HIT for Medication Safety in Critical Access Hospitals

描述（由申请人提供）：在美国，每年有多达98,000人死于医疗错误，其中药物错误导致的死亡人数多达7,000人。一系列研究表明，健康信息技术可以减少处方、转录、配药和药物管理中的药物错误。因此，国际移民组织建议在医疗保健领域更多地采用卫生信息技术。我们的目的是制定一个关键接入医院（CAH）药房卫生信息系统的实施计划。发展合作伙伴是佛罗里达州现有的12家CAHs、佛罗里达大学药学院、尚兹医疗保健公司、佛罗里达医疗质量保证公司和佛罗里达州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。卫生保健机构需要卫生信息技术。大多数cah没有并发处方单审查人员，药品信息获取有限，没有药房信息系统或其他技术，财力非常有限；除此之外，患者人数也很低。这些挑战定义了CAHs药房信息系统战略实施计划的发展。六个月的规划期间将包括对HIT的现场调查，绘制药物使用系统流程图，评估资源和其他特征。调查信息被浓缩并提交给第一次首脑会议讨论。峰会1是为供应商应用程序开发请求。峰会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。建立对所需的系统和功能的共识，允许团购。在计划阶段收集的信息用于为所有CAHs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卫生信息技术的示范，在下一阶段将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.