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Electronic Health Record-based Systems To Improve Medication Safety in Ambulatory Care

OPG Proposal Status: 

Context:  Despite widespread recognition of pervasive patient safety problems in the U.S. health care system, research to develop feasible, scalable solutions has lagged, particularly in the ambulatory setting. The need for new approaches to improve safety is especially pressing in the care of ambulatory patients taking high-risk medications. As chronic disease management continues to intensify with use of an expanding number of high-risk medications, patients are increasingly at risk for drug adverse events.

A More Patient Driven, Accurate Medication Reconciliation

OPG Proposal Status: 

Objective

To create a way of collecting a more accurate medication reconciliation in a less time intensive way

Background

In medicine, much of the care we provide is very dependent on a patient’s adherence to the (often complicated) medication regimen we prescribe. Understanding what medications a patient is taking is therefore crucial to helping us understand how we can better improve their health outcomes.

Bridging the gap to providing care for LEP (Limited English Proficiency) patients

OPG Proposal Status: 

Objective

To create patient education materials and handouts for patients in their native language.

Background

San Francisco has an incredibly diverse population. Census data shows that approximately 45% of households have a language other than English spoken at home.  Nearly 30% of these households identify as speaking English “not well” or “not at all” resulting in approximately 1 out of 8 San Francisco residents identifying as having limited English proficiency (LEP)

Brief description of intervention

Ambulatory monitoring devices: expanding care beyond the office walls

OPG Proposal Status: 

Objective

To use ambulatory monitoring devices so that:

  1. providers can more closely monitor at-risk, high-utilizing (or all) patients
  2. patients have greater, more timely access to health care and advice
  3. high risk patients can avoid worse outcomes

Background

HOSPLIFE - Version 2.0: Bringing Hospital Information to Patients and Families Through A Web Based Mobile Application

OPG Proposal Status: 

Hospitalization and the navigation of the health system is increasingly complex - those hospitalized need an easy to use tool to outline the hospital journey from admission to discharge and care at home. While some of this information can be found on the UCSF web-site, paper documents, and in verbal conversation with staff - a web based mobile application can serve as an easy to use reference or introduction to concepts not previously explained to patients - like what to expect at time of discharge.

There’s an App for That: Developing and Building a UCSF Health Smartphone App to Enhance Communication with Patients and Improve the Patient Experience

OPG Proposal Status: 

Authors: Catherine Lau, James Harrison, Sarah Imershein

Background:

Systematic early nutrition intervention in the care of head and neck cancer patients.

OPG Proposal Status: 

UCSF Learning Healthcare System Demonstration Project: Systematic early nutrition intervention in the care of head and neck cancer patients.

Greta Macaire RD, Lisa Ploss MPH RD, and Patrick Ha MD

Develop the Infrastructure for Any Investigator to Build a Web-Based Cohort Study

OPG Proposal Status: 

Cohort studies are a critical component of clinical and translational research. They provide data on the natural history of disease, biobank specimens for translational studies and often provide a framework from which one can recruit for clinical trials. Traditional cohort studies also have many drawbacks. Data collection is often still performed on paper and management is usually centralized at a data-coordinating center with limited ability for interested investigators to obtain transparent, real-time information on data and specimens available for study.

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