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Updated: Feb 27, 2026

Implementation of a Real-Time Psychosis Risk Detection and Alerting System Based on Electronic Health Records using CogStack
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Community health integration through pharmacy process and ergonomics redesign (CHIPPER).

Michelle A Jahn1, Barrett S Caldwell1

  • 1a School of Industrial Engineering , Purdue University , West Lafayette , IN , USA.

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|July 7, 2017
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Summary

Community pharmacies face risks from increased health information technology (IT) use. The new CHIPPER framework improves IT integration and medication delivery processes, addressing information flow challenges for better patient safety.

Keywords:
Pharmacyhealthcare systemsinformation technologywork processes

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Area of Science:

  • Health Informatics
  • Pharmacy Systems Engineering
  • Human Factors in Healthcare

Background:

  • Community pharmacy systems are expanding, increasing the risk of adverse drug events.
  • Health information technology (IT) implementation in pharmacies faces challenges with system integration and unintended consequences.

Purpose of the Study:

  • To introduce the Community Health Integration through Pharmacy Process and Ergonomics Redesign (CHIPPER) framework.
  • To explore health IT integration angles supporting medication delivery in community pharmacies.

Main Methods:

  • The CHIPPER framework analyzes information flows (initiation, upstream, midstream, downstream) in medication delivery.
  • The paper reviews CHIPPER applications and presents two case studies demonstrating its use.

Main Results:

  • CHIPPER identifies critical information flows and end-user tasks in pharmacy medication delivery.
  • The framework facilitates a systems engineering approach to pharmacy practice analysis.

Conclusions:

  • The CHIPPER framework offers a structured method for analyzing and improving health IT integration in community pharmacies.
  • Addressing information flow inconsistencies is crucial for enhancing medication delivery and patient safety.