Research Topics
| Eric G PoonSummaryAffiliation: Massachusetts General Hospital Country: USA Publications
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Detail Information
Publications
Universal acceptance of computerized physician order entry: what would it take?Eric G Poon
J Hosp Med 1:209-11. 2006
Cognitive errors and logistical breakdowns contributing to missed and delayed diagnoses of breast and colorectal cancers: a process analysis of closed malpractice claimsEric G Poon
Division of General Medicine and Primary Care, Department of Medicine, Brigham and Women s Hospital, 3 F 1620 Tremont Street, Boston, MA, 02120, USA
J Gen Intern Med 27:1416-23. 2012..To erform a process analysis of missed and delayed diagnoses of breast and colorectal cancers to identify: (1) the cognitive and logistical factors that lead to these diagnostic errors, and (2) prevention strategies...- Real-time notification of laboratory data requested by users through alphanumeric pagersEric G Poon
Department of Medicine, Brigham and Women s Hospital Boston, MA 02115, USA
J Am Med Inform Assoc 9:217-22. 2002..This event-monitor-based feature illustrates one way that information technology can be applied to improve communication in health care... - Evaluating healthcare information technology outside of academia: observations from the national resource center for healthcare information technology at the Agency for Healthcare Research and QualityEric G Poon
Division of General Medicine and Primary Care, Department of Medicine, Brigham and Women s Hospital, 3 F 1620 Tremont Street, Boston, MA 02120, USA
J Am Med Inform Assoc 16:631-6. 2009..The strategies adopted by various AHRQ grantees and the lessons learned from their projects should become part of the toolset for current and future implementers of health IT as the nation moves rapidly towards its widespread adoption... - Medication dispensing errors and potential adverse drug events before and after implementing bar code technology in the pharmacyEric G Poon
Division of General Medicine and Primary Care, Brigham and Women s Hospital, Harvard Medical School, and Partners Information Systems, Boston, Massachusetts 02120, USA
Ann Intern Med 145:426-34. 2006..Many dispensing errors made in hospital pharmacies can harm patients. Some hospitals are investing in bar code technology to reduce these errors, but data about its efficacy are limited... - 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... 
Effect of bar-code technology on the safety of medication administrationEric G Poon
Division of General Medicine Primary Care, Brigham and Women s Hospital, 3 F, 1620 Tremont St, Boston, MA 02120, USA
N Engl J Med 362:1698-707. 2010..To help prevent such errors, technology has been developed to verify medications by incorporating bar-code verification technology within an electronic medication-administration system (bar-code eMAR)...- Empowering patients to improve the quality of their care: design and implementation of a shared health maintenance module in a US integrated healthcare delivery networkEric G Poon
Partners Information Systems, Partners HealthCare, Boston, MA, USA
Stud Health Technol Inform 129:1002-6. 2007..Further research will determine the long term impact and sustainability of this approach... - Design and implementation of an application and associated services to support interdisciplinary medication reconciliation efforts at an integrated healthcare delivery networkEric G Poon
Clinical Informatics Research and Development, Suite 201, 93 Worcester St, Wellesley, MA 02481, USA
J Am Med Inform Assoc 13:581-92. 2006..Results from early pilot testing suggest that this new medication reconciliation process is well accepted by clinicians and has significant potential to prevent medication errors during transitions of care... - Design and implementation of a comprehensive outpatient Results ManagerEric G Poon
Division of General Medicine and Primary Care, Department of Medicine, Brigham and Women s Hospital, Boston, MA, USA
J Biomed Inform 36:80-91. 2003..We also discuss its underlying architectural design, which revolves around a clinical event monitor and a rules engine, and the methodological challenges encountered in designing this application... - "I wish I had seen this test result earlier!": Dissatisfaction with test result management systems in primary careEric G Poon
Division of General Medicine and Primary Care, Brigham and Women s Hospital, Boston, Mass 02120, USA
Arch Intern Med 164:2223-8. 2004..Therefore, we sought to identify problems in current test result management systems and possible ways to improve these systems... - 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... - Communication factors in the follow-up of abnormal mammogramsEric G Poon
Department of Medicine, Brigham and Women s Hospital, Harvard School of Public Health, Boston, Massachusetts 02115, USA
J Gen Intern Med 19:316-23. 2004..To identify the communication factors that are significantly associated with appropriate short-term follow-up of abnormal mammograms... - 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... - Quantifying nursing workflow in medication administrationCarol A Keohane
Division of General Internal Medicine, Brigham and Women s Hospital, Boston, MA 02120, USA
J Nurs Adm 38:19-26. 2008..Implications of their findings are discussed... - Nurses' satisfaction with medication administration point-of-care technologyAnn C Hurley
Center for Nursing Excellence, Division of General Medicine, Brigham and Women s Hospital, Boston, Massachusetts 02115, USA
J Nurs Adm 37:343-9. 2007.... - 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... - 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... - Design and implementation of a web-based patient portal linked to an electronic health record designed to improve medication safety: the Patient Gateway medications moduleJeffrey L Schnipper
Academic Hospitalist Service and Associate Physician, Division of General Medicine and Primary Care, Brigham and Women s Hospital, 1620 Tremont Street, Boston, MA 02120, USA
Inform Prim Care 16:147-55. 2008..Further analyses will determine the effects of this module on important medication-related outcomes and identify further enhancements needed to improve on this approach... - 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... - Effects of an online personal health record on medication accuracy and safety: a cluster-randomized trialJeffrey L Schnipper
Division of General Medicine and Primary Care, Brigham and Women s Hospital, Boston, Massachusetts 02120 1613, USA
J Am Med Inform Assoc 19:728-34. 2012..To determine the effects of a personal health record (PHR)-linked medications module on medication accuracy and safety... - Overcoming barriers to the implementation of a pharmacy bar code scanning system for medication dispensing: a case studyKaren C Nanji
Division of General Medicine and Primary Care, Brigham and Women s Hospital, 3 F 1620 Tremont St, Boston, MA 02120, USA
J Am Med Inform Assoc 16:645-50. 2009..Staff resistance was addressed through clear communication, identifying champions, emphasizing new information provided by the system, and facilitating collaboration... - How many hospital pharmacy medication dispensing errors go undetected?Jennifer L Cina
Brigham and Women s Hospital, Boston, USA
Jt Comm J Qual Patient Saf 32:73-80. 2006..A study was conducted at an academic tertiary care hospital to characterize the incidence and severity of medication dispensing errors in a hospital pharmacy... - Impact of an automated test results management system on patients' satisfaction about test result communicationMichael E Matheny
Division of General Medicine, Brigham and Women s Hospital, Harvard Medical School, 1620 Tremont Street, Boston, MA 02120, USA
Arch Intern Med 167:2233-9. 2007..The objective of this study was to assess the impact of physicians' use of a test results management tool embedded in an electronic health record on patient satisfaction with test result communication... - 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... - Practice-linked online personal health records for type 2 diabetes mellitus: a randomized controlled trialRichard W Grant
Division of General Medicine, Massachusetts General Hospital, 50 9 Staniford St, Boston, Massachusetts 02114, USA
Arch Intern Med 168:1776-82. 2008..Web-based personal health records (PHRs) have been advocated as a means to improve type 2 diabetes mellitus (DM) care. However, few Web-based systems are linked directly to the electronic medical record (EMR) used by physicians... - Sharing electronic laboratory results in a patient portal--a feasibility pilotJonathan S Wald
Partners Information Systems, Partners HealthCare, Boston, MA, USA
Stud Health Technol Inform 129:18-22. 2007..One-half of patients who viewed results accessed reference information linked to a result. Organizational and practice-level issues necessary to support continued rollout are described... - Survey analysis of patient experience using a practice-linked PHR for type 2 diabetes mellitusJonathan S Wald
Clinical Informatics Research and Development, Partners HealthCare Boston, MA, USA
AMIA Annu Symp Proc 2009:678-82. 2009..Nevertheless, the electronic journal is a promising tool for visit preparation and process improvement... - Implementing practice-linked pre-visit electronic journals in primary care: patient and physician use and satisfactionJonathan S Wald
Harvard Medical School, Boston, MA, USA
J Am Med Inform Assoc 17:502-6. 2010..013), helpful to patients in visit preparation (66% vs 20%; p=0.082), and would recommend them to colleagues (78% vs 22%; p=0.0143). eJournal integration into practice warrants further study... - Are physicians' perceptions of healthcare quality and practice satisfaction affected by errors associated with electronic health record use?Jennifer S Love
Partners HealthCare, Clinical and Quality Analysis Information Systems, Boston, Massachusetts, USA
J Am Med Inform Assoc 19:610-4. 2012.... - Cost-benefit analysis of a hospital pharmacy bar code solutionSaverio M Maviglia
Brigham and Women s Hospital, Harvard Medical School, Wellesley, MA 02481, USA
Arch Intern Med 167:788-94. 2007..The purpose of this study was to assess the costs and benefits and determine the return on investment at the institutional level for implementing a pharmacy bar code system... - Using qualitative studies to improve the usability of an EMRAlan F Rose
Clinical Informatics Research and Development, Partners HealthCare System, Boston, MA 01752, USA
J Biomed Inform 38:51-60. 2005..We used the findings of these studies to recommend design changes to the user interface of the results management module... - Design and implementation of an automated email notification system for results of tests pending at dischargeAnuj K Dalal
Department of Medicine, Brigham and Women s Hospital, Boston, Massachusetts 02115, USA
J Am Med Inform Assoc 19:523-8. 2012..Automated email notification is a useful strategy for managing results of TPADs... - Randomized controlled trial of health maintenance reminders provided directly to patients through an electronic PHRAdam Wright
Brigham and Women s Hospital, Boston, MA 02115, USA
J Gen Intern Med 27:85-92. 2012..Provider and patient reminders can be effective in increasing rates of preventive screenings and vaccinations. However, the effect of patient-directed electronic reminders is understudied... - Errors associated with outpatient computerized prescribing systemsKaren C Nanji
Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston, Massachusetts 02114, USA
J Am Med Inform Assoc 18:767-73. 2011..To report the frequency, types, and causes of errors associated with outpatient computer-generated prescriptions, and to develop a framework to classify these errors to determine which strategies have greatest potential for preventing them... - Design and implementation of a web-based patient portal linked to an ambulatory care electronic health record: patient gateway for diabetes collaborative careRichard W Grant
Division of General Medicine, Massachusetts General Hospital, Boston, Massachusetts 02114, USA
Diabetes Technol Ther 8:576-86. 2006.... - 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... - The Medication Administration System--Nurses Assessment of Satisfaction (MAS-NAS) scaleAnn C Hurley
Brigham and Women's Hospital, Center for Excellence in Nursing Practice, Boston, 02115 MA, USA
J Nurs Scholarsh 38:298-300. 2006 - Ability to generate patient registries among practices with and without electronic health recordsAdam Wright
Clinical Informatics Research and Development, Partners HealthCare System, Boston, MA, USA
J Med Internet Res 11:e31. 2009..However, it is not known how many providers have the ability to generate such registries... - Lessons learned from implementation of a computerized application for pending tests at hospital dischargeAnuj K Dalal
Division of General Medicine and Primary Care, Brigham and Women s Hospital, Boston, Massachusetts, USA
J Hosp Med 6:16-21. 2011..Few computerized systems have been deployed at care transitions to address this problem. We describe an attempt to implement a computerized application to help inpatient physicians manage these test results... - Actionable reminders did not improve performance over passive reminders for overdue tests in the primary care settingRobert E El-Kareh
Department of Medicine, Divisions of Biomedical Informatics and Hospital Medicine, UCSD, San Diego, California, USA
J Am Med Inform Assoc 18:160-3. 2011..Our actionable reminders did not improve receipt of overdue testing, potentially due to limitations of workflow integration... - 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)... - Outpatient prescribing errors and the impact of computerized prescribingTejal K Gandhi
Division of General Internal Medicine, Brigham and Women s Hospital, Boston, MA 02120, USA
J Gen Intern Med 20:837-41. 2005..Medication errors are common among inpatients and many are preventable with computerized prescribing. Relatively little is known about outpatient prescribing errors or the impact of computerized prescribing in this setting... - Electronic results management in pediatric ambulatory care: qualitative assessmentTimothy G Ferris
Institute for Health Policy, Massachusetts General Hospital, Boston, MA 02114, USA
Pediatrics 123:S85-91. 2009..Electronic results management may improve the reliability and efficiency of test results management, but few studies have investigated this topic in pediatrics... - Electronic health record decision support and quality of care for children with ADHDJohn Patrick T Co
Center for Child and Adolescent Health Policy, Mass General Hospital for Children, Boston, MA 02114, USA
Pediatrics 126:239-46. 2010..The objective of this study was to assess the effect of electronic health record (EHR) decision support on physician management and documentation of care for children with attention-deficit/hyperactivity disorder (ADHD)... - Trends in primary care clinician perceptions of a new electronic health recordRobert El-Kareh
Division of General Medicine and Primary Care, Brigham and Women s Hospital, Boston, MA 02120, USA
J Gen Intern Med 24:464-8. 2009..Clinician perceptions of a newly implemented electronic health record play an important role in its success or failure... - Patient safety concerns arising from test results that return after hospital dischargeChristopher L Roy
Brigham and Women s Hospital, Boston, Massachusetts 02115, USA
Ann Intern Med 143:121-8. 2005..Few data are available on the epidemiology of test results pending at discharge or on physician awareness of these results... - 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... - Adverse drug events caused by serious medication administration errorsAbhivyakti Kale
Division of General Medicine and Primary Care, Brigham and Women s Hospital, 1620 Tremont St, Boston, MA 02120, USA
BMJ Qual Saf 21:933-8. 2012..To determine how often serious or life-threatening medication administration errors with the potential to cause harm (potential adverse drug events) result in actual harm (adverse drug events (ADEs)) in the hospital setting... - Issues and initiatives in the testing process in primary care physician officesJohn M Hickner
Department of Family Medicine, Division of Biological Sciences, Pritzker School of Medicine, University of Chicago, USA
Jt Comm J Qual Patient Saf 31:81-9. 2005..These errors may result in significant harm to patients and lead to inefficient practice. Important issues are summarized for primary care clinicians and their offices toconsider in improving the management of the testing processes... - The extent and importance of unintended consequences related to computerized provider order entryJoan S Ash
Department of Medical Informatics and Clinical Epidemiology, School of Medicine, Oregon Health and Science University, 3181 SW Sam Jackson Park Rd, Portland, OR 97201 3098, USA
J Am Med Inform Assoc 14:415-23. 2007..The extent to which hospitals experience unintended consequences of CPOE, which include more than errors, has not been quantified in prior research... - Formative evaluation: a critical component in EHR implementationJulie J McGowan
Information Resources and Educational Technology, Indiana University School of Medicine, 975 W Walnut Street, IB 310, Indianapolis, IN 46202 5121, USA
J Am Med Inform Assoc 15:297-301. 2008..Such assistance, in the form of tools and protocols necessary to do formative evaluation and resulting in successful EHR implementations, should be provided by practicing medical informaticians...