Technology and Automation in Hospital Pharmacies: Current and Future States

Siska, Mark H.

doi:10.1310/hpj4803-s6

Cited by 3 publications

(3 citation statements)

References 3 publications

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“…After the meaningful use ruling in 2010, adoption of CPOE by hospitals increased from 19% in 2010 to 54% in 2012. Similar increases were seen in the use of BCMA, medication reconciliation systems and electronic medical records [23] .…”

Section: Medication Error Preventionmentioning

confidence: 52%

Integration of health information technology to improve patient safety

Salyer

2014

JNEP

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Background: Medical errors and unsafe care continue to harm and kill thousands of patients every year, exceeding deaths attributed to motor vehicle accidents, heart failure and breast cancer. It has been more than ten years since the Institute of Medicine (IOM) released two landmark reports that galvanized attention on the scope and severity of the problem and started a national movement to improve patient safety in healthcare. Both of these reports emphasized the role that health information technology (HIT) can play in improving the quality and safety of patient care. This has lead federal and state legislators to prominently feature HIT, patient safety, and quality outcomes in the current health care debate, laws, and payment schemes. The objective of this systematic literature review is to assess current and proposed use of technology to prevent adverse events and the regulatory drivers that are promoting the use of technology for patient safety. Methods: A systematic literature search from 2010-2013 using CINAHL, Cochrane Library, Medline and Ovid (via EBSCO),Google Scholar and government web sites, was conducted to identify technology drivers, advancements and effects in the patient safety areas of electronic health records, patient identification, patient falls, pressure ulcers, and medication errors. Results: Forty four articles were selected for inclusion in this review addressing legal and regulatory drivers for use of technology to support patient safety, and specific technologies to prevent adverse events related to patient identification, patient falls, pressure ulcers, and medication errors. Search criteria included technology to prevent each of these event types, and the Affordable Care Act (ACA), American Reinvestment and Recovery Act (ARRA), and the Health Information Technology for Economic and Clinical Health (HITECH) provisions related to patient safety. Conclusion: Healthcare reform initiatives are promoting an expanded role for HIT in improving the safety and quality of patient care in the U.S. healthcare system. Findings suggest that there are several technologies currently in development and use to prevent adverse events in patients. While patient safety technology shows great promise in preventing error and injury, it also presents potential to harm if not effectively developed, implemented and used. It is an adjunct to, not a replacement of, a skilled and attentive care giver.

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Section: Medication Error Preventionmentioning

confidence: 52%

Integration of health information technology to improve patient safety

Salyer

2014

JNEP

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“…The barriers for implementing a fully integrated medication management include absence of well-defined clinical processes, lack of uniform technical and semantic standards, as well as the desire to expeditiously address the safety and quality concerns identified by Institute of Medicine (IOM) (Siska, 2013). The actual usage of CDSS is associated with certain uncertainties that can be addressed by exploring the latest developments happening in decision sciences, especially the branch of decision making under uncertainty (Kong et al, 2008).…”

Section: Utility Of Clinical Technologyprocessesmentioning

confidence: 99%

Utility of clinical technology-processes for developing countries

Agarwal

Sebastian

2014

Clinical Governance: An International Journal

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If you would like to write for this, or any other Emerald publication, then please use our Emerald for Authors service information about how to choose which publication to write for and submission guidelines are available for all. Please visit www.emeraldinsight.com/authors for more information. About Emerald www.emeraldinsight.comEmerald is a global publisher linking research and practice to the benefit of society. The company manages a portfolio of more than 290 journals and over 2,350 books and book series volumes, as well as providing an extensive range of online products and additional customer resources and services.Emerald is both COUNTER 4 and TRANSFER compliant. The organization is a partner of the Committee on Publication Ethics (COPE) and also works with Portico and the LOCKSS initiative for digital archive preservation. AbstractPurpose -The purpose of this paper is to evaluate the utility of clinical processes in healthcare institutions of different sizes. The implications of adoption rate of computerized physicians order entry (CPOE) and electronic medical/health records (EMRs/EHRs) in different sized healthcare institutions in the USA were studied in terms of understanding its impact on enhancement of quality of patient care. Design/methodology/approach -This study has used secondary data to obtain insights on the processes and technologies used in hospitals of different sizes in the USA and enlighten those in the developing countries to adopt a strategy that would be most appropriate for them. The Dorenfest Institute for H.I.T. Research and Education Analytics database (The Dorenfest Institute, 2011) provided the data for 5,038 US hospitals. Logistic regression was performed to study the impact of the different types of processes and technologies on institutions of different sizes, classified based on the number of beds, physicians, and nurses. Findings -The findings show that small sized hospitals had a positive relationship with drug dosing interactions process and nursing and clinician content process. On the contrary, medium sized hospitals had a negative relationship with the usage of CPOE for entering medical records, i.e. o25 percent ( po0.05). In order to be effective, these institutions should increase the usage of EMRs by more than 25 percent to get positive outcomes. Large hospitals showed a positive relationship with the usage of 475 percent of CPOE to enter medical records and usage of medical records 475 percent. Practical implications -The authors demonstrate the need for an evaluation of utility of acute care hospitals based on hospital size in terms of number of physicians, and nurses, which have not been dealt earlier by the past studies. Moreover, there is also a need for an evaluation of utility of acute care hospitals for implementation of CPOEs and EMRs that are integrated with clinical decision support systems. Originality/value -Although the data are US-centric, the insights provided by the results are very much relevant to the Indian scenario to support the improvement of t...

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“…As institutions work toward meeting meaningful use criteria, two results may ensue: increased rate of adoption of HIT and a fragmented medication management infrastructure. In a recent commentary, Mark Siska, Assistant Director of Informatics & Technology in Pharmacy Services at Mayo Clinic, writes "a focus on single functional areas and 'quick wins' has produced a number of single-threaded and ineffectively integrated solutions" (Siska, 2013).…”

mentioning

confidence: 99%

Utilizing Electronic Health Record Information to Optimize Medication Infusion Devices: A Manual Data Integration Approach

Chuk¹,

Maloney²,

Gawron³

et al. 2016

J Healthc Qual

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Health information technology is increasingly utilized within healthcare delivery systems today. Two examples of this type of technology include the capture of patient-specific information within an electronic health record and intravenous medication infusion devices equipped with dose error reduction software known as drug libraries. Automatic integration of these systems, termed intravenous (IV) interoperability, should serve as the goal toward which all healthcare systems work to maximize patient safety. For institutions lacking IV interoperability, we describe a manual approach of querying the electronic health record to incorporate medication administration information with data from infusion device software to optimize drug library settings. This approach serves to maximize utilization of available information to optimize medication safety provided by drug library software.

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Technology and Automation in Hospital Pharmacies: Current and Future States

Cited by 3 publications

References 3 publications

Integration of health information technology to improve patient safety

Integration of health information technology to improve patient safety

Utility of clinical technology-processes for developing countries

Utilizing Electronic Health Record Information to Optimize Medication Infusion Devices: A Manual Data Integration Approach

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