HIT for Medication Safety in Critical Access Hospitals

描述(由申请人提供)：在美国，每年因医疗差错死亡的人数高达98,000人，其中药物差错造成的死亡人数高达7,000人。一系列研究表明，健康信息技术可以减少在开药、转录、配药和给药方面的用药错误。因此，国际移民组织建议在医疗保健中更多地采用卫生信息技术。我们的目的是为关键访问医院(CAH)制定药学健康信息系统的实施计划。发展合作伙伴是佛罗里达州目前的12家CAH、佛罗里达大学药学院、斯汉兹医疗保健公司、佛罗里达州医疗质量保证公司和佛罗里达州卫生局农村卫生办公室。合作伙伴两年来一直参与CAHS的患者安全项目。CAH需要卫生信息技术。大多数CAH没有同时审查处方订单的工作人员，获得药物信息的机会有限，没有药房信息系统或其他技术，财政资源非常有限；此外，患者普查很少。这些挑战定义了中国卫生研究院药学信息系统战略实施计划的发展。为期六个月的规划期将包括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。调查信息被浓缩，并在第一次首脑会议上提交讨论。峰会1是制定供应商申请的申请。峰会2将项目和医院人员聚集在一起，评估药房IT方面的供应商应用程序。就所需的系统和功能达成共识，就可以进行团购。在规划阶段收集的信息被用来为所有CAH编写战略性的HIT实施计划，平衡人和技术因素。医生纪念医院将作为药房保健信息技术的示范模式，在接下来的阶段将在所有关键通道医院实施。

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.