Prof Hardeep Singh

Senior Faculty

Hardeep Singh, M.D., M.P.H. is a general internist and Chief of Health Policy, Quality & Informatics Program, Center for Innovations in Quality, Effectiveness and Safety based at the Michael E. DeBakey Veterans Affairs (VA) Medical Center and Baylor College of Medicine, Houston. He leads a portfolio of patient safety research in improving the use of health information technology and reducing diagnostic errors in health care. His research has informed several national and international patient safety initiatives and policy reports, including those by the National Academy of Medicine (formerly the IOM), US Department of Health and Human Services, National Quality Forum (NQF), American Medical Association, Agency for Healthcare Research and Quality, OECD and the WHO.

In addition to co-developing the national VA policy on diagnostic test results communication, Hardeep co-chaired the National Quality Forum committee on recommendations for health IT safety measurement and co-developed the “ONC SAFER Guides” that provide national recommendations for safe electronic health record use. He has served as Co-Chair of ‘Closing the Referral Loop in EHR Expert Panel’ convened by the Institute for Healthcare Improvement and was a nominated member of the federal Clinical Laboratory Improvement Advisory Committee, which advises the CDC, FDA and CMS. In 2014, he was elected as a Fellow of the American College of Medical Informatics for significant and sustained contributions to biomedical informatics. Hardeep received the 2012 AcademyHealth Alice S. Hersh New Investigator Award for high impact research and in 2014, received the prestigious Presidential Early Career Award for Scientists and Engineers (PECASE) from President Obama for pioneering work in the field. His multidisciplinary team’s work received the 2016 VA Health System Impact Award, which honors VA-funded research that significantly impacts clinical practice and policy.

Follow Hardeep on Twitter @HardeepSinghMD

Email me

Telephone

+001 713 794 8515

Institution

Baylor College of Medicine, Houston, Texas, US

Areas of Expertise

Patient safety, related to electronic health record implementation and use, and health information technology to identify and reduce diagnostic errors.

Projects

Publications

Kwan JL, Singh H. General Internists in Pursuit of Diagnostic Excellence in Primary Care: a #ProudtobeGIM Thread That Unites Us All. Journal of General Internal Medicine, 33(4): 395-396
Mendonca SC, Abel GA, Gildea C, McPhail S, Peake MD, Rubin G, Singh H, Hamilton W, Walter FM, Roland MO, Lyratzopoulos G. Associations between general practice characteristics with use of urgent referrals for suspected cancer and endoscopies: a cross-sectional ecological study. Family Practice, 2018, cmy118
Murphy DR, Satterly T, Rogith D, Sittig DF, Singh H. Barriers and facilitators impacting reliability of the electronic health record-facilitated total testing process. International Journal of Medical Informatics, 2019, 127: 102-108
Walter FM, Thompson MJ, Wellwood I, Abel GA, Hamilton W, Johnson M, Lyratzopoulos G, Messenger MP, Neal RD, Rubin G, Singh H, Spencer A, Sutton S, Vedstead P, Emery JD. Evaluating diagnostic strategies for early detection of cancer: the CanTest framework. BMC Cancer, 2019, 19:586
Renzi C, Kaushal A, Emery J, Hamilton W, Neal RD, Rachet B, Rubin G, Singh H, Walter FM, de Wit NJ, Lyratzopoulos G. Comorbid chronic diseases and cancer diagnosis: disease-specific effects and underlying mechanisms. Nature Reviews: Clinical Oncology, 2019, https://doi.org/10.1038/s41571-019-0249-6
Amelung D, Whitaker KL, Lennard D, Ogden M, Sheringham J, Zhou Y, Walter FM, Singh H, Vincent C, Black G. Influence of doctor-patient conversations on behaviours of patients presenting to primary care with new or persistent symptoms: a video observation study. BMJ Quality & Safety, https://doi.org/10.1136/bmjqs-2019-009485
Zhou Y, van Melle M, Singh H, Hamilton W, Lyratzopoulos G, Walter FM. Quality of the Diagnostic Process in Patients Presenting with Symptoms Suggestive of Bladder or Kidney Cancer: A Systematic Review. British Medical Journal Open, 2019, 2019;9:e029143. doi: 10.1136/bmjopen-2019-029143
Singh H, Khanna K, Spitzmueller C, Meyer AND. Recommendations for using the Revised Safer Dx Instrument to help measure and improve diagnostic safety. Diagnosis, 2019. pii: /j/dx.ahead-of-print/dx-2019-0012/dx-2019-0012.xml. doi: 10.1515/dx-2019-0012
Murphy DR., Giardina TD, Satterly T, Sittig DF, Singh H. An Exploration of Barriers, Facilitators, and Suggestions for Improving Electronic Health Record Inbox-Related Usability. A Qualitative Analysis. JAMA Network Open, 2019, 2(10):e1912638, doi:10.1001/jamanetworkopen.2019.12638
Zhou Y, Abel GA, Hamilton W, Singh H, Walter FM, Lyratzopoulos G. Imaging activity possibly signalling missed diagnostic opportunities in bladder and kidney cancer: A longitudinal data-linkage study using primary care electronic health records. Cancer Epidemiology, 2020, doi: 10.1016/j.canep.2020.101703
Jones OT, Calanzani N, Saji S, Duffy SW, Emery J, Hamilton W, Singh H, de Wit N, Walter F. Application of artificial intelligence to electronic health records for early detection and diagnosis of cancer in primary care: a Systematic Review. JMIR, 2020:23483, doi: 10.2196/preprints.23483
Singh H, Sittig DF, Gandhi TK. Fighting a common enemy: a catalyst to close intractable safety gaps. BMJ Quality & Safety, 2020, doi: 10.1136/bmjqs-2020-011390
Gandhi TK, Singh H. Reducing the Risk of Diagnostic Error in the COVID-19 Era. Journal of Hospital Medicine, 2020 June;15(6): 363-366, doi: 10.12788/jhm.3461
Giardina TD, Royse KE, Khanna A, Haskell H, Hallisy J, Southwick F, Singh H. Health Care Provider Factors Associated with Patient-Reported Adverse Events and Harm. Joint Commission Journal on Quality and Patient Safety, 2020, 5: 282-290, doi: 10.1016/j.jcjq.2020.02.004
Zhou Y, Walter FM, Singh H, Hamilton W, Abel GA, Lyratzopoulos. Prolonged Diagnostic Intervals as Marker of Missed Diagnostic Opportunities in Bladder and Kidney Cancer Patients with Alarm Features: A Longitudinal Linked Data Study. Cancers, 2021, 13(1): 156, doi: 10.3390/cancers13010156
Jones OT, Calanzani N, Saji S, Duffy SW, Emery J, Hamilton W, Singh H, de Wit NJ, Walter FM. Artificial Intelligence Techniques That May Be Applied to Primary Care Data to Facilitate Earlier Diagnosis of Cancer: Systematic Review. J Med Internet Res, 2021;23(3):e23483. doi: 10.2196/23483
Cheraghi-Sohi S, Holland F, Singh H, Danczak A, Esmail A, Morris RL, Small N, Williams R, de Wet C, Campbell SM, Reeves D. Incidence, origins and avoidable harm of missed opportunities in diagnosis: longitudinal patient record review in 21 English general practices. BMJ Quality & Safety, 2021, doi: 10.1136/bmjqs-2020-012594
Meyer AND, Giardina TD, Khawaja L, Singh H. Patient and clinician experiences of uncertainty in the diagnostic process: Current understanding and future directions. Patient Education and Counseling, 2021, doi: 10.1016/j.pec.2021.07.028
Mahajan P, Pai C, Cosby K, Mollen C, Shaw K, Chamberlain J, El-Kareh R, Ruddy R, Alpern E, Epstein H, Giardina T, Graber M, Medford-Davis L, Medlin R, Upadhyay D, Parker S, Singh H. Identifying trigger concepts to screen emergency department visits for diagnostic errors. Diagnosis, 2021;8(3): 340-346. doi:10.1515/dx-2020-0122
Rajan, S, Baldwin, J, Giardina, T, Singh, H. Technology-Based Closed-Loop Tracking for Improving Communication and Follow-up of Pathology Results. Journal of Patient Safety, 2020. doi:10.1097/PTS.0000000000000759
Zimolzak AJ, Shahid U, Giardina TD, Memon SA, Mushtaq U, Zubkoff L, Murphy DR, Bradford A, Singh H. Why Test Results Are Still Getting “Lost” to Follow-up: a Qualitative Study of Implementation Gaps. Journal of General Internal Medicine, 2021. doi: 10.1007/s11606-021-06772-y
Singh H, Connor DM, Dhaliwal G. Five strategies for clinicians to advance diagnostic excellence BMJ 2022; 376 :e068044. doi: 10.1136/bmj-2021-068044
Zhou Y, Walter FM, Mounce L, Abel GA, Singh H, Hamilton W, Stewart GD, Lyratzopoulos G. Identifying opportunities for timely diagnosis of bladder and renal cancer via abnormal blood tests: a longitudinal linked data study. British Journal of General Practice. Dec 2021; doi: 10.3399/BJGP.2021.0282
Giardina TD, Choi DT, Upadhyay DK, Korukonda S, Scott TM, Spitzmueller C, Schuerch C, Torretti D, Singh H. Inviting patients to identify diagnostic concerns through structured evaluation of their online visit notes, Journal of the American Medical Informatics Association, Volume 29, Issue 6, June 2022, Pages 1091–1100, doi: 10.1093/jamia/ocac036
Savoy A, Patel H, Shahid U, Offner AD, Singh H, Giardina TD, Meyer AND. Electronic Co-design (ECO-design) Workshop for Increasing Clinician Participation in the Design of Health Services Interventions: Participatory Design Approach. JMIR Hum Factors 2022;9(3):e37313. doi: 10.2196/37313
Sittig DF, Sherman JD, Eckelman MJ, Draper A, Singh H. i-CLIMATE: a “clinical climate informatics” action framework to reduce environmental pollution from healthcare, Journal of the American Medical Informatics Association, 2022;, ocac137, doi: 10.1093/jamia/ocac137
Singh H, DeBakey ME, Mushtaq U, Marinez A, Shahid U, Huebner J, McGaffigan P, Upadhyay DK. Developing the Safer Dx Checklist of Ten Safety Recommendations for Health Care Organizations to Address Diagnostic Errors. The Joint Commission Journal on Quality and Patient Safety, Nov 2022. doi: 10.1016/j.jcjq.2022.08.003
Giardina TD, Shahid U, Mushtaq U, Upadhyay DK, Marinez A, Singh H. Creating a Learning Health System for Improving Diagnostic Safety: Pragmatic Insights from US Health Care Organizations. J GEN INTERN MED 2022. doi: 10.1007/s11606-022-07554-w
Zimolzak AJ, Singh H, Murphy DR, Wei L, Memon SA, Upadhyay DK, Korukonda S, Zubkoff L, Sittig DF. Translating electronic health record-based patient safety algorithms from research to clinical practice at multiple sites. BMJ Health & Care Informatics 2022; 29:e100565. doi: 10.1136/bmjhci-2022-100565
Meyer AND, Scott TMT, Singh H. Adherence to National Guidelines for Timeliness of Test Results Communication to Patients in the Veterans Affairs Health Care System. JAMA Network Open. 2022;5(4):e228568. doi:10.1001/jamanetworkopen.2022.8568
Meyer AND, Singh H, Zimolzak AJ, Wei L, Choi DT, Marinez AD, Murphy DR. Cancer Evaluations During the COVID-19 Pandemic: An Observational Study Using National Veterans Affairs Data,
American Journal of Preventive Medicine 2022, Vol 63 Issue 6, doi: 10.1016/j.amepre.2022.07.004