门诊药物改变工作流程对与药房沟通的影响
Samantha I Pitts1, Bridgette Thomas2, Yushi Yang3
1Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, United States.
Applied clinical informatics
|May 21, 2025
概括
由于电子健康记录 (EHR) 工作流程的多样化,CancelRx药物停用通知并不总是发送给外部药房. 优化CancelRx配置和提供者工作流程对于准确的药物更改沟通至关重要.
科学领域:
- 医疗信息学 医疗信息学
- 药房实践 在药房实践中
- 临床信息学 临床信息学
背景情况:
- 取消Rx促进了电子健康记录 (EHR) 和药房之间的药物停用通信.
- 有效的CancelRx实施可以减少药物差异,并防止在停药后发放药物.
- 提供商的工作流程和系统配置影响药物变更通知到药房.
研究的目的:
- 评估CancelRx配置和EHR工具如何影响向内部和外部药房的药物变更通知.
- 评估不同供应商工作流程在沟通药物停用和新处方方面的有效性.
主要方法:
- 对药物变化的处方工作流程的功能分析 (例如",改变"",重新安排"",调整","停止"",以不同的方式服用").
- 在EHR测试环境中检查处方取消,新处方生成和患者指令.
主要成果:
- 具有默认设置的"更改"功能始终向内部和外部药房传达停止.
- "重新排序"和"调整sig"功能在内部和外部药房之间显示了不一致的取消结果.
- "调整标志"也产生了不同的处方结果,而"采取不同的方式"未能传达停止或新的处方.
结论:
- 某些用于剂量调整的EHR工作流程无法可靠地通知外部药房,导致处方差异.
- 卫生系统必须评估本地EHR工作流程和CancelRx配置,以有效地进行药物更改沟通.
- 多学科合作对于改善药物剂量变化的沟通策略至关重要.
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