Planning for pharmacy health information technology in critical access hospitals.
PURPOSE: A plan for the implementation of medication-related health information technology (HIT) in 12 critical access hospitals (CAHs) to improve safety and reduce medication errors is described. SUMMARY: Interviews were conducted to assess the status of HIT in 12 CAHs, including HIT needs and desi...
| Publicado en: | American Journal of Health-System Pharmacy Vol. 64; no. 3; pp. 315 - 322 |
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| Autores principales: | , , , , , , |
| Formato: | Journal Article |
| Publicado: |
Oxford University Press / USA
2/1/2007
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106274588&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106274588 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10792082 1X3 jtl: American Journal of Health-System Pharmacy issn: 10792082 maglogo: N pubinfo: dt: 2/1/2007 vid: 64 iid: 3 pid: 622 pub: Oxford University Press / USA artinfo: ui: 106274588 2009506199 10.2146/ajhp060134 NLM17244881 106274588 ppf: 315 ppct: 7 formats: fmt: @attributes: type: P tig: atl: Planning for pharmacy health information technology in critical access hospitals. aug: au: Hartzema AG Winterstein AG Johns TE De Leon JM Bailey W McDonald K Pannell R affil: Department of Pharmacy Health Care Administration, College of Pharmacy, University of Florida (UF), Gainesville, FL 32610, USA. hartzema@cop.ufl.edu sug: subj: Health Services Accessibility Medication Systems Pharmacy Service Diffusion of Innovation Florida Interviews Medication Errors Prevention and Control ab: PURPOSE: A plan for the implementation of medication-related health information technology (HIT) in 12 critical access hospitals (CAHs) to improve safety and reduce medication errors is described. SUMMARY: Interviews were conducted to assess the status of HIT in 12 CAHs, including HIT needs and desires and barriers to HIT adoption. Two conferences were held as part of the planning process. It was determined that pharmacy HIT (pHIT) should be implemented in three phases in the CAHs. In phase 1, it was found that the first HIT needed by the CAHs was pharmacy information management systems (PIMS), the cornerstone for the implementation of other HITs. Criteria were developed for the appropriate selection of PIMS for the CAHs. Phase 2 revealed that automated dispensing cabinets (ADCs) should be the next HIT implementation. ADCs are effective in the reduction of medication errors in the dispensing stage. Phase 3 dealt with the implementation of smart infusion pumps. Smart infusion pumps contain a standard data set that includes parameters for infusion fluids and a clinical decision-support system, and they keep a record of rule violations. Barriers to HIT implementation included funding, staff resistance to change, staff adaptation to HIT and workflow changes, time constraints on small sta., facility and building barriers, and lack of information technology support. CONCLUSION: Planning conferences and interviews with hospital representatives helped to identify the HIT needs of 12 CAHs. The planning process resulted in a three-phase plan for pHIT implementation, which will include PIMS, ADCs, and smart infusion pumps. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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