HIT for Medication Safety in Critical Access Hospitals

HIT 促进关键医院的用药安全

• 批准号: 6890734
• 负责人: ABRAHAM G HARTZEMA
• 金额: $ 14.78万
• 依托单位: DOCTOR'S MEMORIAL HOSPITAL
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-09-30 至 2005-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6890734
• 关键词: computer assisted patient care; emergency care; health care facility information system; health care service planning; health services research tag; hospitals; patient safety /medical error; pharmacy; pharmacy administration; regional medical planning; rural area; rural health

DESCRIPTION (provided by applicant): Up to 98,000 deaths occur annually in the United States because of medical errors, with medication errors contributing as many as 7,000 deaths. A stream of research has shown that health information technology can reduce medication errors in prescribing, transcribing, dispensing, and administration of medications. Consequently, IOM recommends increased adoption of health information technology in healthcare. Our purpose is to develop an implementation plan for pharmacy health information systems in critical access hospitals (CAH). Development partners are Florida's 12 current CAHs, the University of Florida's College of Pharmacy, Shands Healthcare, Florida Medical Quality Assurance, Inc., and the Florida DOH Office of Rural Health. Partners have been involved in patient safety projects in CAHS for two years. CAHs are in need of health information technology. Most CAHs have no staffing for concurrent prescription order review, have limited access to drug information, no pharmacy information system or other technologies, and very limited financial resources; add to this a low patient census. These challenges define the development of the strategic implementation plan for pharmacy information systems in CAHs. The six-month planning period will include an onsite survey of HIT, flowcharting the medication use system, an assessment of resources, and other characteristics. Survey information is condensed and presented for discussion in a first summit. Summit 1 is to develop a request for vendor applications. Summit 2 brings together project and hospital personnel to evaluate vendor applications on pharmacy IT. Establishing a consensus on the desired system and features allows for group purchasing. Information gathered during the planning phase is used to write a strategic HIT implementation plan for all CAHs, balancing human and technology factors. Doctor's Memorial Hospital will serve as a showcase model for the pharmacy health information technology that will be implemented in all critical access hospitals in a following phase.

描述（由申请人提供）：由于医疗错误，每年最多98,000人死亡，药物错误造成多达7,000人死亡。 一系列研究表明，健康信息技术可以减少处方，转录，分配和给药的药物错误。 因此，IOM建议在医疗保健中增加对健康信息技术的采用。 我们的目的是为关键访问医院（CAH）制定药学健康信息系统的实施计划。 开发合作伙伴是佛罗里达州的12个CAHS，佛罗里达大学药学院，Shands Healthcare，佛罗里达州医疗质量保证，Inc。和佛罗里达州农村健康办公室。 合作伙伴已经参与了CAHS的患者安全项目两年。 CAH需要健康信息技术。 大多数CAH没有人员配备同时处方订单审查，获取药物信息，没有药房信息系统或其他技术以及财务资源非常有限；添加到一个低的患者人口普查中。 这些挑战定义了CAH中药房信息系统战略实施计划的制定。 为期六个月的计划期将包括对命中率进行的现场调查，流程图使用药物使用系统，资源评估和其他特征。 调查信息被凝结并在第一次峰会中进行讨论。 Summit 1是为了制定供应商应用程序的请求。 Summit 2汇集了项目和医院人员，以评估药房IT的供应商申请。 在所需的系统上建立共识，并允许集体购买。 在计划阶段收集的信息用于为所有CAH制定战略性的命中实施计划，平衡人类和技术因素。 医生纪念医院将作为药房健康信息技术的展示模型，该模型将在接下来的所有关键访问医院中实施。

项目成果

Planning for pharmacy health information technology in critical access hospitals.

规划关键医院的药房健康信息技术。

• DOI: 10.2146/ajhp060134
• 发表时间: 2007
• 期刊: American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists
• 作者: Hartzema,AbrahamG;Winterstein,AlmutG;Johns,ThomasE;DeLeon,JessicaM;Bailey,Warren;McDonald,Kathie;Pannell,Robert
• 通讯作者: Pannell,Robert