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Excerpt
This volume comprises papers devoted to the development and use of technology—principally health information technology (health IT)—and strategies to enhance medication safety, both of which are critical to improving the delivery of safe, effective health care.
We are already using health IT in a number of ways: to help prevent medical errors, including adverse drug events; reduce costs through streamlining processes and providing more targeted, efficient care; help patients manage their chronic illnesses; enhance the delivery of targeted, patient-centered care; measure provider and facility performance; and facilitate rapid access and dissemination of accurate medical information in the event of a public health emergency.
Health IT can provide access to real-time information to support clinical decisionmaking, promote evidence-based care, organize and streamline the referral process, facilitate the order entry process, and consolidate patient information into one easily accessible, accurate, and up to date source. The use and usefulness of health IT are evolving, and we certainly will see many new applications of health IT in the coming months and years. New forms of information packaging and presentation will be critical in helping health IT grow and develop as health care itself changes over time.
Contents
- Preface
- Acknowledgments
- Prologue: Technology and Medication Safety
- Health Information Technology
- “Safeware”: Safety-Critical Computing and Health Care Information TechnologyRobert L. Wears and Nancy G. Leveson.
- Improving Perioperative Patient Safety Through the Use of Information TechnologyPaul J. St. Jacques and Michael N. Minear.
- The Impact of Health Information Technology on Work Process and Patient Care in Labor and DeliveryEmily M. Campbell, Hong Li, Tomi Mori, Patricia Osterweil, and Jeanne-Marie Guise.
- Consolidated Imaging: Implementing a Regional Health Information Exchange System for Radiology in Southern MaineStephenie Loux, Robert Coleman, Matthew Ralston, and Andrew Coburn.
- Personal Health Records to Improve Health Information Exchange and Patient SafetyJames R. Fricton and Diane Davies.
- Improving Patient Safety Using ATHENA-Decision Support System Technology: The Opioid Therapy for Chronic Pain ExperienceMartha Michel, Jodie Trafton, Susana Martins, Dan Wang, Samson Tu, Naquell Johnson, and Mary K. Goldstein.
- Implementing an Ambulatory e-Prescribing System: Strategies Employed and Lessons Learned to Minimize Unintended ConsequencesEmily B. Devine, Jennifer L. Wilson-Norton, Nathan M. Lawless, Ryan N. Hansen, William Hollingworth, Albert W. Fisk, and Sean D. Sullivan.
- Measuring IT Sophistication in Nursing HomesGregory L. Alexander, Dick Madsen, Stephanie Herrick, and Brady Russell.
- The Potential of Hand-held Assistive Technology to Improve Safety for Elder Adults Aging in PlaceShirley Ann Becker and Frank M. Webbe.
- Efficiency Gains with Computerized Provider Order EntryAndrew M. Steele and Mical DeBrow.
- “Safeware”: Safety-Critical Computing and Health Care Information Technology
- Medication Safety
- Clinical Pharmacists in Emergency MedicineRollin J. Fairbanks, Erik A. Rueckmann, Karen E. Kolstee, Daniel P. Hays, Daniel J. Cobaugh, Robert L. Wears, Karen H. Dewar, Heather A. Martin, Colleen O. Davis, Sandra M. Schneider, and Manish N. Shah.
- Introduction
- Evidence to Support the Value of a Clinical Pharmacist
- Optimization of the Emergency Pharmacists’ Role in Medication Safety
- Staff Perceptions of the Emergency Pharmacist Program
- Conclusion
- Acknowledgments
- Appendix 1. Sample Education and Training Requirements for an Emergency Pharmacist position
- Appendix 2. Sample Emergency Pharmacist Job Description
- References
- Intravenous Infusion Safety Initiative: Collaboration, Evidence-Based Best Practices, and “Smart” Technology Help Avert High-Risk Adverse Drug Events and Improve Patient OutcomesRay R. Maddox, Sherry Danello, Carolyn K. Williams, and Marianne Fields.
- Continuous Respiratory Monitoring and a “Smart” Infusion System Improve Safety of Patient-Controlled Analgesia in the Postoperative PeriodRay R. Maddox, Harold Oglesby, Carolyn K. Williams, Marianne Fields, and Sherry Danello.
- Evaluation of a Medication Therapy Management Program in Medicare Beneficiaries at High Risk of Adverse Drug Events: Study MethodsAndrew L. Masica, Daniel R. Touchette, Rowena J. Dolor, Glen T. Schumock, Mary Ann Kliethermes, Philip T. Rodgers, Jennifer L. Craft, Young-Ku Choi, Linda J. Lux, and Scott R. Smith.
- Medication Management Transactions and Errors in Family Medicine Offices: A Pilot StudyJohn Lynch, Jonathan Rosen, H. Andrew Selinger, and John Hickner.
- Evaluation of Medications Removed from Automated Dispensing Machines Using the Override Function Leading to Multiple System ChangesKarla Miller, Manisha Shah, Laura Hitchcock, Alicia Perry, Jane Englebright, Jonathan Perlin, and Hayley Burgess.
- Imbedding Research in Practice to Improve Medication SafetyMarsha A. Raebel, Elizabeth A. Chester, David W. Brand, and David J. Magid.
- Risk of Concurrent Use of Prescription Drugs with Herbal and Dietary Supplements in Ambulatory CareRobert E. Graham, Tejal K. Gandhi, Joshua Borus, Andrew C. Seger, Elisabeth Burdick, David W. Bates, Russell S. Phillips, and Saul N. Weingart.
- Using Home Visits to Understand Medication Errors in ChildrenKathleen E. Walsh, Christopher J. Stille, Kathleen M. Mazor, and Jerry H. Gurwitz.
- Developing a Community-Wide Electronic Shared Medication ListRon Stock, Eldon R. Mahoney, Dawn Gauthier, Linda Center, Mary Minniti, James Scott, Marc Pierson, and Lori Nichols.
- Clinical Pharmacists in Emergency Medicine
- Peer Reviewers—Volume 4
Suggested citation:
Henriksen K, Battles JB, Keyes MA, Grady ML, editors. Advances in patient safety: New directions and alternative approaches. Vol. 4. Technology and Medication Safety. AHRQ Publication No. 08-0034-4. Rockville, MD: Agency for Healthcare Research and Quality; August 2008.
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- Review Does applying technology throughout the medication use process improve patient safety with antineoplastics?[J Oncol Pharm Pract. 2014]Review Does applying technology throughout the medication use process improve patient safety with antineoplastics?Bubalo J, Warden BA, Wiegel JJ, Nishida T, Handel E, Svoboda LM, Nguyen L, Edillo PN. J Oncol Pharm Pract. 2014 Dec; 20(6):445-60. Epub 2013 Dec 19.
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