Eric Thomas

General Internist and patient safety researcher for 20 years. Measurement of patient safety is off course, we need to measure what matters.

[BMJ Quality & Safety @BMJ_Qual_Saf]

Are you interested in joining the BMJ Quality & Safety editorial team?
Applications are now open for Quality and Safety in the Literature (QSL) Editors.
Find out more about the position here 👉 https://t.co/rrWBhtlvBm
Applications close January 15th. @BryonyDF @EJThomas_safety

[BMJ Quality & Safety @BMJ_Qual_Saf]

What factors does @BMJ_Qual_Saf consider when deciding if a research question is important?

[Scott Tannenbaum @TannenbaumScott]

We’ve drawn upon the growing body of research on #teameffectiveness to offer evidence-based advice for healthcare teams. We hope the tips are of assistance during/after the pandemic.

In @BMJ_Qual_Saf with @allisontraylor, Eric Thomas, Eduardo Salas
https://t.co/kS5oj83bcu

[Tim Vogus @Owen4Aidan]

Happy to see this in print and to have gotten to work with brilliant, resilient co-authors @DSTawfik @ProfitJochen @EJThomas_safety and all the rest whose Twitter handles I don’t have😄

[Hardeep Singh MD @HardeepSinghMD]

Our new narrative review led by @shafergt on diagnostic errors in the neonatal intensive care unit
https://t.co/dMPBrYivm6

Should help future focus in #NICU #neonatology #patientsafety

cc @IQuEStHouston @ProfitJochen @JenArnoldMD
@EJThomas_safety

[Kaveh Shojania @kgshojania]

Terrific piece in NEJM by @leorahorwitzmd showing substantive improvements (and learning about changes that didn’t work out) balancing rigour and pragmatism - a great example for health system leaders and for researchers in quality improvement https://t.co/7OQlshmuNc

[Dean Sittig @deansittig]

The harms of promoting ‘Zero Harm’ https://t.co/WXWA4emwG2 @UTHealth_SBMI @UTHealth @histalk @ECRI_Institute

[Hardeep Singh MD @HardeepSinghMD]

To accelerate progress in reducing preventable harm from diagnostic errors we propose a new ‘Safer Dx Trigger Tools Framework’ @BMJ_Qual_Saf
#improvedx #patientsafety #EHR #healthIT
https://t.co/5KBF8pkRei

[Dean Sittig @deansittig]

Creating a comprehensive, unit-based approach to detecting and preventing harm in the neonatal intensive care unit https://t.co/NDFmSCu2qW @histalk @UTHealth_SBMI @EJThomas_safety

[Eric Thomas @EJThomas_safety]

Couldn’t ask for a better wife and friend as well! https://t.co/EU6nA1vKv0

[Hardeep Singh MD @HardeepSinghMD]

Congrats to my mentor Dr. Laura Petersen for 2017 Under Secretary's Award - the highest honor for a VA health services researcher @vahsrd

You couldn't ask for a better mentor & boss

More about her https://t.co/WZU4q2WoDo (not on twitter yet;-)

[Dean Sittig @deansittig]

Adherence to recommended electronic health record safety practices across eight health care organizations @AHRQNews https://t.co/z4KouiiJD8

[Dean Sittig @deansittig]

Physician Burnout in the Electronic Health Record Era: Are We Ignoring the Real Cause? ie, our outdated regulatory requirements. https://t.co/CtvO8y1v8y @calonghurst @DBatesSafety @ONC_HealthIT

[Eric Thomas @EJThomas_safety]

Article in @JAHA_AHA by @emoryheart reporting only 17% of cases identified through #EHR query as statin prescription failures were actually failures. EHR #FunctioningAsDesigned - not designed to measure quality.
https://t.co/E4gJXBj94Y

[Hardeep Singh MD @HardeepSinghMD]

In UK, 450,000 patients missed breast cancer screening due to “computer algorithm failure”
Major IT error found on an IT system upgrade.
Took a decade for discovery.
https://t.co/qRWODviye2

[Jason Etchegaray @JasonEtchegaray]

We also found higher perceptions of safety culture and teamwork culture in those who feel comfortable speaking up. /2

[Jason Etchegaray @JasonEtchegaray]

Fear of no change, retaliation, and negative feedback prevent health care professionals from speaking up about #PatientSafety concerns. Our (w/ @EJThomas_safety @j_ottosen) latest study: https://t.co/MLpKINg2we /1

[Dean Sittig @deansittig]

#FunctioningAsDesigned After checking the spelling of the last name 2x on admission, then again as the tech applied the Patient-ID wristband, we realized that the last name field is limited to 12 characters AND they auto-deleted the hyphen between names. EHR Safety violations!

[Eric Thomas @EJThomas_safety]

To be fair #FunctioningAsDesigned EHR is good too. Saw diabetic with HTN not on ACEI or ARB. In 60 sec EHR allowed us to identify date in 2010 when it was stopped after acute renal failure. Now should be back on it. Would be longer or impossible to figure out with paper chart.

[Eric Thomas @EJThomas_safety]

@StuartBuck1 @hmkyale @ACCinTouch @AHAScience Why don’t EHR‘s prioritize presentation of evidence-based alternatives? If you asked the vendor they will likely push back and say #FunctioningAsDesigned

[Eric Thomas @EJThomas_safety]

@MWFriedberg In! Though I might be tempted to tweet a few especially irksome examples between now and them.

[Eric Thomas @EJThomas_safety]

1/2. Anyone else tired of poor EHR design? Got examples of
serious design flaws with safety issues? Were you told by the EHR vendor "functioning
as designed" and got mad? I am starting a new hashtag
#FunctioningAsDesigned