Information Technology in the Inpatient Setting - Orientation. July, 2011. Course Objectives. At the end of this session, participants should be able to:
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At the end of this session, participants should be able to:
• Describe how healthcare organizations can utilize safety strategies and reduce the risk of medication and other errors by implementing technology at different points along the medication use process
• Analyze medication and other patient-related information captured in patient care information systems
• Examine the risk of medication and errors and consequences in patient safety for improperly configured systems
• Delineate the process of provider order entry and order completion by pharmacy and explain the pharmacist’s role.
• Appraise the need for standardization throughout the clinical information technology system, including use of a standardized menu structure.
• Recognize the potential impact of the Institute of Medicine (IOM) recommendations and available medication management technologies on patient safety
• Clinical decision-support tools that bring best-practice information and guidelines to clinicians at the time they need them and rule-based systems for monitoring, evaluating, responding, and reconciling medication-related events and information,
• Pharmacy information systems that allow electronic validation of medication orders in real time, provide the data flow needed to update both the medication administration record and order-driven medication dispensing systems, and support such operational activities as supply-chain management and revenue compliance,
• Automated dispensing cabinets and robotics integrated or interfaced with pharmacy information systems,
• Integrated medication administration management systems that enable the administration of bar-coded medications and use of “smart” infusion pumps, and
• Integrated medication surveillance applications for the reporting of medication incidents and adverse events.
Leadership. Pharmacists are responsible for patient safety throughout the medication-use process and need to take a leadership role in medical informatics at all levels of health care to ensure that health information technology supports safe medication use. Pharmacy informaticists must use their skills to
• Collaborate with other health care technology and clinical leaders to ensure that medication-related systems support interoperability and transportability of
• Attain key leadership roles within the health care technology industry, professional practice associations, and health care technology organizations, and
• Lead governmental and regulatory groups to sound conclusions regarding the use of technology in medication management, particularly as it relates to setting standards.
Pharmacists have the unique knowledge, expertise, and responsibility to assume a significant role in medical informatics. As governments and the health care community develop strategic plans for the widespread adoption of health information technology, pharmacists must use their knowledge of information systems and the medication-use process to improve patient care by ensuring that new technologies lead to safer and more effective medication use.
1 American Society of Health-System Pharmacists. ASHP statement on the pharmacist’s role in informatics. Am J Health-Syst Pharm. 2007; 64:200–3. http://www.ashp.org/DocLibrary/BestPractices/AutoITStInformatics.aspx accessed 6/29/2011
2Institute for Safe Medication Practices, Overview of Safety Recommendations for Medication Management Technology, 2011. http://www.ismp.org/CE/medmanagementtech/Default.asp Accessed 6/29/2011
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