Computer support of pharmaceutical services for ambulatory patients

Am, Weissman; Dk, Solomon; Rp, Baumgartner; Brady, JA; Jh, Peterson; Knight, J

doi:10.1093/ajhp/33.11.1171

Cited by 3 publications

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Pharmacy Information (PHARM) Systems

Collen¹,

Nelson

2015

Health Informatics

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Computer-based pharmacy (PHARM) systems have notably improved the quality and safety of medical care. By the 1980s automated ward-based medication cabinets were available to support drug administration and pharmacy management, overcoming problems encountered when drugs were stocked in nursing stations, administered to patients at different hospital locations, and recorded in different paper-based records. When the growing use of prescribed drugs in patient care resulted in an increasing number of adverse drug events (ADEs), PHARM systems were used together with computer-based physician order entry/results reporting systems (CPOE/RRs) systems to prevent and detect such events. With greater computer storage capabilities and much larger databases, PHARM systems were better able to discover and monitor ADEs in inpatient and outpatient care for prescription drugs and over-the-counter medications. With links to comprehensive patient data within a defi ned population database, they could calculate rates of diseases and rates of ADEs. Medication reconciliation and interoperability standards such as RxNorm and Health Level 7 messaging supported sharing information across institutions. User-centered design focused on making systems more effective and reducing alert fatigue. Pharmacogenomics is expected to infl uence medication therapy and improve the safety and effectiveness of prescribed drugs; the interactions which occur in polypharmacy will lead to fewer medication complications in the elderly; and better understanding of pharmacokinetics will lead to improved dosing and timing of medications.

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Pharmacy Information (PHARM) Systems

Collen¹,

Nelson

2015

Health Informatics

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The human element in computer-generated patient management plans

et al. 1982

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Use of Computer Drug-Drug Interaction Program for Detection of Adverse Drug Reactions and Related Therapeutic Problems

Hood¹,

Miller²

1979

Drug Intelligence & Clinical Pharmacy

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Pharmacies currently using computers to detect drug-drug interactions may not be fully utilizing the computers' programs. Potential drug-disease interactions and some potential adverse drug reactions not traditionally defined as interactions can be detected by extending the basic concept of cross-referencing. For example, certain clinically important ADRs are readily detected by cross-referencing drugs which are often used to treat the results of specific ADRs with certain causative agents. The potential therapeutic implications of such a system when restricted to clinically significant ADRs can be readily appreciated, especially in situations where the pharmacist's time in patient-care areas is limited. This concept is currently being practiced at Bayfront Medical Center, and has added a new dimension to the clinical services provided by the pharmacy. It seems likely that detection of therapeutic situations in this manner may be appropriate in other hospital settings.

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Computer support of pharmaceutical services for ambulatory patients

Cited by 3 publications

References 0 publications

Pharmacy Information (PHARM) Systems

Pharmacy Information (PHARM) Systems

The human element in computer-generated patient management plans

Use of Computer Drug-Drug Interaction Program for Detection of Adverse Drug Reactions and Related Therapeutic Problems

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