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Proc AMIA Symp. 2001 : 508–512.
PMCID: PMC2243496

The role of clinical informatics in the Agency for Healthcare Research and Quality's efforts to improve patient safety.


In 1998, the Institute of Medicine (IOM) issued a report on medical errors, which estimated that up to 98,000 people die in U.S. hospitals each year from errors. This report raised concerns that medical errors have become a national public health problem that should be addressed in the same manner as other epidemics such as heart disease, diabetes, and obesity. In 2001, the IOM released a follow-up report encompassing a broader range of quality issues. They concluded that the U.S. healthcare system is outmoded and incapable of providing consistent, high-quality care. They outlined a strategy for redesigning U.S. healthcare delivery to achieve safe, dependable, high-quality care, which emphasizes information technology as an integral part of the solution. AHRQ's fiscal year 2001 appropriation included an increase of $50 million dollars for initiatives to reduce medical errors and improve patient safety. AHRQ responded to this mandate by developing a series of research solicitations that form an integrated set of activities to design and test best practices for reducing errors in multiple health care settings. This paper discusses the components of this program and the central role of medical informatics research in the Agency's efforts to improve the safety of medical care in America.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Bates DW. Using information technology to reduce rates of medication errors in hospitals. BMJ. 2000 Mar 18;320(7237):788–791. [PMC free article] [PubMed]
  • McDonald CJ. Protocol-based computer reminders, the quality of care and the non-perfectability of man. N Engl J Med. 1976 Dec 9;295(24):1351–1355. [PubMed]
  • Berwick DM. Not again! BMJ. 2001 Feb 3;322(7281):247–248. [PMC free article] [PubMed]
  • Leape LL. Error in medicine. JAMA. 1994 Dec 21;272(23):1851–1857. [PubMed]
  • Berwick DM. A primer on leading the improvement of systems. BMJ. 1996 Mar 9;312(7031):619–622. [PMC free article] [PubMed]
  • Evans RS, Pestotnik SL, Classen DC, Clemmer TP, Weaver LK, Orme JF, Jr, Lloyd JF, Burke JP. A computer-assisted management program for antibiotics and other antiinfective agents. N Engl J Med. 1998 Jan 22;338(4):232–238. [PubMed]
  • Overhage JM, Tierney WM, Zhou XH, McDonald CJ. A randomized trial of "corollary orders" to prevent errors of omission. J Am Med Inform Assoc. 1997 Sep-Oct;4(5):364–375. [PMC free article] [PubMed]
  • Bates DW, Leape LL, Cullen DJ, Laird N, Petersen LA, Teich JM, Burdick E, Hickey M, Kleefield S, Shea B, et al. Effect of computerized physician order entry and a team intervention on prevention of serious medication errors. JAMA. 1998 Oct 21;280(15):1311–1316. [PubMed]
  • Teich JM, Merchia PR, Schmiz JL, Kuperman GJ, Spurr CD, Bates DW. Effects of computerized physician order entry on prescribing practices. Arch Intern Med. 2000 Oct 9;160(18):2741–2747. [PubMed]
  • Bowers MB, Jr, MacLean RW, Weiss E, Mazure CM. Trends in prescribing psychotropic medications. JAMA. 1998 Jul 8;280(2):133–134. [PubMed]

Articles from Proceedings of the AMIA Symposium are provided here courtesy of American Medical Informatics Association