Feasibility of the implementation of medication reconciliation in Hungary

Introduction: For medication safety improvement medication reconciliation was proven to be an effective method transferable between different healthcare providers and ward profiles. Aim: Gaining a better understanding of the process of reconciling medicines. Mapping the driving and restraining forces of introducing medication reconciliation. Method: A search of the literature was conducted. 19 databases were searched using 7 different search engines. The relevance of the papers was rated by two independent experts. Data were extracted based on a previously compiled extraction tool. Results: 230 articles were evaluated. Limits and driving forces of implementing medication reconciliation were set out. Often mentioned implementation obstacles were: communication issues, disengagement of the leaders, unpredictable resources and competence problems. Recommendations mainly consisted of process redesign techniques, presentation of cost-effectiveness data and arranging special training for staff. Conclusions: For improvement of medication safety in Hungarian hospitals implementing medication reconciliation should be considered. The conclusion of ongoing on-site trials as well as limits and success factors identified in this paper should taken into account. Orv. Hetil., 2014, 155(35), 1395–1405.

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The Development and Piloting of the Ambulatory Electronic Health Record Evaluation Tool: Lessons Learned

Applied Clinical Informatics ◽

10.1055/s-0041-1722917 ◽

2021 ◽

Vol 12 (01) ◽

pp. 153-163

Author(s):

Zoe Co ◽

A. Jay Holmgren ◽

David C. Classen ◽

Lisa P. Newmark ◽

Diane L. Seger ◽

...

Keyword(s):

Decision Support ◽

Electronic Health Record ◽

Medication Safety ◽

Medication Reconciliation ◽

The United States ◽

Health Record ◽

Evaluation Tool ◽

Safety Test ◽

Electronic Health ◽

The Impact

Abstract Background Substantial research has been performed about the impact of computerized physician order entry on medication safety in the inpatient setting; however, relatively little has been done in ambulatory care, where most medications are prescribed. Objective To outline the development and piloting process of the Ambulatory Electronic Health Record (EHR) Evaluation Tool and to report the quantitative and qualitative results from the pilot. Methods The Ambulatory EHR Evaluation Tool closely mirrors the inpatient version of the tool, which is administered by The Leapfrog Group. The tool was piloted with seven clinics in the United States, each using a different EHR. The tool consists of a medication safety test and a medication reconciliation module. For the medication test, clinics entered test patients and associated test orders into their EHR and recorded any decision support they received. An overall percentage score of unsafe orders detected, and order category scores were provided to clinics. For the medication reconciliation module, clinics demonstrated how their EHR electronically detected discrepancies between two medication lists. Results For the medication safety test, the clinics correctly alerted on 54.6% of unsafe medication orders. Clinics scored highest in the drug allergy (100%) and drug–drug interaction (89.3%) categories. Lower scoring categories included drug age (39.3%) and therapeutic duplication (39.3%). None of the clinics alerted for the drug laboratory or drug monitoring orders. In the medication reconciliation module, three (42.8%) clinics had an EHR-based medication reconciliation function; however, only one of those clinics could demonstrate it during the pilot. Conclusion Clinics struggled in areas of advanced decision support such as drug age, drug laboratory, and drub monitoring. Most clinics did not have an EHR-based medication reconciliation function and this process was dependent on accessing patients' medication lists. Wider use of this tool could improve outpatient medication safety and can inform vendors about areas of improvement.

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Engaging hospital patients in the medication reconciliation process using tablet computers

Journal of the American Medical Informatics Association ◽

10.1093/jamia/ocy115 ◽

2018 ◽

Vol 25 (11) ◽

pp. 1460-1469 ◽

Cited By ~ 5

Author(s):

Jennifer E Prey ◽

Fernanda Polubriaginof ◽

Lisa V Grossman ◽

Ruth Masterson Creber ◽

Demetra Tsapepas ◽

...

Keyword(s):

Medication Review ◽

Medication Safety ◽

Medication Reconciliation ◽

Adverse Drug Events ◽

Medication List ◽

Medication Discrepancies ◽

Home Medication ◽

Verbal Participation ◽

Hospital Patients ◽

Home Medication Review

Abstract Objective Unintentional medication discrepancies contribute to preventable adverse drug events in patients. Patient engagement in medication safety beyond verbal participation in medication reconciliation is limited. We conducted a pilot study to determine whether patients’ use of an electronic home medication review tool could improve medication safety during hospitalization. Materials and Methods Patients were randomized to use a toolbefore orafter hospital admission medication reconciliation to review and modify their home medication list. We assessed the quantity, potential severity, and potential harm of patients’ and clinicians’ medication changes. We also surveyed clinicians to assess the tool’s usefulness. Results Of 76 patients approached, 65 (86%) participated. Forty-eight (74%) made changes to their home medication list [before: 29 (81%),after: 19 (66%),p = .170].Before group participants identified 57 changes that clinicians subsequently missed on admission medication reconciliation. Thirty-nine (74%) had a significant or greater potential severity, and 19 (36%) had a greater than 50-50 chance of harm.After group patients identified 68 additional changes to their reconciled medication lists. Fifty-one (75%) had a significant or greater potential severity, and 33 (49%) had a greater than 50-50 chance of harm. Clinicians reported believing that the tool would save time, and patients would supply useful information. Discussion The results demonstrate a high willingness of patients to engage in medication reconciliation, and show that patients were able to identify important medication discrepancies and often changes that clinicians missed. Conclusion Engaging patients in admission medication reconciliation using an electronic home medication review tool may improve medication safety during hospitalization.

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Effectiveness of Transdiagnostic Cognitive Behaviour Therapy for Anxiety and Depression in Adults: A Systematic Review and Meta-analysis

Behavioural and Cognitive Psychotherapy ◽

10.1017/s1352465816000229 ◽

2016 ◽

Vol 44 (6) ◽

pp. 673-690 ◽

Cited By ~ 26

Author(s):

Philip Andersen ◽

Paul Toner ◽

Martin Bland ◽

Dean McMillan

Keyword(s):

Systematic Review ◽

Cost Effectiveness ◽

Cognitive Behaviour Therapy ◽

Meta Analysis ◽

Grey Literature ◽

Anxiety And Depression ◽

Behaviour Therapy ◽

Cognitive Behavioural ◽

Cognitive Behaviour ◽

Effectiveness Data

Background: Transdiagnostic Cognitive Behaviour Therapy (CBT) seeks to identify core cognitive-behavioural processes hypothesized to be important across a range of disorders and to develop a treatment that targets these. This contrasts with standard CBT approaches that are disorder-specific. Proponents of transdiagnostic CBT suggest that it may offer advantages over disorder-specific CBT, but little is known about the effectiveness of this approach. Aims: The review aimed to summarize trial-based clinical and cost-effectiveness data on transdiagnostic CBT for anxiety and depression. Method: A systematic review of electronic databases, including peer-reviewed and grey literature sources, was conducted (n = 1167 unique citations). Results: Eight trials were eligible for inclusion in the review. There was evidence of an effect for transdiagnostic CBT when compared to a control condition. There were no differences between transdiagnostic CBT and active treatments in two studies. We found no evidence of cost-effectiveness data. Conclusions: Quality assessment of the primary studies indicated a number of methodological concerns that may serve to inflate the observed effects of transdiagnostic approaches. Although there are positive signs of the value of transdiagnostic CBT, there is as yet insufficient evidence to recommend its use in place of disorder-specific CBT.

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M-health for maternal health- bridging the gaps!!

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20175822 ◽

2017 ◽

Vol 7 (1) ◽

pp. 1

Author(s):

Sheeba Marwah ◽

Pratima Mittal

Keyword(s):

Health Care ◽

Cost Effectiveness ◽

Maternal Health ◽

Medical Care ◽

Health Care Providers ◽

Mobile Technology ◽

Clinical Applications ◽

Obstetrics And Gynecology ◽

Care Providers ◽

Effectiveness Data

This article reviews significance, potential and principles to consider when setting up a telemedicine (TM) program to provide care to women in the field of obstetrics and gynecology, essentially deploying mobile technology. There are various benefits of such TM clinical applications. The consensus among patients and health care providers is that this technology is convenient to provide needed subspecialty medical care, even when it is not available locally. Such innovations are clinically successful, but economic and cost-effectiveness data are lacking.

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Diabetes Drugs and Cardiovascular Event Reduction: A Paradigm Shift

US Cardiology Review ◽

10.15420/usc.2017:35:1 ◽

2018 ◽

Vol 12 (1) ◽

pp. 46-50

Author(s):

Erik M Kelly ◽

Donald E Cutlip

Keyword(s):

Clinical Practice ◽

Cost Effectiveness ◽

Paradigm Shift ◽

Cardiovascular Events ◽

Outcome Data ◽

Review Article ◽

Sodium Glucose Cotransporter ◽

Glucagon Like Peptide ◽

Glucagon Like Peptide 1 ◽

Effectiveness Data

This review article summarizes the recent cardiovascular outcome data for sodium–glucose cotransporter-2 inhibitors and glucagon-like peptide-1 analogues, which have been found to reduce cardiovascular events. We also detail the implications these new medications will have on clinical practice through a review of recent diabetes guidelines and cost-effectiveness data.

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Chapter 16 Medication Safety Improvement

Meeting Accreditation Standards ◽

10.37573/9781585284474.016 ◽

2019 ◽

pp. 349-372

Keyword(s):

Medication Safety ◽

Safety Improvement

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Contingent Factors and Sustainable Performance Measurement (SPM) Practices of Malaysian Electronics and Electrical Companies

Sustainability ◽

10.3390/su11041058 ◽

2019 ◽

Vol 11 (4) ◽

pp. 1058

Author(s):

Tze Ong ◽

Boon Teh ◽

Ah Lee

Keyword(s):

Performance Measurement ◽

Structural Equation ◽

Success Factors ◽

Driving Forces ◽

Future Research ◽

Performance Measurements ◽

Sustainable Practices ◽

Sustainable Performance ◽

The Uk ◽

Electronics And Electrical

In the present world, there is a rapidly growing level of awareness of social and environmental activities. Consequently, a company’s profile is not substantiated purely in relation to financial issues, rather, a need for the inclusion of environmental and social perspectives arises. This is known as sustainable performance. Hence, there is a persistent need for the practice of sustainable performance measurements (SPMs). However, despite the implementation of sustainable performance in developed climes like Europe, the US and the UK, the relevance of sustainable performance is still at a low in developing societies such as Malaysia. The main purpose of this paper is to determine the critical success factors that are attributable to sustainable performance measurement practices for Malaysian electronics and electrical (E and E) companies, as their success is subject to intense scrutiny from their developed competitors, with respect to compliance with social and environmental regulations. A self-administered questionnaire survey was conducted on 217 E and E companies. The path analysis and test of the hypotheses were carried out through structural equation modelling. This study has successfully unveiled a comprehensive SPM model with unprecedented scope, stretching from factors to indicators of a SPM model for Malaysian E and E companies. The findings indicate that pressure from stakeholders and globalization are the driving forces for E and E companies to be more proactive in sustainable practices. In this context, stakeholders, especially policy makers, should play the leading political and social roles in encouraging the adoption of SPMs in developing nations. It must be noted that E and E companies are likely to transform their learning culture and technology in terms of working towards sustainable practices once they have realized the financial benefits of adopting SPMs. With these benefits, a compounding effect due to SPMs will be created among E and E companies, where excellent performance can be achieved continuously. A major limitation of this study is the adoption of the contingency theory, which is yet to have a wide application in this area of study. Meanwhile, future research can be longitudinal in nature in addition to focusing on non-profit organizations.

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How do the design features of health hackathons contribute to participatory medicine?

Australasian Journal of Information Systems ◽

10.3127/ajis.v21i0.1383 ◽

2017 ◽

Vol 21 ◽

Cited By ~ 3

Author(s):

Karen Day ◽

Gayl Humphrey ◽

Sophie Cockcroft

Keyword(s):

Data Storage ◽

Success Factors ◽

Healthcare Providers ◽

Self Care ◽

Personal Data ◽

Participatory Development ◽

Multiple Sources ◽

Professional Perspective ◽

Design Skills ◽

Participatory Medicine

The Hackathon concept is attracting interest as a vehicle for participatory development in both Health and Information systems. Publically available datasets, cloud based data storage, and increasingly sophisticated analytical methods, combined with user friendly development tools for mobile devices are inspiring innovation in the participatory medicine space. This has the potential to disrupt traditional methods and deliver solutions more rapidly, and in a form more likely to meet requirements. In health applications this involves putting the patient and their supports at the centre of design. This work contributes to solving the challenges involved in bringing a diverse cohort of designers, developers, problem owners, healthcare providers, patients, and citizens together to solve user-driven self-care problems using technology. We use a descriptive case study approach focussing on two weekend-long hackathons dubbed “Health Hackathon: Solving Self-care”. We gather thick data from multiple sources according to the process defined by Geertz (1994) first, to provide a rich picture of the role of hackathons in participatory medicine and second, to contribute evidence to the practise of running a hackathon. Some key originalities of our work include seeking more candid responses via self-serve interviews. Through this, controversially, we noted a marked emphasis on the creative process over concerns for privacy and ethics around the personal data cloud created by hackathon products. We build on existing theories of participatory medicine and emerging methodologies for conducting hackathons to provide evidence of the efficacy of the hacking approach both in terms of outcome and team dynamics. Through interviews, observation, twitter feeds and a pre-survey, we identify a number of success factors including (1) group size, (2) maturity of the idea, (3) level of involvement of a mentor, and (4) involvement of students. In addition we identify five skills identified by successful health hackathon participants; knowledge, patient focussed skills, analytical skills, software design skills and professional perspective. In common with previous studies we find that there are considerable social benefits that accrue in running a hackathon. Participants meet new people and learn first-hand of the challenges and opportunities provided by the skill sets and work environments of others. This work builds on the existing body of research concerning hackathons and in particular work in the context of participatory medicine

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Critical Success Factors to Create 5G Networks in the Smart Cities of India From the Security and Privacy Perspectives

Advances in Library and Information Science - Novel Theories and Applications of Global Information Resource Management ◽

10.4018/978-1-7998-1786-4.ch010 ◽

2020 ◽

pp. 263-285

Author(s):

Sheshadri Chatterjee

Keyword(s):

Critical Success Factors ◽

Success Factors ◽

Driving Forces ◽

Smart Cities ◽

Security And Privacy ◽

Network System ◽

Network Systems ◽

Critical Success ◽

5G Network ◽

Privacy Issues

Development of cities brings in overall economic growth of the country. As a result, cities are taking new shape with modern facilities to ensure development. In this perspective, Government of India (GOI) has announced to create 100 Smart Cities across different locations in India. In these Smart Cities, modern infrastructure would be created with introduction of modern 5G network systems. This network system is expected to bring in considerable improvements in the Smart Cities if the security and privacy issues involved in this system can be addressed. This chapter has taken an attempt to identify the critical success factors (CSFs) instrumental to improve this network system within the acceptable level of security and privacy vulnerabilities in Smart Cities of India. To identify the CSFs, different standard methods including questionnaire-oriented survey, brainstorming have been adopted. Interpretive structural modelling (ISM) methodology has been used to find out inter-relationships among the CSFs along with identification of driving forces.

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