Could You explain, what kind of measures are You interrested?

I am interested in developing (and testing) staffing measures, measures pertaining to evidence based practice (e.g. skin prep use), adverse events (e.g. incorrect counts), and efficiency or throughput measures (e.g. turnover time).

We have some experiences in measures methods for data stored in openmrs regarding simulated patient history. We didnt work on real data, because bioethical problem are to complicated. Our researches regard some kind of workflow associated with computer interpretable carepaths. Im sorrym we have publications in polish for this time. But if You want, I can send You some details from my research colleagues from Miltary University of Technology.

One measure we are working on that utilizes EMR based data is improving on time starts. Easily tracked, and simply making staff aware of the data showed an immediate 30% improvement. The benchmark they are striving to meet will be to start on time 95% of the time. My OR Director tells me another popular QI issue that would utilize EMR data is "block utilization"

Thank you for your suggestion. We are interested in developing such measures, are you aware of any written information about these measures? I have heard about the 'block utilization' issues but presume that requires insights in the surgeons and their assigned blocks. Is that what you are thinking?

Timely and appropriate pre-op antibiotic administration has been a major measure in surgical QI done across the country under the Medicare QIO program. Dr. Dale Bratzler was the clinical leader, and has published a lot on the topic. See a link to his work by putting his name in the upper right search box.

A summary view of some of the measures used can be found

https://www.researchgate.net/publication/6878455_Assessment_of_the_Medicare_quality_improvement_organization_program?ev=prf_pub

Best of actionable luck!

Article Assessment of the Medicare Quality Improvement Organization Program

Thanks much for your suggestion and reference. I am aware of the SCIP measures (and implemented a few!), but am looking for additional clinical and operational performance measures pertaining to perioperative care. We are working on a skin prep measure (in press), an example of a potential OR staffing measure is here: Talsma (2013) Evaluation of OR Staffing and Postoperative Patient Outcomes, AORN Journal 97(2):230-242. Interested in your thoughts.

Have you looked at the TEAM Stepps team work safety practices work? http://teamstepps.ahrq.gov/about-2cl_3.htm

It has had some reports about its implementation having a positive effect on reducing iatrogenic incidents, speeding responses to codes, etc.

Thank you for your suggestions. We are now moving to identify EMR based fields that fall within the same broad category of, for example "Safe Practices" in the OR. I am reviewing the various pieces about developing e-measures and appreciate any information about (successful) efforts and approaches. Anyone interested or involved currently in actual e-measure development?