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System for exchanging information among pharmacists in different practice environments

A K Kuehl1, E A Chrischilles, B A Sorofman

  • 1Department of Preventive Medicine, University of Iowa, Iowa City 52242, USA. akuehl@dexter.pmeh.uiowa.edu

American Journal of Health-System Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists
|June 2, 1998
PubMed
Summary

Implementing a patient information exchange system between hospitals and pharmacies increased pharmacist interventions. This system improved drug therapy problem identification and documentation across different care settings.

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Area of Science:

  • Health Informatics
  • Pharmacy Practice
  • Patient Care Coordination

Background:

  • Fragmented patient information hinders effective pharmacist interventions.
  • Seamless data exchange between hospital, long-term-care (LTC), and ambulatory care pharmacies is crucial for continuity of care.

Purpose of the Study:

  • To evaluate the impact of a patient information exchange system on pharmacist interventions.
  • To assess the influence of inter-facility data sharing on drug therapy problem identification and documentation.

Main Methods:

  • A system facilitating information exchange between hospital, LTC, and ambulatory care pharmacies was implemented.
  • Patients admitted to the hospital were randomized into experimental (information received) and control groups.
  • Pharmacist interventions were documented and compared between groups.

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Main Results:

  • Significantly more in-hospital pharmacist interventions occurred for patients in the experimental group.
  • Ambulatory care pharmacies documented more interventions per patient for the experimental group.
  • Information transfer was successful for 75% of experimental patients.

Conclusions:

  • An integrated patient information exchange system enhances pharmacist interventions in hospital and ambulatory settings.
  • Improved data sharing positively impacts the identification and documentation of drug therapy problems.
  • The system's effectiveness may vary across different care environments, such as LTC pharmacies.