Mobile devices for medication safety, does itfly?Tjalling van der Schors, Pharm.D.Hospital Pharmacist & Chairman Board of Medical Specialists
Outline• Introduction Westfriesgasthuis• Medication IT in the Netherlands• (Mobile) technology versus the process• Our current focus and approach• Mobile technology options• Limitations• How to overcome these obstacles?EMRAM Stage6 hospital
WestfriesgasthuisFact and Figures• Teaching hospital beds 506• Medical specialists 145• Outpatient visits 275.000• Inpatients 19.000• Employees 2.200• Annual Budget €170 mln• Closed loop medication system fully integrated within EMREMRAM Stage6 hospitalFacts&FiguresEMRAM Stage 6 hospital Currentlyapplying for Stage 7 accreditation
EMRAM Stage 6hospital#1Euro HealthConsumerIndex (EHCI)2012Medication IT in the NetherlandsThe Netherlands is leading inMedication IT
(Mobile) Technology is not the limiting factorIt starts with the right process!At the source!Source: Poon EG et al. N Engl J Med 2010;362:1698-707Where do most medicationerrors occur?
Current approach WestfriesgasthuisEssential elements• Closed loop medication• Integrated decision support• Integrated CPOE• Interactive floor plans• Nursing record and activity• Workflow supportAll provided within our fullyintegrated EMR• Facilitated with Mobile (EMR) TechnologyFocused approach• At the source• Cytostatics• Radioactive drugsEssentialelements
Limitations and obstaclesWhat is currently slowing ourprocess down?Lack of (standardized) barcode use on aEuropean level
How to overcome these obstacles?RepackagingorStandardization ofEuropean(Medication) suppliers
Conclusion• The process is crucial• Integrated (EMR) software solution is essential• Most errors occur at the source• Mobile devices work as a facilitator to decrease medicationerrors (at the source) significantly• A wide variety of mobile devices are supported by our EMRsystem• With the right EMR, Mobile technology is NOT the limitingfactorMobiletechnologyThe right EMR
Mobile devices for medication safety, does itfly?YES!But we have to kill the bugs!
Questions?Tjalling van der Schors, Pharm.D.Hospital Pharmacist & Chairman Board of Medical Specialiststvds@westfriesgasthuis.nlQuestions about the fully integrated EMR (ChipSoft)Westfriesgasthuis is using?Marketing@ChipSoft.nlQuestions?