Dean F Sittig

Summary

Affiliation: Texas Medical Center
Country: USA

Publications

  1. doi request reprint Contingency planning for electronic health record-based care continuity: a survey of recommended practices
    Dean F Sittig
    University of Texas School of Biomedical Informatics and the University of Texas Memorial Hermann Center for Healthcare Quality and Safety, Houston, TX, USA Electronic address
    Int J Med Inform 83:797-804. 2014
  2. ncbi request reprint The SAFER guides: empowering organizations to improve the safety and effectiveness of electronic health records
    Dean F Sittig
    UT Memorial Hermann Center for Healthcare Quality and Safety, 6410 Fannin St, UTPB 1100 43, Houston, TX 77030 E mail
    Am J Manag Care 20:418-23. 2014
  3. pmc Beyond the threshold: real-time use of evidence in practice
    James B Jones
    Geisinger Center for Health Research, Danville, PA, USA
    BMC Med Inform Decis Mak 13:47. 2013
  4. ncbi request reprint State of the art in clinical informatics: evidence and examples
    A B McCoy
    Center for Healthcare Quality and Safety, The University of Texas, Health Science Center at Houston UTHealth, 6410 Fannin St, UTP 1100 43, Houston, TX 77030, USA E mail
    Yearb Med Inform 8:13-9. 2013
  5. pmc A survey of informatics platforms that enable distributed comparative effectiveness research using multi-institutional heterogenous clinical data
    Dean F Sittig
    School of Biomedical Informatics, University of Texas Health Science Center, Houston, TX, USA
    Med Care 50:S49-59. 2012
  6. pmc Recommended practices for computerized clinical decision support and knowledge management in community settings: a qualitative study
    Joan S Ash
    Oregon Health and Science University, Portland, OR, USA
    BMC Med Inform Decis Mak 12:6. 2012
  7. 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
  8. 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
  9. pmc Prescriber and staff perceptions of an electronic prescribing system in primary care: a qualitative assessment
    Emily Beth Devine
    Pharmaceutical Outcomes Research and Policy Program, University of Washington, Seattle, WA 98195 7630, USA
    BMC Med Inform Decis Mak 10:72. 2010
  10. 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

Collaborators

Detail Information

Publications45

  1. doi request reprint Contingency planning for electronic health record-based care continuity: a survey of recommended practices
    Dean F Sittig
    University of Texas School of Biomedical Informatics and the University of Texas Memorial Hermann Center for Healthcare Quality and Safety, Houston, TX, USA Electronic address
    Int J Med Inform 83:797-804. 2014
    ..When the availability of EHRs are disrupted, alternative methods must be used to maintain the continuity of healthcare...
  2. ncbi request reprint The SAFER guides: empowering organizations to improve the safety and effectiveness of electronic health records
    Dean F Sittig
    UT Memorial Hermann Center for Healthcare Quality and Safety, 6410 Fannin St, UTPB 1100 43, Houston, TX 77030 E mail
    Am J Manag Care 20:418-23. 2014
    ....
  3. pmc Beyond the threshold: real-time use of evidence in practice
    James B Jones
    Geisinger Center for Health Research, Danville, PA, USA
    BMC Med Inform Decis Mak 13:47. 2013
    ....
  4. ncbi request reprint State of the art in clinical informatics: evidence and examples
    A B McCoy
    Center for Healthcare Quality and Safety, The University of Texas, Health Science Center at Houston UTHealth, 6410 Fannin St, UTP 1100 43, Houston, TX 77030, USA E mail
    Yearb Med Inform 8:13-9. 2013
    ....
  5. pmc A survey of informatics platforms that enable distributed comparative effectiveness research using multi-institutional heterogenous clinical data
    Dean F Sittig
    School of Biomedical Informatics, University of Texas Health Science Center, Houston, TX, USA
    Med Care 50:S49-59. 2012
    ..We expect that over the next several years these projects will provide answers to many important, and heretofore unanswerable, clinical research questions...
  6. pmc Recommended practices for computerized clinical decision support and knowledge management in community settings: a qualitative study
    Joan S Ash
    Oregon Health and Science University, Portland, OR, USA
    BMC Med Inform Decis Mak 12:6. 2012
    ..s...
  7. 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...
  8. 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...
  9. pmc Prescriber and staff perceptions of an electronic prescribing system in primary care: a qualitative assessment
    Emily Beth Devine
    Pharmaceutical Outcomes Research and Policy Program, University of Washington, Seattle, WA 98195 7630, USA
    BMC Med Inform Decis Mak 10:72. 2010
    ..We describe prescriber and staff perceptions of implementation of a CPOE system for medications (electronic- or e-prescribing system) in the ambulatory setting...
  10. 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...
  11. pmc Comparison of clinical knowledge management capabilities of commercially-available and leading internally-developed electronic health records
    Dean F Sittig
    UTHealth Memorial Hermann Center for Healthcare Quality and Safety, School of Biomedical Informatics, University of Texas Health Science Center, Houston, TX, USA
    BMC Med Inform Decis Mak 11:13. 2011
    ....
  12. 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...
  13. 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)...
  14. doi request reprint Toward a statewide health information technology center (abbreviated version)
    Dean F Sittig
    School of Biomedical Informatics, The University of Texas Health Science Center, Houston, TX 77030, USA
    South Med J 103:1111-4. 2010
    ....
  15. pmc The state of the art in clinical knowledge management: an inventory of tools and techniques
    Dean F Sittig
    UT Memorial Hermann Center for Healthcare Quality and Safety, University of Texas School of Health Information Science, 6410 Fannin Street, Houston, TX 77030, USA
    Int J Med Inform 79:44-57. 2010
    ..To explore the need for, and use of, high-quality, collaborative, clinical knowledge management (CKM) tools and techniques to manage clinical decision support (CDS) content...
  16. pmc How context affects electronic health record-based test result follow-up: a mixed-methods evaluation
    Shailaja Menon
    Department of Medicine, Baylor College of Medicine, Center for Innovations in Quality, Effectiveness and Safety, the Michael E DeBakey Veterans Affairs Medical Center and the Section of Health Services Research, Houston, Texas, USA
    BMJ Open 4:e005985. 2014
    ..We aimed to identify contextual factors associated with facility-level variation in missed test results within the Veterans Affairs (VA) health system...
  17. 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...
  18. 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...
  19. doi request reprint Matching identifiers in electronic health records: implications for duplicate records and patient safety
    Allison B McCoy
    School of Biomedical Informatics, The University of Texas Health Science Center at Houston, Houston, TX 77030, USA
    BMJ Qual Saf 22:219-24. 2013
    ....
  20. pmc 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)...
  21. 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...
  22. 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...
  23. pmc How the continuity of care document can advance medical research and public health
    John D D'Amore
    School of Biomedical Informatics, University of Texas Health Science Center, Houston, TX, USA
    Am J Public Health 102:e1-4. 2012
    ..Transitioning to the use of this new interoperability standard should be a priority for public health investment, research, and development...
  24. 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...
  25. ncbi request reprint Electronic alerts and clinician turnover: the influence of user acceptance
    Sylvia J Hysong
    Center for Innovations in Quality, Effectiveness and Safety 152, Michael E DeBakey VA Medical Center, 2002 Holcombe Blvd, Houston, TX 77030 E mail
    Am J Manag Care 20:SP520-30. 2014
    ..Conclusions Design, implementation, and use of EASs might impact provider satisfaction and retention. Institutions should consider strategies to help providers perceive greater value in these clinical tools. ..
  26. pmc An analysis of electronic health record-related patient safety concerns
    Derek W Meeks
    Houston VA Center for Innovations in Quality, Effectiveness and Safety, Michael E DeBakey Veterans Affairs Medical Center, Houston, Texas, USA Department of Family and Community Medicine, Baylor College of Medicine, Houston, Texas, USA
    J Am Med Inform Assoc 21:1053-9. 2014
    ..A recent Institute of Medicine report called for attention to safety issues related to electronic health records (EHRs). We analyzed EHR-related safety concerns reported within a large, integrated healthcare system...
  27. 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...
  28. pmc The promise of the CCD: challenges and opportunity for quality improvement and population health
    John D D'Amore
    School of Biomedical Informatics, University of Texas Health Science Center, Houston, TX, USA
    AMIA Annu Symp Proc 2011:285-94. 2011
    ..This research highlights the promise of CCDs for population health and recommends changes for future interoperability standards...
  29. 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...
  30. pmc Development and evaluation of a crowdsourcing methodology for knowledge base construction: identifying relationships between clinical problems and medications
    Allison B McCoy
    School of Biomedical Informatics, The University of Texas Health Science Center at Houston UTHealth, Houston, Texas 77030, USA
    J Am Med Inform Assoc 19:713-8. 2012
    ..We describe a novel, crowdsourcing method for generating a knowledge base of problem-medication pairs that takes advantage of manually asserted links between medications and problems...
  31. pmc A set of preliminary standards recommended for achieving a national repository of clinical decision support interventions
    Dean F Sittig
    University of Texas Memorial Hermann Center for Healthcare Quality and Safety, School of Health Information Sciences, Houston, TX, USA
    AMIA Annu Symp Proc 2009:614-8. 2009
    ....
  32. 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
    ....
  33. pmc Development of a clinician reputation metric to identify appropriate problem-medication pairs in a crowdsourced knowledge base
    Allison B McCoy
    The University of Texas School of Biomedical Informatics at Houston, 7000 Fannin St, Ste 600, Houston, TX 70030, USA Electronic address
    J Biomed Inform 48:66-72. 2014
    ..Crowdsourcing represents one approach to generating robust knowledge bases across a variety of terminologies, but more sophisticated approaches are necessary to improve accuracy and reduce manual data review requirements...
  34. pmc Patient access to medical records and healthcare outcomes: a systematic review
    Traber Davis Giardina
    Houston VA HSR and D Center for Innovations in Quality, Effectiveness and Safety, Michael E DeBakey Veterans Affairs Medical Center and the Section of Health Services Research, Department of Medicine, Baylor College of Medicine, Houston, Texas, USA Graduate College of Social Work, University of Houston, Houston, Texas, USA
    J Am Med Inform Assoc 21:737-41. 2014
    ....
  35. pmc A benchmark comparison of deterministic and probabilistic methods for defining manual review datasets in duplicate records reconciliation
    Erel Joffe
    School of Biomedical Informatics, The University of Texas Health Science Center at Houston, Houston, Texas, USA
    J Am Med Inform Assoc 21:97-104. 2014
    ..We compared the performance of common ER algorithms: using algorithmic optimization, rather than manual parameter tuning, and on two-threshold classification (match/manual review/non-match) as well as single-threshold (match/non-match)...
  36. 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...
  37. ncbi request reprint Comparison of clinical knowledge bases for summarization of electronic health records
    Allison B McCoy
    The University of Texas School of Biomedical Informatics at Houston, Houston, TX, USA
    Stud Health Technol Inform 192:1217. 2013
    ..Further research is necessary to better evaluate the knowledge bases independently in additional settings, and to identify methods to integrate the knowledge bases. ..
  38. pmc Effectiveness of bar coded medication alerts for elevated potassium
    Ryan P Radecki
    Department of Emergency Medicine, The University of Texas Health Science Center at Houston, Houston, TX, USA
    AMIA Annu Symp Proc 2012:1360-5. 2012
    ..Modifications to rules logic may be necessary for this specific population. While BCMA alerts can beneficial, they should be carefully implemented with periodic post-implementation analysis and refinement...
  39. 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...
  40. 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...
  41. doi request reprint Patient safety goals for the proposed Federal Health Information Technology Safety Center
    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, Texas, USA
    J Am Med Inform Assoc 22:472-8. 2015
    ..The convening ability of a federally supported HIT Safety Center could be critically important to our transformation to a safe and effective HIT enabled healthcare system. ..
  42. doi request reprint Characteristics of health IT outage and suggested risk management strategies: an analysis of historical incident reports in China
    Jianbo Lei
    Center for Medical Informatics, Peking University, Beijing, China School of Biomedical Informatics, University of Texas Health Sciences Center at Houston, Houston, TX, USA Electronic address
    Int J Med Inform 83:122-30. 2014
    ..Unexpected downtime of health IT systems could therefore wreak havoc and result in catastrophic consequences. Little is known, however, regarding the nature of failures of health IT...
  43. pmc Advancing the science of measurement of diagnostic errors in healthcare: the Safer Dx framework
    Hardeep Singh
    Houston Veterans Affairs Center for Innovations in Quality, Effectiveness and Safety, Michael E DeBakey Veterans Affairs Medical Center and the Section of Health Services Research, Department of Medicine, Baylor College of Medicine, Houston, Texas, USA
    BMJ Qual Saf 24:103-10. 2015
    ..The feedback and learning that would result will help develop subsequent interventions that lead to safer diagnosis, improved value of health care delivery and improved patient outcomes. ..
  44. pmc Implementation pearls from a new guidebook on improving medication use and outcomes with clinical decision support. Effective CDS is essential for addressing healthcare performance improvement imperatives
    Anwar M Sirajuddin
    Memorial Hermann Healthcare System, Houston, USA
    J Healthc Inf Manag 23:38-45. 2009
    ..This paper provides further details about these CDS five rights, and highlights other important strategies for successful CDS programs...
  45. 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...