The Center pursues large scale externally funded research projects related to quality and safety.

Using EHR Content to Prevent Breast and Ovarian Cancer

Thomas Payne, MD

This study will characterize and quantify latent EHR risk factor information (information that exists within a patient's EHR record but which is not known by current treating providers) to determine scope and location of breast and ovarian cancer risk factor content within EHR records of women with notes, reports, orders, and scanned documents. A risk score will be developed using these EHR data to determine the value of the information in reducing disease risk. If this latent EHR risk factor information could be recognized and acted on, many more women may be recognized to have appropriate indications to receive genetic counseling as a preventative measure, and thus have better outcomes.

A Comparative Effectiveness Trial of an Information Technology Enhanced Peer-Integrated Collaborative Care Intervention for US Trauma Care Systems

Doug Zatzick, MD and Peter Thomas, JD

The randomized comparative effectiveness trial aims to evaluate two readily deliverable approaches to the care of injured patients; the two approaches to be compared are a team intervention approach that integrates front-line trauma center staff with peer interventionists, versus trauma surgery notification of patient emotional distress with recommendation for mental health consultation.

A Policy Relevant US Trauma Care System Pragmatic Trial for PTSD and Comorbidity

Doug Zatzick, MD

The overarching goal of this proposal is to work with the NIH Health Care Systems Research Collaboratory to develop and implement a large scale, cluster randomized pragmatic clinical trial demonstration project that directly informs national trauma care system policy targeting injured patients with presentations of Posttraumatic Stress Disorder (PTSD) and related comorbidity.

Building Research Capacity for Firearm Safety among Children

Doug Zatzick, MD, Frederick Rivara, MD and Carolyn McCarty, PhD

The overarching goal of the project is to reduce the number of firearm injuries occurring among children. The approach seeks to apply the science of injury prevention used in other injury fields such as motor vehicle crash to the field of childhood firearm injuries.

Challenges and Opportunities Around the Oversight of the Aging Physician

Andrew White, MD and Thomas H. Gallagher, MD

As the physician workforce ages, physician leaders and healthcare organizations are increasingly encountering difficult questions about the best way to assess and manage doctors whose skill may have deteriorated with age. This project aims to collaborate with physicians, leaders of healthcare institutions, and patient advocates to develop ethically sound principles for oversight of aging physicians.

CRP Certification: Promoting Accountability and Learning After Adverse Events

Thomas H. Gallagher, MD

Communication and Resolution Programs (CRPs) represent a breakthrough in promoting patient-centered accountability and disseminated learning following adverse events, but physicians and healthcare institutions worry that using a CRP could trigger a punitive response by regulators such as state boards of medicine. We have developed the CRP Certification Program, in which a neutral review panel will determine if an adverse event was handled appropriately using the key principles of a CRP, in which case the state board of medicine will not pursue disciplinary action. The purpose of this project is to implement and evaluate the CRP Certification Program in 3 states and assess its suitability for national rollout.

Developing and Evaluating a Mastery Learning Program for Code Status Discussion

Rashmi Sharma, MD

The goal of this study was to evaluate a simulation training program to help hospitalists reach mastery learning standards in code status discussion skills.

Open Notes: Improving Health through a Culture of Transparency

Tom Delbanco, MD and Jan Walker, RN, MBA

The goal of this project is to study the effects of note viewing and co-generating of notes by patients on patient and provider satisfaction and health outcomes.

Open Notes: Improving Health through a Culture of Transparency

Tom Delbanco, MD, Jan Walker, RN, MBA and Thomas Payne, MD

The goal of this project is to study the effects of note viewing and co-generating of notes by patients on patient and provider satisfaction and health outcomes.

Piloting a Clinical Decision Support Tool to Identify Limited-English Proficiency Patients for Referral to the Harborview Caseworker-Cultural Mediators Program

Rashmi Sharma, MD and Lea Ann Miyagawa

The goal of this study is to develop and evaluate a clinical decision support tool to identify LEP patients for referral to the CCM program.