Department of Veterans Affairs Health Services Research and Development Service, Center of Excellence, Michael E DeBakey Veterans Affairs Medical Center, Houston, Texas, USA
    Arch Intern Med 169:1578-86. 2009
    ....
  14. pmc Primary care and communication in shared cancer care: a qualitative study
    Yvonne H Sada
    Houston Health Services Research and Development Center of Excellence, Michael E De Bakey Veterans Affairs Medical Center, Houston, TX 77030, USA
    Am J Manag Care 17:259-65. 2011
    ..To explore perceptions of primary care physicians' (PCPs') and oncologists' roles, responsibilities, and patterns of communication related to shared cancer care in 3 integrated health systems that used electronic health records...
  15. pmc Provider management strategies of abnormal test result alerts: a cognitive task analysis
    Sylvia J Hysong
    Houston VA HSR and D Center of Excellence, Michael E DeBakey Veterans Affairs Medical Center and the Section of Health Services Research, Department of Medicine, Baylor College of Medicine, Houston, Texas 77030, USA
    J Am Med Inform Assoc 17:71-7. 2010
    ....
  16. pmc Notification of abnormal lab test results in an electronic medical record: do any safety concerns remain?
    Hardeep Singh
    Michael E DeBakey Veterans Affairs Medical Center and the Section of Health Services Research, Department of Medicine, Baylor College of Medicine, Houston, TX, USA
    Am J Med 123:238-44. 2010
    ..We examined whether automated notifications of abnormal laboratory results (alerts) in an integrated electronic medical record resulted in timely follow-up actions...
  17. pmc Towards successful coordination of electronic health record based-referrals: a qualitative analysis
    Sylvia J Hysong
    Houston VA Health Services Research and Development Center of Excellence, Michael E, DeBakey Veterans Affairs Medical Center, Houaron, Texas, USA
    Implement Sci 6:84. 2011
    ..Using Okhuysen & Bechky's coordination framework, this paper aims to understand the barriers, facilitators, and suggestions for improving communication and coordination of EHR-based referrals in an integrated healthcare system...
  18. pmc Impact of resident duty hour limits on safety in the intensive care unit: a national survey of pediatric and neonatal intensivists
    Katri V Typpo
    Houston VA HSR and D Center of Excellence, Michael E DeBakey Veterans Affairs Medical Center and the Section of Health Services Research, Department of Medicine, Baylor College of Medicine, Houston, TX, USA
    Pediatr Crit Care Med 13:578-82. 2012
    ..We sought to understand how current or future regulatory changes might impact safety in academic pediatric and neonatal intensive care units...
  19. pmc Understanding the management of electronic test result notifications in the outpatient setting
    Sylvia J Hysong
    Houston VA Health Sciences Research and Development Center of Excellence, The Center of Inquiry to Improve Outpatient Safety Through Effective Electronic Communication, Michael E DeBakey Veterans Affairs Medical Center and the Section of Health Services Research, Department of Medicine, Baylor College of Medicine, Houston, Texas
    BMC Med Inform Decis Mak 11:22. 2011
    ..We sought to understand barriers, facilitators, and potential interventions for safe and effective management of abnormal test result delivery via electronic alerts...
  20. pmc Improving follow-up of abnormal cancer screens using electronic health records: trust but verify test result communication
    Hardeep Singh
    The Center of Inquiry to Improve Outpatient Safety Through Effective Electronic Communication, VA Medical Center 152 2002 Holcombe Blvd, Houston, TX 77030, USA
    BMC Med Inform Decis Mak 9:49. 2009
    ..We determined if technical and/or workflow-related aspects of automated communication in the electronic health record could lead to the lack of response...
  21. pmc Follow-up actions on electronic referral communication in a multispecialty outpatient setting
    Hardeep Singh
    Houston VA HSR and D Center of Excellence and The Center of Inquiry to Improve Outpatient Safety Through Effective Electronic Communication, Michael E DeBakey Veterans Affairs Medical Center, Houston, TX, USA
    J Gen Intern Med 26:64-9. 2011
    ..We used an EHR to examine follow-up actions on electronic referral communication in a large multispecialty VA facility...
  22. pmc Effectiveness of an electronic health record-based intervention to improve follow-up of abnormal pathology results: a retrospective record analysis
    Archana Laxmisan
    Houston VA Health Services Research and Development Center of Excellence, Michael E DeBakey Veterans Affairs Medical Center, Houston, TX 77030, USA
    Med Care 50:898-904. 2012
    ..We examined the impact of this intervention on improving follow-up of abnormal outpatient pathology results...
  23. pmc Using a multifaceted approach to improve the follow-up of positive fecal occult blood test results
    Hardeep Singh
    Health Policy and Quality Program, Houston VA HSR and D Center of Excellence, Michael E DeBakey Veterans Affairs Medical Center, Houston, Texas 77030, USA
    Am J Gastroenterol 104:942-52. 2009
    ..We evaluated their effects on timeliness and appropriateness of positive-FOBT follow-up and identified factors that affect colonoscopy performance...
  24. pmc Communication outcomes of critical imaging results in a computerized notification system
    Hardeep Singh
    Houston Center for Quality of Care and Utilization Studies, Michael E DeBakey Veterans Affairs Medical Center and Department of Medicine, Section of Health Services Research, Baylor College of Medicine, Houston, TX, USA
    J Am Med Inform Assoc 14:459-66. 2007
    ..We standardized processes and procedures in a computerized test result notification system and examined their effectiveness to reduce errors in communication of abnormal imaging results...
  25. pmc Reducing referral delays in colorectal cancer diagnosis: is it about how you ask?
    Hardeep Singh
    VA Medical Center 152, 2002 Holcombe Blvd, Houston, TX 77030, USA
    Qual Saf Health Care 19:e27. 2010
    ..The authors tested whether certain details of information transmitted through computerised provider order entry (CPOE)-based referrals affected timeliness of diagnostic colonoscopy for patients with newly diagnosed CRC...
  26. doi request reprint Exploring the sociotechnical intersection of patient safety and electronic health record implementation
    Derek W Meeks
    Baylor College of Medicine, Department of Family and Community Medicine, VA HSR and D Center of Excellence, Michael E DeBakey Veterans Affairs Medical Center, Houston, Texas, USA
    J Am Med Inform Assoc 21:e28-34. 2014
    ..To examine the applicability of two previously developed conceptual models comprehensively to understand safety implications of EHR implementation in the English National Health Service (NHS)...
  27. doi request reprint Electronic health record-based triggers to detect potential delays in cancer diagnosis
    Daniel R Murphy
    Houston VA Health Services Research and Development Center of Excellence, and The Center of Inquiry to Improve Outpatient Safety Through Effective Electronic Communication, both at the Michael E DeBakey Veterans Affairs Medical Center and the Section of Health Services Research and Development, Houston, Texas, USA
    BMJ Qual Saf 23:8-16. 2014
    ..We aimed to develop and evaluate 'trigger' algorithms to electronically flag medical records of patients with potential delays in prostate and colorectal cancer (CRC) diagnosis...
  28. pmc Errors of diagnosis in pediatric practice: a multisite survey
    Hardeep Singh
    Houston Veterans Affairs Health Services Research and Development Center of Excellence, Michael E DeBakey Veterans Affairs Medical Center, Houston, Texas, USA
    Pediatrics 126:70-9. 2010
    ..We surveyed pediatricians to elicit their perceptions regarding frequency, contributing factors, and potential system- and provider-based solutions to address diagnostic errors...
  29. ncbi request reprint Identifying diagnostic errors in primary care using an electronic screening algorithm
    Hardeep Singh
    Division of Health Policy and Quality, Houston Center for Quality of Care and Utilization Studies, Michael E DeBakey Veterans Affairs Medical Center, Baylor College of Medicine, 2002 Holcombe Boulevard, Houston, TX 77030, USA
    Arch Intern Med 167:302-8. 2007
    ..Our objectives were to assess the feasibility of computerized screening to identify diagnostic errors in primary care and to categorize diagnostic breakdowns using a recently published taxonomy...
  30. doi request reprint Physicians' diagnostic accuracy, confidence, and resource requests: a vignette study
    Ashley N D Meyer
    Houston Veterans Affairs Health Services Research and Development Center of Excellence and the Section of Health Services Research, Houston, Texas2Michael E DeBakey Veterans Affairs Medical Center, Houston, Texas3Baylor College of Medicine, Houston, Texas
    JAMA Intern Med 173:1952-8. 2013
    ..Little is known about the relationship between physicians' diagnostic accuracy and their confidence in that accuracy...
  31. doi request reprint Notifications received by primary care practitioners in electronic health records: a taxonomy and time analysis
    Daniel R Murphy
    Houston VA HSR and D Center of Excellence, TX, USA
    Am J Med 125:209.e1-7. 2012
    ..Our objective was to create an asynchronous alert taxonomy and measure the impact of different alert types on practitioner workload...
  32. pmc Creating an oversight infrastructure for electronic health record-related patient safety hazards
    Hardeep Singh
    Houston VA Health Services Research and Development Center of Excellence, Texas, USA
    J Patient Saf 7:169-74. 2011
    ..Implementation of this proposed infrastructure can facilitate identification of EHR-related adverse events and errors and potentially create a safer and more effective EHR-based health care delivery system...
  33. pmc Patterns of antihypertensive therapy among patients with diabetes
    Michael L Johnson
    Houston Center for Quality of Care and Utilization Studies, Michael E DeBakey Veterans Affairs Medical Center, Department of Medicine, Baylor College of Medicine, Houston, TX, USA
    J Gen Intern Med 20:842-6. 2005
    ..Hypertension is extremely prevalent in patients with diabetes. Limited data exist on whether patterns of antihypertensive use in this population are consistent with evidence-based practice guidelines...
  34. pmc Diagnostic errors in ambulatory care: dimensions and preventive strategies
    Hardeep Singh
    Houston VA HSR and D Center of Excellence, The Center of Inquiry to Improve Outpatient Safety Through Effective Electronic Communication, Michael E DeBakey Veterans Affairs Medical Center 152, Houston, TX 77030, USA
    Adv Health Sci Educ Theory Pract 14:57-61. 2009
    ..In this paper, we present a summary of discussion in each of these risk domains. Many novel themes and hypotheses for future research and interventions emerged...
  35. pmc Improving the effectiveness of electronic health record-based referral processes
    Adol Esquivel
    Department of Clinical Effectiveness and Performance Measurement, St Luke s Episcopal Health System, Houston, TX, USA
    BMC Med Inform Decis Mak 12:107. 2012
    ..Recommendations are relevant to system designers, practicing clinicians, and other stakeholders considering use of electronic health records to support referral communication...
  36. pmc Resilient actions in the diagnostic process and system performance
    Michael W Smith
    Houston VA HSR and D Center of Excellence and The Center of Inquiry to Improve Outpatient Safety Through Effective Electronic Communication, Houston, Texas, USA
    BMJ Qual Saf 22:1006-13. 2013
    ..We explored system barriers and resilient actions of primary care providers (PCPs) in the diagnostic evaluation of cancer...
  37. pmc Safer electronic health records: using the science of informatics to develop safety assessment guides
    Dean F Sittig
    The University of Texas Health Science Center, Houston, TX, USA
    AMIA Annu Symp Proc 2012:11-3. 2012
    ..As the country continues its rapid EHR deployment, we believe that these tools are essential to ensure that the safety of the "EHR-enabled healthcare system" continues to improve...
  38. pmc A new sociotechnical model for studying health information technology in complex adaptive healthcare systems
    Dean F Sittig
    UT Memorial Hermann Center for Healthcare Quality and Safety, University of Texas School of Biomedical Informatics at Houston, 6410 Fannin St UTPB 1100 43, Houston, TX 77030, USA
    Qual Saf Health Care 19:i68-74. 2010
    ..Conceptual models have been developed to address challenges inherent in studying health information technology (HIT)...
  39. doi request reprint Transitions from neonatal intensive care unit to ambulatory care: description and evaluation of the proactive risk assessment process
    Virginia A Moyer
    Baylor College of Medicine, Texas Children s Hospital, 6621 Fannin Street, Suite CCC 1540, Houston, TX 77030 USA
    Qual Saf Health Care 19:i26-30. 2010
    ..The authors describe the use of Health Care Failure Modes and Effects Analysis (HFMEA) to proactively assess the risks of this transition, and present a qualitative evaluation of the HFMEA process...
  40. pmc Defining health information technology-related errors: new developments since to err is human
    Dean F Sittig
    University of Texas Memorial Hermann Center for Healthcare Quality and Safety, National Center for Cognitive Informatics and Decision Making, School of Biomedical Informatics, University of Texas Health Sciences Center, Houston, TX 77030, USA
    Arch Intern Med 171:1281-4. 2011
    ..We describe how a sociotechnical approach can be used to understand the complex origins of HIT errors, which may have roots in rapidly evolving technological, professional, organizational, and policy initiatives...
  41. ncbi request reprint Errors in cancer diagnosis: current understanding and future directions
    Hardeep Singh
    Health Policy and Quality Program, Houston Center for Quality of Care and Utilization Studies, Michael E DeBakey Veterans Affairs Medical Center, Houston, TX 77030, USA
    J Clin Oncol 25:5009-18. 2007
    ....
  42. doi request reprint Electronic health records to coordinate decision making for complex patients: what can we learn from wiki?
    Aanand D Naik
    Health Decision Making and Communication Program, Houston Health Services Research and Development Center of Excellence, Michael E DeBakey Veterans Affairs Medical Center, Baylor College of Medicine, Houston, TX, USA
    Med Decis Making 30:722-31. 2010
    ..In this paper, the authors characterize these processes and propose a wiki-style communication model to improve coordination of decision making among clinicians using an integrated electronic health record (EHR)...
  43. pmc Missed and delayed diagnosis of dementia in primary care: prevalence and contributing factors
    Andrea Bradford
    Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, VA Medical Center, Houston, TX 77030, USA
    Alzheimer Dis Assoc Disord 23:306-14. 2009
    ..Until the case for dementia screening becomes more compelling, efforts to promote timely detection should focus on removing barriers to diagnosis...
  44. pmc Reducing diagnostic errors through effective communication: harnessing the power of information technology
    Hardeep Singh
    Houston Center for Quality of Care and Utilization Studies, Michael E DeBakey Veterans Affairs Medical Center, Houston, TX 77030, USA
    J Gen Intern Med 23:489-94. 2008
    ..These possible intervention strategies include using new technologies to enhance communication between health providers and health systems, improve patient involvement, and facilitate management of information in the medical record...
  45. pmc A prototype knowledge base and SMART app to facilitate organization of patient medications by clinical problems
    Allison B McCoy
    School of Biomedical Informatics, The University of Texas Health Science Center at Houston UTHealth, Houston, TX, USA
    AMIA Annu Symp Proc 2011:888-94. 2011
    ..1% and specificity of 98.9%. The SMART API successfully utilized the knowledge base to generate problem-medication links for test patients. Future work is necessary to improve knowledge base sensitivity and efficiency...
  46. pmc Prescription errors and outcomes related to inconsistent information transmitted through computerized order entry: a prospective study
    Hardeep Singh
    Houston Veterans Affairs Health Services Research and Development Center of Excellence, Michael E DeBakey Veterans Affairs Medical Center, 2002 Holcombe Blvd, Houston, TX 77030, USA
    Arch Intern Med 169:982-9. 2009
    ..We determined the nature and frequency of such errors and identified their potential predictive variables...
  47. ncbi request reprint Quality of care for hypertension and diabetes in federal- versus commercial-managed care organizations
    Hardeep Singh
    Section of Primary Care, VA Medical Center, Houston, TX 77030, USA
    Am J Med Qual 19:19-24. 2004
    ....
  48. pmc Electronic health records and national patient-safety goals
    Dean F Sittig
    University of Texas Memorial Hermann Center for Healthcare Quality and Safety, School of Biomedical Informatics, University of Texas Health Sciences Center, Houston, USA
    N Engl J Med 367:1854-60. 2012
    ..EHRs bring the risks of both technical failures and inappropriate use, but they can also help to monitor and improve patient safety...
  49. ncbi request reprint Prescribing patterns of diuretics in multi-drug antihypertensive regimens
    Hardeep Singh
    VA Medical Center 111PC, 2002 Holcombe Boulevard, Houston, TX 77030, USA
    J Clin Hypertens (Greenwich) 7:81-7; quiz 88-9. 2005
    ..Though overall diuretic use seems to be increasing as compared with previous studies, there is room for improvement in the use of thiazides in multi-drug hypertension regimens...
  50. ncbi request reprint Medical errors involving trainees: a study of closed malpractice claims from 5 insurers
    Hardeep Singh
    Health Policy and Quality Program, Houston Center for Quality of Care and Utilization Studies, Houston, Texas, USA
    Arch Intern Med 167:2030-6. 2007
    ..To describe the characteristics of and factors contributing to trainee errors, we analyzed malpractice claims in which trainees were judged to have played an important role in harmful errors...
  51. pmc Legal, ethical, and financial dilemmas in electronic health record adoption and use
    Dean F Sittig
    University of Texas Memorial Hermann Center for Healthcare Quality and Safety, University of Texas School of Biomedical Informatics at Houston, 6410 Fannin St, UTPB 1100 43, Houston, TX 77030, USA
    Pediatrics 127:e1042-7. 2011
    ..These actions can help identify and prioritize solutions to the key legal, ethical, and financial dilemmas discussed, so that widespread, safe, effective, interoperable EHRs can help transform health care...
  52. pmc Root cause analysis reports help identify common factors in delayed diagnosis and treatment of outpatients
    Traber Davis Giardina
    Houston Veterans Affairs Center for Innovation in Quality, Effectiveness, and Safety, Houston, TX, USA
    Health Aff (Millwood) 32:1368-75. 2013
    ..At the same time, policy initiatives should support programs to implement, and perhaps reward the use of, more rigorous interprofessional teamwork principles to improve outpatient communication and coordination. ..
  53. pmc Challenges of making a diagnosis in the outpatient setting: a multi-site survey of primary care physicians
    Urmimala Sarkar
    Division of General Internal Medicine, University of California, San Francisco, San Francisco, CA 94143, USA
    BMJ Qual Saf 21:641-8. 2012
    ..The authors surveyed primary care physicians (PCPs) about barriers to timely diagnosis in the outpatient setting and assessed their perceptions of diagnostic difficulty...