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Successful Physician Training Program for Large Scale EMR Implementation

L.A. Stevens, E.S. Mailes, B.A. Goad, C.A. Longhurst, J.L. Pantaleoni
2015 Applied Clinical Informatics  
SummaryEnd-user training is an essential element of electronic medical record (EMR) implementation and frequently suffers from minimal institutional investment.  ...  Evaluations of classroom training, obtained at the conclusion of each class, revealed high physician satisfaction with the program.  ...  Acknowledgements The authors would like to acknowledge Vickey Weir, BSN, MPA and Warren Chandler, for their support of the physician training program.  ... 
doi:10.4338/aci-2014-09-cr-0076 pmid:25848415 pmcid:PMC4377562 fatcat:oh2hy5oz2nhrznqbeymfyqdfzy

Towards Meaningful Medication-Related Clinical Decision Support: Recommendations for an Initial Implementation

A. Wright, G.J. Kuperman, A.J. Vaida, A.M. Bobb, R.A. Jenders, T.H. Payne, J. Halamka, M. Bloomrosen, D.W. Bates, S. Phansalkar
2011 Applied Clinical Informatics  
The goals of this study were to define a starter set of medication-related alerts that health-care organizations can implement in their clinical information systems.  ...  Medication-related decision support logic forms a large component of the CDS logic in any CPOE system.  ...  The authors are grateful for the assistance of Christine Soran and Francine Maloney for transcribing the meeting recordings, and Marianne Zachariah who helped with the preparation of the manuscript and  ... 
doi:10.4338/aci-2010-04-ra-0026 pmid:23616860 pmcid:PMC3631914 fatcat:tdjxqm4dg5fdvoq4se542hmlnq

Using electronic health records to improve quality and efficiency: the experiences of leading hospitals

Sharon Silow-Carroll, Jennifer N Edwards, Diana Rodin
2012 Commonwealth Fund Issue Briefs  
An examination of nine hospitals that recently implemented a comprehensive electronic health record (EHR) system finds that clinical and administrative leaders built EHR adoption into their strategic plans  ...  to integrate inpatient and outpatient care and provide a continuum of coordinated services.  ...  Inpatient implementation involved a physician optimization team, a nursing "super user" team, and an inpatient EHR project IT team for analysis, system development, and issue tracking and management.  ... 
pmid:22826903 fatcat:bbjs2rw7kfhlnjc4oazkcseaem

Design of MARQUIS2: study protocol for a mentored implementation study of an evidence-based toolkit to improve patient safety through medication reconciliation

Amanda S. Mixon, the MARQUIS2 Site Leaders, G. Randy Smith, Meghan Mallouk, Harry Reyes Nieva, Sunil Kripalani, Stephanie Rennke, Eugene Chu, Anirudh Sridharan, Anuj Dalal, Stephanie Mueller, Mark Williams (+14 others)
2019 BMC Health Services Research  
The first Multi-center Medication Reconciliation Quality Improvement Study (MARQUIS1) demonstrated that implementation of a medication reconciliation best practices toolkit decreased total unintentional  ...  , and the input of patients and families when improving medication reconciliation.  ...  Inform future spread of medication reconciliation interventions by performing an evaluation of program implementation using the Reach, Effectiveness, Adoption, Implementation, Maintenance (RE-AIM) framework  ... 
doi:10.1186/s12913-019-4491-5 pmid:31511070 pmcid:PMC6737715 fatcat:vkidaj4ifnc6tkufbn64jjm2e4

Effectiveness of implementation interventions in improving physician adherence to guideline recommendations in heart failure: a systematic review

Deepti Shanbhag, Ian D Graham, Karen Harlos, R. Brian Haynes, Itzhak Gabizon, Stuart J Connolly, Harriette Gillian Christine Van Spall
2018 BMJ Open  
an electronic reminder system, physician adherence to guideline recommendations was evaluated.  ...  Control: Usual care; medication reconciliation and patient management by physicians and nurses.  ... 
doi:10.1136/bmjopen-2017-017765 pmid:29511005 pmcid:PMC5855256 fatcat:mkzktqimjbcjljpejhumclxgiq

Medication errors in critical care: risk factors, prevention and disclosure

E. Camire, E. Moyen, H. T. Stelfox
2009 CMAJ - Canadian Medical Association Journal  
Key points • Medication reconciliation may improve patient safety in the intensive care unit, and an updated list of medications should be maintained, including long-standing medications, the reasons for  ...  starting new medications and their planned stop dates and the reasons for discontinuing or holding old medications. • Engaging pharmacists in inpatient rounds in the intensive care unit may decrease the  ...  A systematic review of computerized decision support systems in predominantly non-ICU inpatients suggests that, although these systems may reduce error, they may not improve patient outcomes. 94 Computerized  ... 
doi:10.1503/cmaj.080869 pmid:19398740 pmcid:PMC2670906 fatcat:gocwbynkhrg5xax3hqebp5p5o4

A Review of Medication Reconciliation Issues and Experiences with Clinical Staff and Information Systems

L.R. Waitman, S.H. Brown, P.J. Porcelli
2010 Applied Clinical Informatics  
This review references issues related to the development and the implementation of medication reconciliation including: – the need of a system or standard for accurate drug identification to create a definitive  ...  The Joint Commission has recognized the value of medication reconciliation and mandated implementation in 2006; however, a variety of issues have prevented simple, easy, and universal implementation.  ...  The promise of electronic medication reconciliation In an environment with an electronic medical record (EMR) and clinical systems integration, computerizing medication reconciliation promises to reduce  ... 
doi:10.4338/aci-2010-02-r-0010 pmid:23616853 pmcid:PMC3633312 fatcat:nez73rx3qnhqtamft63iqtypqe

A FEASIBILITY STUDY: IMPLEMENTATION OF A SAFETY ASSESSMENT TOOL TO ASSIST CLINICIANS IN COMMU

Betty B. Shaby
2015 Zenodo  
The purpose of this feasibility study was to identify safety risks in patients with various neurological disorders through the implementation of a 9-question safety assessment tool created by the author  ...  When a risk factor was identified, this was almost always addressed by clinicians (93% of the time). iv An evidence-based checklist identifying common risk factors directs both clinicians and patients  ...  In a study by Heyworth et al. (2014) , the investigators created a medication reconciliation tool (Secure Messaging for Medication Reconciliation Tool; SMMRT), which was e-mailed to patients after discharge  ... 
doi:10.5281/zenodo.4533682 fatcat:vgfyzcltqncznfmqxvmgo4h77m

Novel combined patient instruction and discharge summary tool improves timeliness of documentation and outpatient provider satisfaction

Meredith Gilliam, Sarah L Krein, Karen Belanger, Karen E Fowler, Derek E Dimcheff, Gabriel Solomon
2017 SAGE Open Medicine  
Methods: In June 2012, we implemented an electronic discharge summary tool at our 145-bed university-affiliated Veterans Affairs hospital.  ...  The tool facilitates completion of a comprehensive discharge summary note that is available for patients and outpatient medical providers at the time of hospital discharge.  ...  Ethical approval All authors of this article attest that the activities that resulted in producing this article were not conducted as part of a research study, but as part of a non-research evaluation  ... 
doi:10.1177/2050312117701053 pmid:28491308 pmcid:PMC5406115 fatcat:5ajjinqi7bb4pcz5ie6dhyf2vi

Patient, family and nurse experiences with patient presence during hand-off reports within hospitals: A systematic review

Rose McCloskey, Karen Furlong, Linda Hansen
2012 The JBI Database of Systematic Reviews and Implementation Reports  
to computerized provider order entry systems.  ...  An overview of medical device policy and regulation (HNP Brief #8), Washington DC, Health, Nutrition and Population, World Bank, 2007. 26. Brennan TA et al.  ... 
doi:10.11124/jbisrir-2012-300 pmid:27820394 fatcat:gqtihv76rzhmffvkh36tkqxbwe

Penicillin Allergy Skin Testing in the Inpatient Setting

Julie Ann Justo, Wesley D. Kufel, Lisa Avery, P. Brandon Bookstaver
2019 Pharmacy  
This targeted review aims to discuss the practical development and implementation of PST in the inpatient setting.  ...  The consequences of a documented penicillin allergy in the medical record are especially troublesome in acutely ill, hospitalized patients.  ...  Acknowledgments: We thank Sara Utley, PharmD for the contribution of the medical record screenshot.  ... 
doi:10.3390/pharmacy7030120 pmid:31461837 pmcid:PMC6789445 fatcat:vrtybac6prcxpfkq446vpdqsjq

PROMIS® Health Organization (PHO) 2020 Conference Toward Patient-Centered Care: PROMIS Implementations and Advances Abstracts

2020 Journal of Patient-Reported Outcomes  
The second study showed successful implementation of the ePRO system with logistic efficiencies, ease of electronic consenting and PROMIS data collection (with an average of 4.2-7.4 questions completed  ...  Method The data network of a large academic center was evaluated to extract PROMIS and other identified variables in both inpatient and outpatients with MS.  ...  Objective The objective of this study was to evaluate patient-perceived healthrelated quality of life (HRQOL) using the Patient-Reported Outcomes Measurement Information System (PROMIS) Pediatric-25 subscale  ... 
doi:10.1186/s41687-020-00250-5 pmid:33205223 fatcat:qgqhchrc7red3jf6qmo4nybtgi

Hospital-Based Medication Reconciliation Practices

Stephanie K. Mueller, Kelly Cunningham Sponsler, Sunil Kripalani, Jeffrey L. Schnipper
2012 Archives of Internal Medicine  
Medication discrepancies at care transitions are common and lead to patient harm. Medication reconciliation is a strategy to reduce this risk.  ...  Objectives: To summarize available evidence on medication reconciliation interventions in the hospital setting and to identify the most effective practices.  ...  records systems, computerized; medication list; medication record; and patient discharge.  ... 
doi:10.1001/archinternmed.2012.2246 pmid:22733210 pmcid:PMC3575731 fatcat:rxo5bdunefchhaktyvrn3b4lky

Customized order-entry sets can prevent antiretroviral prescribing errors: a novel opportunity for antimicrobial stewardship

Yi Guo, Philip Chung, Caryn Weiss, Keith Veltri, Grace Y Minamoto
2015 P & T : a peer-reviewed journal for formulary management  
for inpatients before reconciliation.  ...  Patients with human immunodeficiency virus (HIV) infection on antiretroviral (ARV) therapy are at increased risk for medication errors during transitions of care between the outpatient and inpatient settings  ...  ACKNOWLEDGEMENT We thank Charles Abam for his assistance with data sorting and for his design and management of the customized orderentry set screens.  ... 
pmid:25987824 pmcid:PMC4422636 fatcat:hm5mghcldvfbtkofg56v7qbij4

Designing and evaluating an automated intravenous dosage medication calculation tool for reducing the time of stat medication administration in a pediatric emergency department

Yara AlGoraini, Nevin Hakeem, Mohammad AlShatarat, Mohammed Abudawass, Amani Azizalrahman, Rafath Rehana, Donabel Laderas, Nina AlCazar, Ibrahim AlHarfi
2020 Heliyon  
This study involved developing and evaluating an automated intravenous dosage medication calculation tool (AIVDMCT) for reducing the time between the order and administration of stat medications to children  ...  This prospective observational study evaluated data from before (June-December 2016) and after (June-December 2017) the AIVDMCT was implemented for high-risk medications in our PED.  ...  , medication-error analysis, computerized provider-order entry systems, automated dispensing cabinets, barcoded systems, medication reconciliation processes, and proper labelling of syringes according  ... 
doi:10.1016/j.heliyon.2020.e04140 pmid:32529084 pmcid:PMC7283158 fatcat:wloa36mr7rgfvh53pgk4nxgbla
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