最大限度地减少电子处方传输的用药错误——数字化复方药物制剂

R. Parrish, Lucy Gilak, Donna Z. Bohannon, Steven Emrick, B. Serumaga, R. Guharoy
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引用次数: 2

摘要

缺乏与复合药物制剂相关的标准化,特别是在护理情况的过渡中,通过促进用药错误威胁患者安全。本文概述了美国药典(USP)专家小组在卫生IT系统中交换复方药物制剂信息方面的最新进展。为该小组制定的工作计划侧重于提出一套编码规则,这些规则将管理如何将合成非无菌药物制剂(cnsp)数字化和交换,包括患者电子健康记录(EHR)、药房系统、电子处方(eRx)和其他健康信息技术(HIT)系统,以确保根据个体患者的需求量身定制无缝合成过程。这项工作包括识别授权的复方专著,调查供应商和最终用户群体,以获取电子处方期间数据特异性的信息,并为临床配方标识符(cf - id)的兼容数据模型的开发生成指南。本文还将讨论HIT系统中不断发展的cnsp命名标准如何成为儿童综合用药管理(CMM)质量保证系统的一部分,从而最大限度地减少整个护理过程中的用药错误。最后,提出了一种针对儿童及其家庭/照顾者的药物管理系统的网络设计方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Minimizing Medication Errors from Electronic Prescription Transmission—Digitizing Compounded Drug Preparations
Lack of standardization related to compounded drug preparations, especially in the transition of care situations, threatens patient safety by facilitating medication error. This paper outlines progress to-date from the United States Pharmacopeia (USP) Expert Panel on the Exchange of Compounded Drug Preparation Information in Health IT Systems. The work plan developed for the group is focused on proposing a set of encoding rules that would govern how compounded nonsterile drug preparations (CNSPs) are digitized and exchanged, including patient electronic health records (EHR), pharmacy systems, e-prescribing (eRx), and other Health IT (HIT) systems to ensure a seamless compounding process tailored to the needs of an individual patient. Included in this work are identifying authorized compounding monographs, surveying provider and end-user groups for information about data specificity during e-prescribing, and generating guidelines for the development of a compatible data model for clinical formulation identifiers (CF-IDs). This paper will also discuss how evolving nomenclature standards for CNSPs within HIT systems are part of a quality assurance system for comprehensive medication management (CMM) in children, thereby minimizing medication errors across the continuum of care. Finally, a network approach for the design of medication management systems for children and their families/caregivers is proposed.
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