A Perception on Integrated Medicine Management System by Healthcare Professionals

2021 ◽  
Author(s):  
Rabbia Alamdar ◽  
Allan Mathews ◽  
Sharanjit Kaur
Keyword(s):  
Management System ◽  
Healthcare Professionals ◽  
Integrated Medicine ◽  
Medicine Management

scholarly journals Integrated medicine management system for malaysian healthcare sector

2019 ◽  
Vol 10 (4) ◽  
pp. 3346-3355
Author(s):  
Rabbia Alamdar ◽  
Allan Mathews ◽  
Sharanjit Kaur ◽  
Khairulanwar Husain
Keyword(s):  
Management System ◽  
Clinical Decision ◽  
Public Hospitals ◽  
Healthcare Sector ◽  
Current Evidence ◽  
Integrated Medicine ◽  
Medicine Management ◽  
Treatment Benefits ◽  
Patient Health ◽  
Pharmacy System

Medicine management is an approach supported by evidence to prescribe and manage the patient’s medicines to protect the safety, tolerability, and potency of the medication. It helps practitioners to achieve the optimum use of medicines for a patient, optimizes the treatment benefits and accomplishes the best results for each patient. The three components of the Medicine Management System (MMS), which are Electronic Health Record (EHR), e-prescription, and Clinical Decision Support System (CDSS) are vastly used. Despite the values of MMS, only 15.2% of public hospitals in Malaysia utilize the system using different features. This paper reviewed the components of the current MMS, the utilization and challenges of MMS implementation in the Malaysian context, and proposed a new integrated MMS. The proposed MMS is grounded on three theories, namely System Theory, Utilization Theory, and Evidence-Based Theory. The main aspects of the integrated MMS are e-prescription, appropriateness of dosage regimen, covering best current evidence, show alerts of any medicine-related issues, and centralization of patient data that will be designed for all healthcare centers. If any issues arise in the prescribed medicine, an alert will be supported by the current foremost evidence that shows on the prescriber’s system. However, if no issue is detected, the prescription will be saved in the patient’s record and will show on the pharmacy system with direction and cautions related to the medicines. The proposed MMS is postulated to increase the productivity of the healthcare system by reducing medicine-related issues, improve communication among healthcare professionals, enhance patient health, and enhance practitioner operations.

scholarly journals A Comprehensive Medicine Management System with Multiple Sources in a Nursing Home in Taiwan

2016 ◽  
Vol E99.D (6) ◽  
pp. 1447-1454 ◽  
Author(s):  
Liang-Bi CHEN ◽  
Wan-Jung CHANG ◽  
Kuen-Min LEE ◽  
Chi-Wei HUANG ◽  
Katherine Shu-Min LI
Keyword(s):  
Nursing Home ◽  
Management System ◽  
Multiple Sources ◽  
Medicine Management

Expectations and user experience of a multimodal medicine management system for older users

2014 ◽  
Vol 8 (2) ◽  
pp. 51-63 ◽  
Author(s):  
Marja Harjumaa ◽  
Igone Idigoras ◽  
Minna Isomursu ◽  
Ainara Garzo
Keyword(s):  
Home Care ◽  
Older People ◽  
User Experience ◽  
Field Trial ◽  
Management System ◽  
Field Trials ◽  
Content Type ◽  
Medicine Management ◽  
Factors Influencing ◽  
Older Users

Purpose – The purpose of this paper is to analyse the adoption of a multimodal medication management system (MMS) targeted on older people and home care professionals. The paper aims to describe the expectations of the system and the user experience findings from an empirical qualitative field trial. The field trial results are used to discuss how MMSs should be designed in order to improve adherence to medications. Design/methodology/approach – The paper suggests that building a multimodal medicine management system targeted on both older users and home care professionals brings many benefits over electronic medicine dispenser systems or general reminder systems. The research process uses an iterative prototyping approach including phases of requirements analysis and concept design, prototype building and evaluation in a field trial. Findings – The study demonstrates how a system that merely satisfied users during the prototype building phase does not necessarily succeed as well as expected in the field trials. It would be important to consider reasons for medication non-adherence and non-technology factors influencing willingness to adopt new assistive devices in order to promote diffusion of new MMSs at home. The paper also discusses how the different persuasive functionalities of the system addressed patient-centred factors influencing non-adherence and how they could be addressed. Research limitations/implications – This study has some limitations. The actual adherence to medications was not measured. However, in the future, it will be important to study how the MMSs influence medication adherence. Also, the user experiences of the home care professionals were not studied in the field trials. Home care professionals who were involved in the user studies and trials merely estimated the value for their patients and not for themselves. Originality/value – This paper analyses design issues relevant when designing systems to help older people manage their medications.

scholarly journals Evaluation Medicine Availability Before and After NHI Implementation at Health Centers in Keerom District, Papua Province

2017 ◽  
Vol 7 (1) ◽  
pp. 31
Author(s):  
Ivonie Carolien ◽  
Achmad Fudholi ◽  
Dwi Endarti
Keyword(s):  
Health Center ◽  
Drug Distribution ◽  
Essential Medicine ◽  
Health Centers ◽  
Integrated Medicine ◽  
Medicine Management ◽  
Primary Health ◽  
Before And After ◽  
Set Up ◽  
Medicine Availability

The availability of medicine in health center is associated with medicine management system and should be supported by adequate and sustainable resource. The Implementation of National Health Insurance (NHI) program will increase the need for medicine, to describe the medicine availability at primary health center before and after NHI, to identify the factors affect the availability, to compile solutions to increase the medicine availability at health centers in Keerom District. This research method was a descriptive. The data has been gathered based on observations to primary health center’s document of 2012 to 2015, for 35 indicator medicine, and interview with  the medicine manager and  the chief of health center, the manager of pharmacy district and the chief of health office at Keerom District. The data analysis was presented by charts, tables, and in narrative description. The results were  the availability of medicine at the health centers in Keerom District, before and after NHI program was same, by category of supply was safe, but insufficient as health center’s need. The medicine availability was not appropriate with essential medicine list and illness, the expired and defected medicine still be found, and  stock out time increased after NHI. In that period, the factors affect were, the demand process has not been optimal, insuffiecient and uneven distribution, lack of personel and  inadequate supporting for drug distribution charges the solution proposed were,  to improve knowledge and skill for medicine manager of health center, to plan pharmacist requirements, to set up medicine management information system, to do the integrated medicine planning and to provide the enough cost of distribution.

The Design and Evaluation of an Intelligent Pain Management System (IPMS) in Cancer Patient Care

2020 ◽  
pp. 199-218
Author(s):  
Y. Ken Wang ◽  
Juan J. Gu ◽  
Yunheng Sun ◽  
Feng Jiang ◽  
Hongwei Hua ◽  
...  
Keyword(s):  
Pain Management ◽  
Cancer Patient ◽  
Patient Care ◽  
Cancer Patients ◽  
Management System ◽  
Healthcare Professionals ◽  
System Development ◽  
Low Cost ◽  
Management Tool ◽  
Development Lifecycle

This case study reviews the design and development of a mobile-based intelligent pain management system (IPMS) app in cancer patient care and pain management in a rural hospital in China. Healthcare professionals were involved throughout the design to the evaluation stages. The IPMS facilitated real-time pain recording and timely intervention among cancer patients with pain. To evaluate the effectiveness of the IPMS, a clinical trial was administrated under the supervision of healthcare professionals. The result confirmed that the IPMS was a feasible, effective, and low-cost pain management tool for cancer patients and healthcare professionals. This case provides preliminary data to support the potentials of using IPMS in cancer pain management and emphasized that the involvement of healthcare professional throughout the system development lifecycle is crucial to the successful implementation of the IPMS.

scholarly journals Nurses’ knowledge of the medication management at intensive care units

2018 ◽  
Vol 17 (1) ◽  
pp. 18-23
Author(s):  
Jana Heczková ◽  
Alan Bulava
Keyword(s):  
Intensive Care ◽  
Nursing Education ◽  
Intensive Care Units ◽  
Work Experience ◽  
Healthcare Professionals ◽  
Medication Management ◽  
Medical Doctor ◽  
Point Of View ◽  
Medicine Management ◽  
Additional Qualification

Abstract Introduction. The medicine management is considered an important area of health care, which is ensured by various healthcare professionals including nurses. Nurses gain the competence of medicines administration immediately after graduation. This competence can be applied to any area of healthcare. Even in specialized settings such as intensive care units, any additional qualification e.g. specialized education is not required. On the contrary, appropriate education is considered an important factor that could help to reduce the risk of adverse events related to medication management. Aim. The aim of this study was to analyse the students’ knowledge in this field at the end of nursing studies at bachelor level (n = 67) and specialized intensive care nursing studies at master level (n = 42). Methodology. Knowledge was assessed using a written test, which was related to the management of medicinal products administered commonly at intensive care units by qualified nurses as well as nurse specialists without distinction. From the point of view of the formal competencies of healthcare professionals, the questions were divided into three categories. Results. The mean success rate on the test was 53.4%. The highest range of knowledge was demonstrated by already qualified students at the end of specialised studies with prior work experience in ICU, the lowest by students just before graduation. The highest rating was achieved by all students in the activity-oriented category for which the responsibility lies primarily with the medical doctor, but nurses were expected to have this knowledge and participate at related activities on the basis of a physician’s order. This knowledge included also the area of clinical pharmacology. On the other hand, the lowest score was achieved by all groups of students in the category of activities that are not treated by the physician’s order, and the use of diverse knowledge from different areas was usually necessary. Conclusions. Clinical practice has an irreplaceable role for nurses in the process of qualifying education as well as lifelong learning. The extent of nursing education in medicine management, the manner of nursing training, as well as the proportion of nursing specialists in the nursing team at specialised workplaces, deserves much greater attention in terms of ensuring safe care in this area. Shifting some competencies and duties in medicine management, especially related to intravenous (IV) therapy, to less qualified healthcare professionals appears to be highly controversial and risky.

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