e-Autopsy: Kaiser Hospitals Dig In to Data to Assess Mortality
"Perhaps we find out things that would not have resulted in a different outcome, but they might identify areas where we can improve," Jacobsen said. "Was the patient deteriorating earlier in the case? Could we have responded earlier? Hindsight is always 20-20, but in the midst of the patient coming in, sometimes there are subtle signs and symptoms...that in retrospect, could have been acted on a little earlier."
In the Clostridium difficile project, Litman, Lau, and Kanter are looking at colitis diarrhea, and whether inappropriate antibiotics might have been used. "Although the study did not find a problem with this, it shows e-Autopsy is a new way to look for ways to improve and serve as a 'double check' that good care is being given," Litman said.
So far, there's been so many potential hints of how to improve care, the team plans to expand to other conditions such as gastrointestinal bleeds in patients taking anticoagulant medication, patients with sepsis who recently had an outpatient visit and patients who undergo code blues, including those patients who survive.
I asked Litman if, when he explains e-autopsy to other health providers, does he often hear the joke about hospitals and doctors burying their mistakes?
Cheryl Clark is senior quality editor and California correspondent for HealthLeaders Media. She is a member of the Association of Health Care Journalists.
- EHR Systems 'Immature, Costly,' AMA Says
- Better HCAHPS Scores Protect Revenue
- Narrow Networks Cut Costs, Not Quality, Economists Say
- CEO Exchange: Preparing for Population Health
- Interstate Medical Licensure Effort Advances
- 'Early Offer' Malpractice Programs May Spur Reform
- Anthem Blue Cross, 7 CA Health Systems Create New Challenger, Business Model
- 3 Strategies for Retaining Millennial Employees
- Advocate, NorthShore Deal Would Create 16-Hospital System
- How to Build a Health Plan from Scratch