Rethinking the outpatient medication list: increasing patient activation and education while architecting for centralization and improved medication reconciliation

Abstract

Patient and caregiver participation are essential to improve medication safety. Our medication manager is an early step towards a patient-facing medication manager that has been designed with data federation and interoperability in mind.

Understanding the experiences of self-injurious behavior in autism spectrum disorder: Implications for monitoring technology design

“…Our results indicate that collaboration between parents and educators supports consistent management methods, typically resulting in more positive management outcomes. This finding supports the need for SIB monitoring harmony, reflecting the goal of a synchronized and multiple user-centered database 27 in which specified caregivers and individuals can input and access SIB data and trends. Such a database could address the need to stay informed about child or student progress, alert caregivers of potential episodes, provide features for scheduling team meetings, and highlight behavioral data of particular concern across settings.…”

“…Caregivers should be critical contributors to the development of monitoring technology, given their expertise in the day-to-day realities of SIB monitoring and management. 27 The importance of caregiver involvement has been demonstrated in systems design for people with cognitive disabilities 28 and children. 29 To the best of our knowledge, studies on the design of monitoring technologies for ASD have not included both educators and parents.…”

“…Similar to the work of Holden et al 38 on chronic illness management, our findings suggest that SIB management depends on existing resources, caregiver engagement, and support systems. In an earlier report, 27 researchers concluded that caregiver participation in medical data systems is critical to obtaining accurate data. Different from prior work, our findings reveal a critical need to consider the implications of simultaneously collecting data and mitigating risk.…”

A Prescription For Enhancing Electronic Prescribing Safety

“…An active medication list is not just a listing of all prescribed medications; it should reflect the medications the patient is actually taking. 13 We envision patients routinely reviewing their online lists, noting any medications they are not taking or are taking differently than prescribed. Such departures could then be visually highlighted, so clinicians could move these to a list of inactive medications, correct the dosage, or counsel the patient.…”

The Importance of the Nurse’s Role in the Management of Complex Diabetic Outpatients: It is the Time to Manage Patient’s Multidimensions

“…All our outpatients with diabetes receive nurse education about lifestyles and the use of diabetic devices [6], specific nutritional advises, and podiatrist education on foot care. The coordinating physician provides diagnostic and therapeutic reconciliation [7]. The co-ordinating nurse takes care of the entire patient pathway and evaluates patient needs and caregiver support.…”