Graphical timeline software for inpatient medication review

2017 ◽  
Vol 25 (1) ◽  
pp. 62-70 ◽  
Author(s):  
William J Gordon ◽  
Ishir Bhan
Keyword(s):  
Medication Review ◽  
Medication Administration ◽  
Medication History ◽  
Software Module ◽  
Post Intervention ◽  
Medication Usage ◽  
Record System ◽  
Web Based ◽  
Before And After ◽  
Medical Record System

MedHistory is a web-based software module that graphically displays medication usage (y-axis) against time (x-axis). We set out to examine whether MedHistory would improve clinician’s interactions with the medical record system. The authors invited house-officers at our institution to complete a survey about inpatient medication administration before and after using MedHistory. Detailed logs were also kept for 1 year after the study period. Compared to the pre-intervention survey, the post-intervention survey found that reviewing medication history was easier (pre: 13.2% vs post: 32.4%, p = .008), that medication review now fit within resident workflow (38.9% vs 75.7%, p < .001), and that there was increased satisfaction with the electronic health records software (2.6% vs 29.7%, p = .002). Additionally, determining the timing (29% vs 50.1%, p = .045) and dosing history (21.1% vs. 43.2%, p = .036) of inpatient medication administration was easier with MedHistory. Anti-infective agents and drugs requiring frequent adjustments were the most commonly reviewed. A graphical timeline of inpatient medications (MedHistory) was met with favorable response across multiple areas, including efficiency, speed, safety, and workflow.

The Role of Internet Self-Efficacy in Acceptance of Web-Based Electronic Medical Records

2011 ◽  
pp. 54-76 ◽  
Author(s):  
Qingxiong Ma ◽  
Liping Liu
Keyword(s):  
Technology Acceptance ◽  
Self Efficacy ◽  
Ease Of Use ◽  
Perceived Usefulness ◽  
Perceived Ease Of Use ◽  
Record System ◽  
Web Based ◽  
Medical Record System ◽  
Acceptance Model

The technology acceptance model (TAM) stipulates that both perceived ease of use (PEOU) and perceived usefulness (PU) directly influence the end user’s behavioral intention (BI) to accept a technology. Studies have found that self-efficacy is an important determinant of PEOU. However, there has been no research examining the relationship between self-efficacy and BI. The studies on the effect of self-efficacy on PU are also rare, and findings are inconsistent. In this study, we incorporate Internet self-efficacy (ISE) into the TAM as an antecedent to PU, PEOU, and BI. We conducted a controlled experiment involving a Web-based medical record system and 86 healthcare subjects. We analyzed both direct and indirect effects of ISE on PEOU, PU, and BI using hierarchical regressions. We found that ISE explained 48% of the variation in PEOU. We also found that ISE and PEOU together explained 50% of the variation in PU, and the full model explained 80% of the variance in BI.

Demoralization in medical illness: Feasibility and acceptability of a pilot educational intervention for inpatient oncology nurses

2017 ◽  
Vol 16 (5) ◽  
pp. 503-510
Author(s):  
Benjamin W. Brewer ◽  
Jennifer M. Caspari ◽  
Jean Youngwerth ◽  
Leigh Nathan ◽  
Izaskun Ripoll ◽  
...  
Keyword(s):  
Educational Intervention ◽  
Medical Illness ◽  
Educational Training ◽  
Post Intervention ◽  
Web Based ◽  
Training Video ◽  
Before And After ◽  
Medical Inpatients ◽  
Survey Responses ◽  
Pilot Intervention

ABSTRACTObjective:Demoralization is a common problem among medical inpatients with such serious health problems as cancer. An awareness of this syndrome, a knowledge of what defines it, and a plan for how to intervene are limited among nursing teams. Nurses are uniquely poised to efficiently provide brief interventions that address demoralization in their patients. To our knowledge, there are no interventions that train nurses to distinguish and treat demoralization in their patients. The objective of the present study was to determine the acceptability, feasibility, and impact of a novel educational intervention for nurses.Method:An educational training video was created and delivered to staff nurses (N = 31) at oncology staff meetings to test the feasibility and acceptability of this intervention. Assessments of nurses' knowledge about demoralization and intervention methods were administered immediately before and after the training intervention and through a web-based survey 6 weeks post-intervention. McNemar's test for dependent categorical data was utilized to evaluate change in survey responses at the three timepoints.Results:Nurses' understanding of the concept of demoralization and appropriate interventions significantly improved by 30.3% from pre- to posttest (p ≤ 0.0001). These improvements persisted at 6 weeks post-intervention (p ≤ 0.0001). At 6-week follow-up, 74.2% of participants agreed or strongly agreed that the training had positively changed their nursing practice, 96.8% reported that this training benefited their patients, and 100% felt that this training was important for the professional development of nurses.Significance of results:This pilot intervention appeared feasible and acceptable to nurses and resulted in increased understanding of demoralization, improved confidence to intervene in such cases, and an enhanced sense of professional satisfaction among inpatient oncology floor nurses.

Improving admission medication reconciliation at a tertiary cancer center.

2021 ◽  
Vol 39 (15_suppl) ◽  
pp. e18686-e18686
Author(s):  
Ed Kheder ◽  
Lijo Saji ◽  
Ali Zalpour ◽  
Samuel Swanson ◽  
Sreedhar Mandayam
Keyword(s):  
Nursing Staff ◽  
Medication Review ◽  
Completion Time ◽  
Medication Reconciliation ◽  
Daily Basis ◽  
Fish Bone ◽  
Cancer Center ◽  
Medical Providers ◽  
Medication History ◽  
Post Intervention

e18686 Background: Accurate medication reconciliation (MedRec) is a pivotal step ensuring patient safety during transition of care, yet one of the most challenging aspects in healthcare quality and safety. Inaccurate MedRec leads to 40 % of medications errors, 20% of which results in harm. Our aim is to increase rate of accurate MedRec completion at MD Anderson Cancer Center (MDACC), within 24 hours of admission, from 85% to >95% through Best Possible Medication History (BPMH) Methods: During pre-intervention phase, we audited medication review and reconciliation of 50 randomly selected patients within 24 hours from admission to MDACC. Our intervention included: conducting several brain-storming sessions with nursing staff, providers, pharmacists; creating fish bone diagram and process maps; designing educational presentations for nursing staff on how to practice BPMH; educating providers on how to complete medication reconciliation within 24 hours of admissions; assigning nursing champions; and sending email reminders to provider on a daily basis. We audited another 50 patients post intervention. In our project, BPMH accuracy was measured by percentage of patients with zero discrepancies (incorrect dosage, frequency or route; extra medication; discontinued medication not removed from list). Significance was tested for BPMH completion, and MedRec completion using a Binomial Test, while significance for number of discrepancies and audit completion time was tested using a Two Sample t-Test. Results: We collected data on 50 patients pre and 50 post intervention. Our results indicate statistically significant improvement in MedRec rate (100%), reduction of number of discrepancies and audit completion time. Conclusions: Medication review and reconciliation are multi-phased processes. Nurses, Pharmacists and medical providers are the cornerstone of accurate and complete MedRec. Reminder emails to medical providers played a key role in MedRec rate improvement. Additional root cause analysis is needed to further address the medication review completion process in our institution.[Table: see text]

Analysis of big data shows haloperidol with a decreased level of serum potassium

2017 ◽  
Vol 41 (S1) ◽  
pp. S370-S370
Author(s):  
J.S. Noh ◽  
M.Y. Park ◽  
K.Y. Lim
Keyword(s):  
Serum Potassium ◽  
Laboratory Data ◽  
Torsades De Pointes ◽  
Electronic Medical Record System ◽  
Psychotic Symptoms ◽  
Record System ◽  
Before And After ◽  
Medical Record System ◽  
Open Access Database ◽  
Competing Interest

IntroductionHaloperidol has been used for the treatment of schizophrenic disorders and other disorders with psychotic symptoms in psychiatric cares. It has been reported that haloperidol can cause QT-prolongation as well as Torsades de Pointes, especially in hypokalemic condition. Here, we tested the usefulness of the large clinical electronic medical record system data from a hospital located in South Korea and further investigated any change in potassium levels before and after an exposure to haloperidol.MethodsThe dataset used in this study is derived from open access database with information such as admission, discharge, diagnosis, prescribed drugs and selected laboratory data for the period 1 June 1994 to 31 July 2013. This database contains information of total 461,170 patients with 4,920,758 prescriptions and 3,811,812 data about serum potassium levels.ResultsExtracting a dataset from this database to compare the levels of serum potassium before and after haloperidol usage, we selected 3661 cases of data, 2476 of them (67.6%) were males and 1185 (32.4%) were females. More than 98.5% (3606) was Asians, and mean age of the patients was 68.63 ± 17.3 years old. The levels of serum potassium before and after haloperidol usage were 4.93 ± 2.53 and 3.86 ± 0.6 mEq/L, respectively, and t-tests revealed that those levels were significantly different (< 0.001).ConclusionsFindings showed that an exposure to haloperidol could lead to a decrease in levels of serum potassium. We suggested that EMR data can be a valuable tool to investigate the effects of treatment on several clinical data.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals SISTEM INFORMASI REKAM MEDIS PASIEN RAWAT JALAN DI UPTD PUSKESMAS KUNINGAN BERBASIS WEB

2019 ◽  
Vol 13 (2) ◽  
pp. 19
Author(s):  
Tatang Saputra ◽  
Erik Kurniadi
Keyword(s):  
Health Care ◽  
Information System ◽  
Health Services ◽  
Medical Record ◽  
Medical Records ◽  
Record System ◽  
Web Based ◽  
Medical Record System ◽  
Health And Illness ◽  
Conducting Research

Puskesmas is a level 1 health facility. More than 40% of Indonesia's population uses health services at the Puskesmas. It is interesting that the Puskesmas is the health care provider that is closest to the community. Recording medical records of patients at the Kuningan Health Center is still done manually. Data search has time constraints. This happens because the same data is often found. Ineffective management of medical records will become a major problem in health services at the Puskesmas. This problem must be overcome so that the puskesmas has good data and information. One way to overcome this problem is to build a computerized medical record information system. Medical Record is a compilation of facts about the health and illness of a patient. Medical Records become a very important thing in the delivery of health services. Because the importance of a medical record, the author is interested in conducting research with the title "Information Systems for Outpatient Medical Records in UPTD Puskesmas Kuningan Web-Based". The medical record information system is expected to help improve the function of the Puskesmas as a place of health care. With the existence of a medical record system, each patient visit can be taken in a database making it easier for officers in the process of finding medical record data when needed. With the database, the compilation of patients forgetting to bring a treatment card can be done by searching the patient's data by the electronic officer. Making a report will be easier because it retrieves data that is done through the request system so as to facilitate the process and minimize errors in data management.Keywords: php, mysql, medical record, outpatient

scholarly journals PERANCANGAN SISTEM INFORMASI REKAM MEDIS DI RS KELUARGA HUSADA BATAM BERBASIS WEB

2019 ◽  
Vol 2 (2) ◽  
pp. 74-86
Author(s):  
Oiyana Caesera
Keyword(s):  
Information System ◽  
Medical Record ◽  
System Development ◽  
Health Sector ◽  
Medical Personnel ◽  
Record System ◽  
Web Based ◽  
Medical Record System ◽  
Patient Health ◽  
Patient’S History

Information technology is growing rapidly in the development of even all walks of life. Every development makes it easy for the public to receive information quickly. An example in the health sector is in the medical record information system. A medical record is a unit of data from facts or evidence about a patient's history, patient's condition and previous treatments, and written by medical staff who provide health services to patients. Recording medical records by recording in the patient's book is an old method used, and a problem often encountered when using the old medical record system is found to be difficult in managing patient files. This medical record will later be used by medical personnel to add or view patient health records that have been treated. In this study a medical record system was designed using the waterfall method. Waterfall is a systematic and sequential model for information system development. Therefore the researchers developed the system using the waterfall method. The purpose of this medical record information system is to design a medical record information system that can manage patient history data and monthly reports. The system designed is very important because to prevent errors in processing patient data. This application is made based on web using the programming language HTML, PHP, and MYSQL database. So as to produce a web medical record that can be used to make the most disease reports every month, and the number of monthly patient visits using the web-based waterfall method.

scholarly journals Insomnia management; don't sleep on it

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S20-S21
Author(s):  
Maria Donnelly ◽  
Nieves Mercadillo ◽  
Stuart Davidson
Keyword(s):  
Patient Safety ◽  
Improve Patient Safety ◽  
Prescription Medication ◽  
Medication Administration ◽  
Post Intervention ◽  
Before And After ◽  
Nice Guidance ◽  
Initial Intervention ◽  
Management Flow ◽  
Improve Patient

AimsIn this project our aim was to improve patient safety and care by reducing hypnotic prescription medication administration. We also wanted to reduce over-prescribing/unnecessary prescribing which has a negative pharmaceutical impact on the environment and is a huge expenditure issue for the NHS. NICE guidance for Insomnia management states “After consideration of the use of non-pharmacological measures, hypnotic drug therapy is considered appropriate for the management of severe insomnia interfering with normal daily life; it is recommended that hypnotics should be prescribed for short periods of time only, in strict accordance with their licensed indications” Side effects are common with hypnotic usage including, most importantly, the development of tolerance and rebound insomnia.MethodThe interventions we implemented included the development of an educational presentation about insomnia, the development of an “Insomnia Management Flow chart” to be used at admission point, training sessions for ward staff, shared teaching programmes with patients at their sleep management sessions, face to face and email correspondence to inform medical trainees about this project and gathering feedback from patients and staff before and after this project.ResultThe results of this project demonstrated a total reduction in hypnotic tablet administration was very significant with a 44.5% reduction post intervention.ConclusionThis demonstrates the positive change in our clinical practice that has resulted from our interventions. This will improve patient safety and reduce cost of hypnotic medications for the NHS. Following on from this initial intervention, we feel that we can continue to make further changes and expand the changes we made on this ward, to other similar wards in our hospital, trust and to other inpatient psychiatric wards further afield.

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