HealthCanal
“Despite a national mandate to implement electronic health records and computer order entry systems (CPOE) by 2014, only approximately 30 percent of hospitals nationwide have done so and around 40 percent of hospitals in the state of Massachusetts have made this transition.
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Leung AA et al, Journal of General Internal Medicine, 2011
BACKGROUND
It is uncertain if computerized physician order entry (CPOE) systems are effective at reducing adverse drug event (ADE) rates in community hospitals, where mainly vendor-developed applications are used.
OBJECTIVE
To evaluate the impact of vendor CPOE systems on the frequency of ADEs.
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Marisa Torrieri, Physicians Practice
“By now, you’re probably well aware that e-prescribing offers financial benefits — not the least of which includes meeting Stage 1 of CMS’ meaningful use incentive program. But did you know that e-prescribing is also linked with improved patient outcomes and medication compliance rates?
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Ross SE et al, J Med Internet Res, 13(3)
BACKGROUND
Adverse drug events are a major safety issue in ambulatory care. Improving medication self-management could reduce these adverse events. Researchers have developed medication applications for tethered personal health records (PHRs), but little has been reported about medication applications for interoperable PHRs.
OBJECTIVE
Our objective was to develop two complementary personal health applications on a common PHR platform: one to assist children with complex health needs (MyMediHealth), and one to assist older adults in care transitions (Colorado Care Tablet).
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Eric Wicklund, mHIMSS
“One of the critical challenges to the successful adoption of patient-centered healthcare is ensuring that the patient adheres to his or her medication requirements. This means taking the right mediation in the right dose at the right time, with the right outcomes.
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Luke Gale, CMIO
“A review of published literature on randomized controlled trials (RCT) investigating the effectiveness of medication management IT revealed many gaps and inconsistencies.
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McKibbon KA et al, J Am Med Inform Assoc, 19(1)
Objective
The US Agency for Healthcare Research and Quality funded an evidence report to address seven questions on multiple aspects of the effectiveness of medication management information technology (MMIT) and its components (prescribing, order communication, dispensing, administering, and monitoring).
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Theresa Boyle, The Star
“Canadian seniors are consuming a startling amount of prescription medications, says a new report, revealing almost two-thirds take five or more drugs a day and one-quarter take a whopping 10 or more.
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Kathleen Vieson, Healthcare IT News
“Healthcare CIOs committed to fulfilling meaningful use requirements can’t afford to overlook the importance of medications.
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chiscosayans, doctordoctor
“Detectar el nivel de azúcar en el aliento, un sistema que avisa a tu médico si no te tomas las pastillas, detectores de caídas… Aún son prototipos, pero avanzan el futuro de las alertas de salud en enfermos y personas dependientes.
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Molly Merrill, Healthcare IT News
“A project that aims to increase medication adherence in seniors via text message reminders has been awarded a $77,150 mobile health grant.
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Laura Landro, Wall Street Journal
“When it comes to medicine, as many as half of Americans don’t stick to their regimens. They fail to fill about 20% to 30% of prescriptions written by doctors, don’t take drugs as directed, and don’t refill medications when they run out.
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Schnipper JL et al, J Am Med Inform Assoc, 18(3)
Serious medication errors occur commonly in the period after hospital discharge. Medication reconciliation in the postdischarge ambulatory setting may be one way to reduce the frequency of these errors. The authors describe the design and implementation of a novel tool built into an ambulatory electronic medical record (EMR) to facilitate postdischarge medication reconciliation. The tool compares the preadmission medication list within the ambulatory EMR to the hospital discharge medication list, highlights all changes, and allows the EMR medication list to be easily updated.
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Sheela Philomena, MedIndia
“People using an integrated healthcare system with electronic health records linked to its own pharmacy more often collect their new prescriptions for diabetes, cholesterol and high blood pressure medications, finds study published in the Journal of General Internal Medicine.
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KP News Center
“People who receive medical care in an integrated health care system with electronic health records linked to its own pharmacy more often collect their new prescriptions for diabetes, cholesterol and high blood pressure medications than do people who receive care in a non-integrated system, according to a Kaiser Permanente study published online in the Journal of General Internal Medicine.
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Molly Merrill, Healthcare IT News
“Patients who receive medical care in an integrated healthcare system with EHRs linked to its own pharmacy are more likely to fill new prescriptions than patients in a non-integrated system, according to a Kaiser Permanente study.
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Laura McCrary, eHealth Initiative
“Recently I was presenting to a large group of physicians and explained to them how the HIE would provide them with a longitudinal view of all the patient’s medications. I shared with them that the exchange would be populated by the EHR at the time a provider prescribes a medication, or at the time the medications are reconciled at patient transitions of care.
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Petrie KJ et al, British Journal of Health Psychology, 2011
Objective.
While effective preventative medication is readily available for asthma, adherence is a major problem due to patients’ beliefs about their illness and medication. We investigated whether a text message programme targeted at changing patients’ illness and medication beliefs would improve adherence in young adult asthma patients.
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Sahm L et al, Pharmacy World & Science, 31(6)
OBJECTIVE
Low levels of adherence to medication are commonly reported in chronic medical conditions. Empirical evidence suggests that patients are willing to accept pharmacist interventions to improve adherence. This study aimed to assess the levels of self-reported adherence to antidepressant medication in the community and to investigate the acceptability of text message reminders to self-reported unintentional non-adherers.
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Lee ML, Dey AK. Proceedings of the 2011 annual conference on Human factors in computing systems, 2011
Older adults often struggle with maintaining self-aware of their ability to carry out everyday activities important for independence. Unobtrusive sensors embedded in the home can monitor how older adults interact with objects around the home and can provide objective accounts of behaviors to support self-awareness. In this paper, we describe the design and four month deployment of a prototype sensing system that tracks medication taking and phone use in the homes of two older adults.
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