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

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.

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A STAFF MANAGEMENT SYSTEM FOR MAINTAINING IMPROVEMENTS IN CONTINENCE WITH ELDERLY NURSING HOME RESIDENTS

Journal of Applied Behavior Analysis ◽

10.1901/jaba.1990.23-111 ◽

1990 ◽

Vol 23 (1) ◽

pp. 111-118 ◽

Cited By ~ 57

Author(s):

Louis D. Burgio ◽

Bernard T. Engel ◽

Andre Hawkins ◽

Kathleen McCormick ◽

Ann Scheve ◽

...

Keyword(s):

Nursing Home ◽

Management System ◽

Nursing Home Residents ◽

Staff Management

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An Inexact Fuzzy-Queue Programming Model for Coupled Coal and Power Management

Advanced Materials Research ◽

10.4028/www.scientific.net/amr.785-786.1521 ◽

2013 ◽

Vol 785-786 ◽

pp. 1521-1526

Author(s):

Ying Xu Wei ◽

Qiong Zhang ◽

Cheng Pan

Keyword(s):

Power Management ◽

Management System ◽

Programming Model ◽

Multiple Sources ◽

Coal Blending ◽

Allocation Patterns ◽

Potential Risks ◽

Power Management System ◽

Coal Supply

In this study, a coupled coal and power management model is developed based on an inexact fuzzy-queue programming method. The model is applied to a case study of coupled coal and power management system. The results indicate that the developed model can afford reasonable measures for solving coal-blending and coal-resources-allocation problems in coupled coal and power management system. It is useful for (a) standardizing coal supply, (b) improving efficiencies of the boilers, and (c) reducing emissions of air pollutants for meeting local air-quality targets. Potential risks associated with coal shortages and instability due to property variations from multiple sources can also be highly lowered through diversifying coal sources. Moreover, it can handle queue problems and multiple uncertainties exist in coupled coal and power management activities. Thus, it can help decision makers obtain optimal coal-blending schemes and coal-allocation patterns.

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Integrated medicine management system for malaysian healthcare sector

International Journal of Research in Pharmaceutical Sciences ◽

10.26452/ijrps.v10i4.1644 ◽

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.

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