Rethinking the outpatient medication list: increasing patient activation and education while architecting for centralization and improved medication reconciliation.
Rethinking the outpatient medication list: increasing patient activation and education while architecting for centralization and improved medication reconciliation.
复制标题
重新思考门诊药物清单：增加患者的积极性和教育，同时设计集中化和改进药物协调。
DOI：
10.1093/jamia/ocy047
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发表时间：
2018
期刊：
影响因子：
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通讯作者：
Safran,Charles
中科院分区：
文献类型：
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作者：
Pandolfe,Frank;Wright,Adam;Slack,WarnerV;Safran,Charles
目的找出影响药物调节耗时和出错过程的障碍。设计和实施一个电子用药管理系统，患者和受信任的医疗代理可以参与建立和维护一个包容的和最新的药物列表。方法在AHRQ资助的一个专注于老年护理管理的现有研究项目InfoSAGE中部署了一个面向患者的电子用药管理器，使患者和患者的代理能够建立和维护准确和最新的用药列表。利用美国政府提供的免费和开源工具，将集中化、互操作性、数据联合和患者激活的原则嵌入到设计中。结果采用以患者为中心的设计和免费、开源的工具，实现了一个面向网络和移动的、面向患者的复杂用药管理。结论患者和护理者的参与对提高用药安全性至关重要。我们的药物管理器是迈向面向患者的药物管理器的早期步骤，该管理器的设计考虑了数据联合和互操作性。
ObjectiveIdentify barriers impacting the time consuming and error fraught process of medication reconciliation. Design and implement an electronic medication management system where patient and trusted healthcare proxies can participate in establishing and maintaining an inclusive and up-to-date list of medications.MethodsA patient-facing electronic medication manager was deployed within an existing research project focused on elder care management funded by the AHRQ, InfoSAGE, allowing patients and patients’ proxies the ability to build and maintain an accurate and up-to-date medication list. Free and open-source tools available from the U.S. government were used to embed the tenets of centralization, interoperability, data federation, and patient activation into the design.ResultsUsing patient-centered design and free, open-source tools, we implemented a web and mobile enabled patient-facing medication manager for complex medication management.ConclusionsPatient and caregiver participation are essential to improve medication safety. Our medication manager is an early step towards a patient-facing medication manager that has been designed with data federation and interoperability in mind.