A nationwide computerized patient medication history: Evaluation of the Austrian pilot project "e-Medikation"

被引：24

作者：

Ammenwerth, Elske ^{[1
]}

Duftschmid, Georg ^{[2
]}

Gall, Walter ^{[2
]}

Hackl, Werner O. ^{[1
]}

Hoerbst, Alexander ^{[1
]}

Janzek-Hawlat, Stefan ^{[2
]}

Jeske, Martina ^{[3
]}

Jung, Martin ^{[4
]}

Woertz, Klemens ^{[4
]}

Dorda, Wolfgang ^{[2
]}

机构：

[1] UMIT Univ Hlth Sci Med Informat & Technol, Inst Biomed Informat, A-6060 Hall In Tirol, Austria

[2] Med Univ Vienna, Ctr Med Stat Informat & Intelligent Syst, Sect Med Informat Management & Imaging, Vienna, Austria

[3] Univ Innsbruck Hosp, Dept Pharm, Innsbruck, Austria

[4] UMIT Univ Hlth Sci Med Informat & Technol, Inst Hlth Informat, A-6060 Hall In Tirol, Austria

来源：

INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS | 2014年 / 83卷 / 09期

关键词：

Patient safety; Medication reconciliation; Prescriptions; Medical order entry systems; Evaluation studies; Electronic health records; Pharmacy services; CLINICAL DECISION-SUPPORT; ELECTRONIC HEALTH RECORDS; PHYSICIAN ORDER ENTRY; ADVERSE DRUG EVENTS; RECONCILIATION ERRORS; EHEALTH TECHNOLOGIES; ELDERLY-PEOPLE; PRIMARY-CARE; RISK-FACTORS; POLYPHARMACY;

D O I：

10.1016/j.ijmedinf.2014.06.004

中图分类号：

TP [自动化技术、计算机技术];

学科分类号：

0812 ;

摘要：

Purpose: To manage medication treatment and to assure medication safety, health care professionals need a complete overview of all drugs that have been prescribed or are taken by a patient. In 2009, Austria launched the pilot project "e-Medikation" in three pilot regions. E-Medikation gives access to a patient's nationwide medication list and includes medication safety checks. The objective of this paper is to report on the evaluation results and lessons learnt. Methods: A formative evaluation study performed between July and December 2011 comprised a standardized survey of participating physicians, pharmacists, and patients, as well as an analysis of the e-Medikation log files. Results: During the evaluation period, 18,310 prescriptions and 13,797 dispensings were documented, and 22,359 medication safety checks were performed. Overall, 61 physicians, 68 pharmacists, and 553 patients responded to a written survey. The results showed high acceptance of the idea of e-Medikation among pharmacists and patients and mixed acceptance among physicians. The satisfaction with the quality of the software used in the pilot project was low. Conclusions: The overall aim to increase medication safety seems achievable through e-Medikation, but several limitations of the pilot project need to be solved before a national rollout. Based on the evaluation results and after redesign of e-Medikation, Austria is now planning a nationwide introduction of e-Medikation starting in 2015. (C) 2014 Published by Elsevier Ireland Ltd.

引用

页码：655 / 669

页数：15

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