Research Topics
| Hardeep SinghSummaryAffiliation: Baylor College of Medicine Country: USA Publications
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Detail Information
Publications
Missed opportunities to initiate endoscopic evaluation for colorectal cancer diagnosisHardeep 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...- Older patients' enthusiasm to use electronic mail to communicate with their physicians: cross-sectional surveyHardeep 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... 
Safety Assurance Factors for Electronic Health Record Resilience (SAFER): study protocolHardeep Singh
Houston VA HSR and D Center of Excellence, the Michael E, DeBakey Veterans Affairs Medical Center and the Section of Health Services Research, Department of Medicine, Baylor College of Medicine, 2002 Holcombe Blvd, 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...
Postreferral colonoscopy delays in diagnosis of colorectal cancer: a mixed-methods analysisHardeep 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...- Eight recommendations for policies for communicating abnormal test resultsHardeep 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..These practical suggestions, based on research findings and experiences with a previous policy, may be a useful guide for designing or amending policies for safe test-result communication in both inpatient and outpatient settings... - Underdiagnosis of Lynch syndrome involves more than family history criteriaHardeep 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)... - Exploring situational awareness in diagnostic errors in primary careHardeep Singh
VA Medical Center, 2002 Holcombe Blvd, Houston, TX 77030, USA
BMJ Qual Saf 21:30-8. 2012.... - System-related interventions to reduce diagnostic errors: a narrative reviewHardeep 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... - Electronic health record-based surveillance of diagnostic errors in primary careHardeep 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... - Characteristics and predictors of missed opportunities in lung cancer diagnosis: an electronic health record-based studyHardeep 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... - 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.... - Primary care and communication in shared cancer care: a qualitative studyYvonne 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... - 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... - Towards successful coordination of electronic health record based-referrals: a qualitative analysisSylvia 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... - Impact of resident duty hour limits on safety in the intensive care unit: a national survey of pediatric and neonatal intensivistsKatri 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... - Understanding the management of electronic test result notifications in the outpatient settingSylvia 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... - Improving follow-up of abnormal cancer screens using electronic health records: trust but verify test result communicationHardeep 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... - Provider management strategies of abnormal test result alerts: a cognitive task analysisSylvia 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.... - Effectiveness of an electronic health record-based intervention to improve follow-up of abnormal pathology results: a retrospective record analysisArchana 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... - Using a multifaceted approach to improve the follow-up of positive fecal occult blood test resultsHardeep 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... - Follow-up actions on electronic referral communication in a multispecialty outpatient settingHardeep 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... - Communication outcomes of critical imaging results in a computerized notification systemHardeep 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... - 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... - Errors of diagnosis in pediatric practice: a multisite surveyHardeep 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... - Identifying diagnostic errors in primary care using an electronic screening algorithmHardeep 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... - Patterns of antihypertensive therapy among patients with diabetesMichael 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... - Diagnostic errors in ambulatory care: dimensions and preventive strategiesHardeep 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... - Improving the effectiveness of electronic health record-based referral processesAdol 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... - Notifications received by primary care practitioners in electronic health records: a taxonomy and time analysisDaniel 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... - Creating an oversight infrastructure for electronic health record-related patient safety hazardsHardeep 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... - Safer electronic health records: using the science of informatics to develop safety assessment guidesDean 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... - Defining health information technology-related errors: new developments since to err is humanDean 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... - A new sociotechnical model for studying health information technology in complex adaptive healthcare systemsDean 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)... - Transitions from neonatal intensive care unit to ambulatory care: description and evaluation of the proactive risk assessment processVirginia 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... - Errors in cancer diagnosis: current understanding and future directionsHardeep 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.... - Missed and delayed diagnosis of dementia in primary care: prevalence and contributing factorsAndrea 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... - Reducing diagnostic errors through effective communication: harnessing the power of information technologyHardeep 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... - 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)... - Electronic health records and national patient-safety goalsDean 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... - Prescribing patterns of diuretics in multi-drug antihypertensive regimensHardeep 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... - Legal, ethical, and financial dilemmas in electronic health record adoption and useDean 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... - Medical errors involving trainees: a study of closed malpractice claims from 5 insurersHardeep 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... - Challenges of making a diagnosis in the outpatient setting: a multi-site survey of primary care physiciansUrmimala 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... - A prototype knowledge base and SMART app to facilitate organization of patient medications by clinical problemsAllison 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... - Prescription errors and outcomes related to inconsistent information transmitted through computerized order entry: a prospective studyHardeep 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... - Quality of care for hypertension and diabetes in federal- versus commercial-managed care organizationsHardeep Singh
Section of Primary Care, VA Medical Center, Houston, TX 77030, USA
Am J Med Qual 19:19-24. 2004....