HIT for Medication Safety in Critical Access Hospitals

描述（由申请人提供）：在美国，每年因医疗差错造成的死亡人数高达98，000人，其中用药差错造成的死亡人数多达7，000人。 一系列研究表明，健康信息技术可以减少处方，转录，分发和管理药物的药物错误。 因此，IOM建议在医疗保健中更多地采用卫生信息技术。 我们的目的是制定一个实施计划，药房健康信息系统的关键访问医院（CAH）。 发展伙伴是佛罗里达目前的12个CAH，佛罗里达大学药学院，尚兹医疗保健，佛罗里达医疗质量保证公司，和佛罗里达卫生部农村卫生办公室。 合作伙伴参与CAHS的患者安全项目已有两年。 CAH需要卫生信息技术。 大多数CAH没有同时进行处方单审查的人员，对药物信息的访问有限，没有药房信息系统或其他技术，财政资源非常有限;再加上患者人数少。 这些挑战定义了CAH药房信息系统战略实施计划的发展。 六个月的规划期将包括对HIT的现场调查、药物使用系统的流程图、资源评估和其他特征。 对调查资料进行了浓缩，并提交第一次首脑会议讨论。 第一次首脑会议将拟订对供应商应用程序的要求。 Summit 2将项目和医院人员聚集在一起，评估供应商在药房IT方面的应用程序。就所需的系统和功能达成共识，以便进行集团采购。 在规划阶段收集的信息用于为所有CAH编写战略HIT实施计划，平衡人力和技术因素。 医生纪念医院将作为药房健康信息技术的展示模型，该技术将在下一阶段在所有关键医院实施。

DESCRIPTION (provided by applicant): Up to 98,000 deaths occur annually in the United States because of medical errors, with medication errors contributing as many as 7,000 deaths. A stream of research has shown that health information technology can reduce medication errors in prescribing, transcribing, dispensing, and administration of medications. Consequently, IOM recommends increased adoption of health information technology in healthcare. Our purpose is to develop an implementation plan for pharmacy health information systems in critical access hospitals (CAH). Development partners are Florida's 12 current CAHs, the University of Florida's College of Pharmacy, Shands Healthcare, Florida Medical Quality Assurance, Inc., and the Florida DOH Office of Rural Health. Partners have been involved in patient safety projects in CAHS for two years. CAHs are in need of health information technology. Most CAHs have no staffing for concurrent prescription order review, have limited access to drug information, no pharmacy information system or other technologies, and very limited financial resources; add to this a low patient census. These challenges define the development of the strategic implementation plan for pharmacy information systems in CAHs. The six-month planning period will include an onsite survey of HIT, flowcharting the medication use system, an assessment of resources, and other characteristics. Survey information is condensed and presented for discussion in a first summit. Summit 1 is to develop a request for vendor applications. Summit 2 brings together project and hospital personnel to evaluate vendor applications on pharmacy IT. Establishing a consensus on the desired system and features allows for group purchasing. Information gathered during the planning phase is used to write a strategic HIT implementation plan for all CAHs, balancing human and technology factors. Doctor's Memorial Hospital will serve as a showcase model for the pharmacy health information technology that will be implemented in all critical access hospitals in a following phase.