Implementation of hospital electronic medical record Patient Friendly Medication Lists and Interim Medication Administration Charts

IF 1 Q4 PHARMACOLOGY & PHARMACY
Paul Wembridge BPharm (Hons), M Clin Pharm, FANZCAP, Saly Rashed BPharm (Hons), Grad Cert Pharm Practice, M Clin Pharm, FANZCAP, Nick Monypenny BNursing, Grad Cert of Information Systems, RN, Hamish Rodda MBBS, BMedSci, FACEM
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Abstract

Patients discharged from Australian hospitals require a list of current medications at the point of discharge, which is commonly in the form of a Patient Friendly Medication List (PFML). Furthermore, the provision of an Interim Medication Administration Chart (IMAC) reduces the number of medication administration delays and omissions for patients discharged to residential aged-care facilities. To increase the adoption of PFMLs and IMACs, a new process was developed for creating PFMLs and IMACs directly from the discharge prescription in the Electronic Medical Record (EMR). This retrospective pre- and post-intervention audit aimed to evaluate 1 year of PFML and IMAC generation from three acute metropolitan hospitals, prior to and after transitioning from pharmacy dispensing software to EMR-generated documents. Despite similar hospital activity, the transition to EMR-generated PFMLs and IMACs was associated with a 157% increase in PFML provision (7930 vs 20 373), a 220% increase in IMAC provision (1569 vs 5022) and a 99% reduction in the number of items typed into the pharmacy dispensing software that did not require supply (−59 171/year). Discharge dispensary turnaround times were lower in the post-intervention period (36 min vs 30 min, p < 0.01). In conclusion, the transition to EMR-generated PFMLs and IMACs was associated with increased provision of these documents, reduced data entry for items not required to be supplied, decreased risk of transcription errors and shortened time taken for the hospital pharmacy to process discharge items. This project was exempt due to the local policy requirements that constitute research by the Eastern Health Office of Research and Ethics (Reference no: QA21-094). The justification for this ethics exemption was as follows: the project complies with the National Health and Medical Research Council's Ethical considerations in quality assurance and evaluation activities and met local requirements for an audit or quality assurance activity.

实施医院电子病历患者友好用药清单和临时用药管理图表
从澳大利亚医院出院的病人需要在出院时获得一份当前用药清单,该清单通常采用 "病人友好用药清单"(PFML)的形式。此外,提供 "临时用药管理表"(IMAC)可减少老年护理机构出院病人的用药延误和遗漏。为了提高 PFML 和 IMAC 的采用率,我们开发了一种新的流程,可直接从电子病历(EMR)中的出院处方创建 PFML 和 IMAC。这项干预前后的回顾性审计旨在评估三家都市急症医院在从药房配药软件过渡到 EMR 生成文件之前和之后一年的 PFML 和 IMAC 生成情况。尽管医院活动相似,但过渡到 EMR 生成的 PFML 和 IMAC 后,PFML 供应量增加了 157%(7930 对 20 373),IMAC 供应量增加了 220%(1569 对 5022),药房配药软件中输入的不需要供应的项目数量减少了 99%(-59 171/年)。干预后的出院配药周转时间更短(36 分钟 vs 30 分钟,p < 0.01)。总之,向 EMR 生成的 PFML 和 IMAC 过渡与增加这些文件的提供、减少不需要提供的项目的数据输入、降低转录错误的风险以及缩短医院药房处理出院项目的时间有关。根据东方健康研究与伦理办公室当地的研究政策要求(参考编号:QA21-094),本项目获得豁免。获得伦理豁免的理由如下:该项目符合国家健康与医学研究委员会的 "质量保证和评估活动中的伦理考虑因素",并满足当地对审计或质量保证活动的要求。
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来源期刊
Journal of Pharmacy Practice and Research
Journal of Pharmacy Practice and Research Health Professions-Pharmacy
CiteScore
1.60
自引率
9.50%
发文量
68
期刊介绍: The purpose of this document is to describe the structure, function and operations of the Journal of Pharmacy Practice and Research, the official journal of the Society of Hospital Pharmacists of Australia (SHPA). It is owned, published by and copyrighted to SHPA. However, the Journal is to some extent unique within SHPA in that it ‘…has complete editorial freedom in terms of content and is not under the direction of the Society or its Council in such matters…’. This statement, originally based on a Role Statement for the Editor-in-Chief 1993, is also based on the definition of ‘editorial independence’ from the World Association of Medical Editors and adopted by the International Committee of Medical Journal Editors.
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