Using IT to Improve Medication Safety for Rural Elders

利用信息技术提高农村老年人用药安全

• 批准号: 6951027
• 负责人: PAUL N GORMAN
• 金额: $ 44.34万
• 依托单位: NORTH LINCOLN HOSPITAL
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-09-30 至 2007-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6951027
• 关键词: automated medical record system; clinical research; computer program /software; computer system design /evaluation; cooperative study; extended care; frail elderly; health care facility information system; health services research tag; human old age (65+); human subject; patient safety /medical error; rural area; rural health

DESCRIPTION (provided by the applicant): A major barrier to realizing the benefits of health information technology is "stovepiping" of clinical data in incompatible systems, creating what McDonald has called "islands of data." Availability of complete, accurate clinical data is especially critical for medication information relating to frail, chronically ill elders in Assisted Living (AL) and Skilled Nursing Facilities (SNFs), who are at greater risk for medication-related problems because of advanced age, frailty, high-risk medications, and multiple care providers. "Yet physician groups, hospitals, and other health care organizations operate as silos, often providing care without the benefit of complete information about the patient's condition, medical history, services provided in other settings, or medications prescribed by other clinicians" (IOM, 2003). To address this problem, we propose to implement and evaluate a Patient-Centered Medication Information System (PCMIS) to improve the health of frail, chronically ill elders in rural Oregon. The aims are to: 1) Provide secure access to accurate, complete, and current medication information for patients, clinicians, pharmacists, and nurses who prescribe, dispense, or administer medications; 2) Reconcile differences in medication information in separate, often discordant information systems of clinics, pharmacies, and residential care facilities; 3) Reduce medication errors and adverse effects by eliminating interactions, duplications, and inappropriate medications; 4) Provide a platform for evidence-based decision support and public health monitoring to improve the quality and efficiency of care; 5) Assess benefits and costs of the system through robust evaluation; and 6) Extend this information integration model statewide and beyond via the Oregon Rural Practice Based Research Network (ORPRN).This project is the work of a consortium of (a) rural providers and community organizations with a record of collaboration to implement technology; (b) organizational support of ORPRN; and (c) scientific expertise of University faculty in computer science, informatics, medicine, nursing, pharmacy, and epidemiology.

描述（由申请人提供）：意识到健康信息技术的好处的主要障碍是对不兼容的系统中的临床数据“ StovePippiping”，从而创造了麦当劳所谓的“数据岛”。完整，准确的临床数据的可用性对于与脆弱，长期生病的生活（AL）和熟练护理设施（SNFS）有关的药物信息特别重要，他们由于高龄，脆弱，高风险药物和多个护理提供者而面临与药物相关问题的风险更大。 “然而，医师团体，医院和其他医疗保健组织以孤岛作用，通常提供护理，而无需获得有关患者病情，病史，其他环境中提供的服务或其他临床医生规定的药物的完整信息”（IOM，2003年）。为了解决这个问题，我们建议实施和评估以患者为中心的药物信息系统（PCMIS），以改善俄勒冈州农村的脆弱，长期生病的长者的健康。目的是：1）为患者，临床医生，药剂师和护士提供的准确，完整和当前的药物信息提供安全的访问权限，这些药物是开处方，分配或服用药物的； 2）调和在诊所，药房和住宅护理设施的单独的，通常不一致的信息系统中的药物信息差异； 3）通过消除相互作用，重复和不适当的药物来减少用药错误和不良影响； 4）为基于证据的决策支持和公共卫生监测提供了一个平台，以提高护理的质量和效率； 5）通过强大的评估评估系统的收益和成本； 6）通过基于俄勒冈州农村实践的研究网络（ORPRN）扩展该信息集成模型。该项目是（a）（a）具有协作记录以实施技术的农村提供者和社区组织的财团的工作； （b）ORPRN的组织支持； （c）计算机科学，信息学，医学，护理，药学和流行病学的大学学院科学专业知识。