{"title":"Managing the medication reconciliation process. Developing a robust reconciliation process for an institution using mixed electronic/paper medical records.","authors":"Tina Dieckhaus, Kathy Martin, Richard Clark","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>One of the most difficult National Patient Safety Goals to master is to accurately and completely reconcile medications across the continuum of care. All healthcare providers can agree that reconciliation is valuable, but developing a process that will ensure this is being done at admission, transfer and discharge is difficult. Is there a provider role that should logically take ownership of this process? How can this be seamlessly incorporated into current workflow? As institutions are transitioning to electronic medical records, in a mixed electronic and paper environment, what tools need to be developed to assure that the process is followed consistently? This article will review the process used by a multidisciplinary group to develop a robust medication reconciliation process in an institution which uses a mixed electronic/paper medical record and provides both ambulatory and inpatient care.</p>","PeriodicalId":80028,"journal":{"name":"Journal of healthcare information management : JHIM","volume":"23 4","pages":"34-7"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28492346","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Anwar M Sirajuddin, Jerome A Osheroff, Dean F Sittig, John Chuo, Ferdinand Velasco, David A Collins
{"title":"Implementation pearls from a new guidebook on improving medication use and outcomes with clinical decision support. Effective CDS is essential for addressing healthcare performance improvement imperatives.","authors":"Anwar M Sirajuddin, Jerome A Osheroff, Dean F Sittig, John Chuo, Ferdinand Velasco, David A Collins","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Effective clinical decision support (CDS) is essential for addressing healthcare performance improvement imperatives, but care delivery organizations (CDO) typically struggle with CDS deployment. Ensuring safe and effective medication delivery to patients is a central focus of CDO performance improvement efforts, and this article provides an overview of best-practice strategies for applying CDS to these goals. The strategies discussed are drawn from a new guidebook, co-published and co-sponsored by more than a dozen leading organizations. Developed by scores of CDS implementers and experts, the guidebook outlines key steps and success factors for applying CDS to medication management. A central thesis is that improving outcomes with CDS interventions requires that the CDS five rights be addressed successfully. That is, the interventions must deliver the right information, to the right person, in the right format, through the right channel, at the right point in workflow. This paper provides further details about these CDS five rights, and highlights other important strategies for successful CDS programs.</p>","PeriodicalId":80028,"journal":{"name":"Journal of healthcare information management : JHIM","volume":"23 4","pages":"38-45"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3316472/pdf/nihms227098.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28492347","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Meaningful use for nursing. Six themes regarding the definition for meaningful use.","authors":"Judy Murphy","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":80028,"journal":{"name":"Journal of healthcare information management : JHIM","volume":"23 4","pages":"9-11"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28492444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Across the pond. A European perspective on the contribution of IT to healthcare in the United States and the European community.","authors":"Jean-Pierre Thierry","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":80028,"journal":{"name":"Journal of healthcare information management : JHIM","volume":"23 2","pages":"14-6"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28123122","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Safe harbor--addressing security issues in IT contracts.","authors":"Robert Doe","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":80028,"journal":{"name":"Journal of healthcare information management : JHIM","volume":"23 2","pages":"17-8"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28123123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Barcode medication. Administration implementation in an acute care hospital and lessons learned.","authors":"Abha Agrawal, Allison R Glasser","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Bar code medication administration (BCMA) systems ensure the five \"rights\" during medication administration: right patient, drug, dose, route and time. Implementing BCMA is a vital component of a medication safety strategy. Implementing BCMA is a complex project that involves many disciplines, each with unique workflow implications. For example, nursing has interface configuration and hardware reliability concerns, whereas pharmacy considers efficiency maximization and inventory management of unit-dosed bar coded medications as the main priorities. Suboptimal planning or ineffective project methodology may lead to poor adoption or to nurses implementing BCMA workarounds that can negate potential benefits or lead to new errors. This paper describes our experience in successfully implementing a BCMA system at a 630-bed acute tertiary care public hospital. We will describe the BCMA system and project methodology, discuss important considerations related to pharmacy, technology, admitting, nursing adoption and service area considerations, and share lessons learned.</p>","PeriodicalId":80028,"journal":{"name":"Journal of healthcare information management : JHIM","volume":"23 4","pages":"24-9"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28492344","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Personal health records: ready for prime time?","authors":"Richard D Lang","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":80028,"journal":{"name":"Journal of healthcare information management : JHIM","volume":"23 3","pages":"2-4"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40018975","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The evolution of the primary caregiver. Computerization and interdisciplinary process change.","authors":"Richard D Lang","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":80028,"journal":{"name":"Journal of healthcare information management : JHIM","volume":"23 1","pages":"2-3"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27955860","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Process efficiency. Redesigning social networks to improve surgery patient flow.","authors":"Chandrika N Samarth, Peter A Gloor","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We propose a novel approach to improve throughput of the surgery patient flow process of a Boston area teaching hospital. A social network analysis was conducted in an effort to demonstrate that process efficiency gains could be achieved through redesign of social network patterns at the workplace; in conjunction with redesign of organization structure and the implementation of workflow over an integrated information technology system. Key knowledge experts and coordinators in times of crisis were identified and a new communication structure more conducive to trust and knowledge sharing was suggested. The new communication structure is scalable without compromising on coordination required among key roles in the network for achieving efficiency gains.</p>","PeriodicalId":80028,"journal":{"name":"Journal of healthcare information management : JHIM","volume":"23 1","pages":"20-6"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27955867","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Real option analysis--improving project selection in healthcare settings.","authors":"David K Wyant","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The effective selection of information technology projects is crucial for achieving gains from healthcare IT. This article introduces through example \"real options analysis,\" a project selection best practice. The author discusses the applications of real options analysis, with emphasis on healthcare settings, and addresses the importance of organizational characteristics on real options analysis. The real options approach is an improvement over net present value analysis, which uses single estimates of future revenue and costs. Additionally, thinking of projects in terms of options helps design and manage investment strategies by identifying and valuing alternatives inherent in a project.</p>","PeriodicalId":80028,"journal":{"name":"Journal of healthcare information management : JHIM","volume":"23 1","pages":"56-61"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27956355","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}