R Kaushal

Summary

Affiliation: Massachusetts General Hospital
Country: USA

Publications

  1. pmc A draft framework for measuring progress towards the development of a National Health Information Infrastructure
    Dean F Sittig
    Department of Medical Informatics, Northwest Permanente, P C, Portland, OR, USA
    BMC Med Inform Decis Mak 5:14. 2005
  2. pmc Assessing the level of healthcare information technology adoption in the United States: a snapshot
    Eric 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
  3. ncbi request reprint Using chart review to screen for medication errors and adverse drug events
    Rainu 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
  4. ncbi request reprint The costs of a national health information network
    Rainu 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
  5. pmc Return on investment for a computerized physician order entry system
    Rainu 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
  6. ncbi request reprint 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
  7. ncbi request reprint Effects of computerized physician order entry and clinical decision support systems on medication safety: a systematic review
    Rainu Kaushal
    Division of General Internal Medicine, Brigham and Women s Hospital, Partners HealthCare System, Boston, Mass, USA
    Arch Intern Med 163:1409-16. 2003
  8. ncbi request reprint Adverse drug events in pediatric outpatients
    Rainu Kaushal
    Division of General Internal Medicine, Brigham and Women s Hospital, Boston, MA, USA
    Ambul Pediatr 7:383-9. 2007
  9. pmc 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
  10. ncbi request reprint 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

Detail Information

Publications46

  1. pmc A draft framework for measuring progress towards the development of a National Health Information Infrastructure
    Dean 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...
  2. pmc Assessing the level of healthcare information technology adoption in the United States: a snapshot
    Eric 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...
  3. ncbi request reprint Using chart review to screen for medication errors and adverse drug events
    Rainu 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
  4. ncbi request reprint The costs of a national health information network
    Rainu 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)...
  5. pmc Return on investment for a computerized physician order entry system
    Rainu 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...
  6. ncbi request reprint 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
  7. ncbi request reprint Effects of computerized physician order entry and clinical decision support systems on medication safety: a systematic review
    Rainu 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...
  8. ncbi request reprint Adverse drug events in pediatric outpatients
    Rainu 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...
  9. pmc 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...
  10. ncbi request reprint 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...
  11. ncbi request reprint Functional gaps in attaining a national health information network
    Rainu 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...
  12. doi request reprint The role of advice in medication administration errors in the pediatric ambulatory setting
    Claire 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...
  13. ncbi request reprint Prioritizing strategies for preventing medication errors and adverse drug events in pediatric inpatients
    Elizabeth B Fortescue
    Department of Medicine, Quality Improvement, and Risk Management, Children s Hospital, Boston, Massachusetts, USA
    Pediatrics 111:722-9. 2003
    ..The objective of this study was to classify the major types of medication errors in pediatric inpatients and to determine which strategies might most effectively prevent them...
  14. ncbi request reprint Physicians and electronic health records: a statewide survey
    Steven 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...
  15. ncbi request reprint Medication errors and adverse drug events in pediatric inpatients
    R 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...
  16. doi request reprint The costs and savings associated with prevention of adverse events by critical care nurses
    Jeffrey 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...
  17. doi request reprint Electronic health records in ambulatory care--a national survey of physicians
    Catherine 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...
  18. ncbi request reprint Time to tackle the tough issues in patient safety
    Donald Goldmann
    Department of Medicine, Children s Hospital, Boston, MA 02115, USA
    Pediatrics 110:823-6. 2002
  19. doi request reprint 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...
  20. ncbi request reprint The National Emergency Department Safety Study: study rationale and design
    Ashley 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...
  21. pmc Correlates of electronic health record adoption in office practices: a statewide survey
    Steven 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...
  22. ncbi request reprint Analysis of medication-related malpractice claims: causes, preventability, and costs
    Jeffrey 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...
  23. ncbi request reprint Overcoming barriers to adopting and implementing computerized physician order entry systems in U.S. hospitals
    Eric 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...
  24. ncbi request reprint The Critical Care Safety Study: The incidence and nature of adverse events and serious medical errors in intensive care
    Jeffrey 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
    ..We sought to study the incidence and nature of adverse events and serious errors in the critical care setting...
  25. pmc Physicians' use of key functions in electronic health records from 2005 to 2007: a statewide survey
    Steven 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...
  26. ncbi request reprint Readiness for electronic health records: comparison of characteristics of practices in a collaborative with the remainder of Massachusetts
    Steven 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...
  27. pmc A survey of workplace violence across 65 U.S. emergency departments
    Susan 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...
  28. pmc Quality of care for acute asthma in 63 US emergency departments
    Chu 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)...
  29. ncbi request reprint 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
    ..Pediatric cases are often especially tragic. Relatively few data have been available on the role that the media play in forming opinions about patient safety and the subsequent impact on the culture of safety...
  30. doi request reprint Relationship between use of electronic health record features and health care quality: results of a statewide survey
    Eric 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...
  31. pmc How to avoid paediatric medication errors: a user's guide to the literature
    K 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...
  32. ncbi request reprint Effect of reducing interns' work hours on serious medical errors in intensive care units
    Christopher 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...
  33. ncbi request reprint Costs of adverse events in intensive care units
    Rainu 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...
  34. doi request reprint Impact of a patient-centered technology on medication errors during pediatric emergency care
    Stephen 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...
  35. ncbi request reprint The who, what, and why of risk adjustment: a technology on the cusp of adoption
    David 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...
  36. doi request reprint Unit-based clinical pharmacists' prevention of serious medication errors in pediatric inpatients
    Rainu 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...
  37. pmc Challenges to EHR implementation in electronic- versus paper-based office practices
    Stephanie 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...
  38. doi request reprint Risk factors in preventable adverse drug events in pediatric outpatients
    Stephanie 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...
  39. pmc Electronic result viewing and quality of care in small group practices
    Lisa 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...
  40. ncbi request reprint Potential medication dosing errors in outpatient pediatrics
    Heather 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...
  41. ncbi request reprint Prevention of pediatric medication errors by hospital pharmacists and the potential benefit of computerized physician order entry
    Jerome 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
    ....
  42. ncbi request reprint 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...
  43. pmc The role of communication in paediatric drug safety
    Claire 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...
  44. pmc Discovering how to think about a hospital patient information system by struggling to evaluate it: a committee's journal
    Joseph 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
    ....
  45. pmc The United Hospital Fund meeting on evaluating health information exchange
    George 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...
  46. ncbi request reprint Health information technology and health information exchange in New York State: new initiatives in implementation and evaluation
    Lisa 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...