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Presentation phr medications

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Presentation phr medications

  1. 1. PERSONAL HEALTH RECORDS AND MEDICATION MANAGEMENT TIFFANY CHEN – DNPU702
  2. 2. THE PROBLEM
  3. 3. THE PROBLEM• 1.5 million adverse drug events occur each year in the United States• Each preventable adverse drug event added $8,750 to the cost of a hospital stay • Potential cost: $3.5 billion annually • Cost to treat medication errors: $887 million• Medication errors from medication reconciliation failures occur: • 22% at Admission • 22% at Transfer • 12% at Discharge (IOM, 2006; JCAHO, 2008)
  4. 4. COMMON MEDICATION ERRORS Additional Substitutions Medications 5%Frequency 5%Discrepancy 10% Dose Discrepancy 21% Omissions 59% (Mitrzyk, 2009)
  5. 5. SOLUTIONS: PARTNERSHIP (IOM, 2006; JCAHO, 2008)
  6. 6. TEAMWORK Patient/Family UsersHealthcare Users Information Services Department (ISD)
  7. 7. MOBILE SOLUTION• Track & Manage• Organize• Get Healthy• Apps & Devices(California Healthcare Foundation, 2010; McGuire, 2007; Microsoft, 2012)
  8. 8. INNOVATION THE SIX-STEP PROCESS OF USING EVIDENCE1. ACCESS2. TAILOR3. RETRIEVE4. ARCHIVE5. SHARE6. WRITE
  9. 9. INNOVATION (Christensen, 2009; Johansson, 2006; Turvey, 2012)
  10. 10. REFERENCES• Balint, M., Ball, D. H., & Hare, M. L. (1969). Training medical students in patient-centered medicine. Comprehensive Psychiatry, 10(4), 249-258. doi: 10.1016/0010-440x(69)90001-7• Belmont, C., Akpabio, L., Engles, D., OHare, E., Russell, B., Richard, R. C., & Waltrip, L. (2010). Medication Reconciliation. Retrieved from http://www.dell.com/downloads/global/solutions/public/articles/medication-reconciliation-patients-care- givers.pdf• California HealthCare Foundation. (2010). Consumers and Health Information Technology: A National Survey. Retrieved from http://www.chcf.org/publications/2010/04/consumers-and-health-information-technology-a-national-survey• Christensen, C. M., Grossman, J. H., & Hwang, J. (2009). The Innovators Prescription: A Disruptive Solution for Health Care. New York, NY: McGraw-Hill.• Greenwald, J. L., Halasyamani, L., Greene, J., LaCivita, C., Stucky, E., Benjamin, B., . . . Williams, M. V. (2010). Making Inpatient Medication Reconciliation Patient Centered, Clinically Relevant and Implementable: A Consensus Statement on Key Principles and Necessary First Steps. Journal of Hospital Medicine, 5(8), 477-485.• Institute of Medicine. (2006). Preventing Medication Errors. Retrieved from http://www.iom.edu/~/media/Files/Report%20Files/2006/Preventing-Medication-Errors-Quality-Chasm- Series/medicationerrorsnew.pdf• Johansson, F. (2006). Medici effect: What elephants and epidemics can teach us about innovation. Cambridge, MA: Harvard Business School Press• Joint Commission on Accreditation of Healthcare Organizations. (2006). Using medication reconciliation to prevent errors. Joint Commission Journal on Quality and Patient Safety. 32(4), 230-2.• McGuire, R. (2007). The power of mobility : how your business can compete and win in the next technology revolution. Hoboken, N.J.: John Wiley & Sons.• Microsoft. (2012). Microsoft HealthVault. Retrieved from http://www.microsoft.com/global/en- us/healthvault/renderingAssets/hvClickThru/Personal/hv_final_overview_master_02.pdf• Mitrzyk, B. M., & Ganatra, S. (2009). Conducting Medication Reconciliation. Retrieved from http://www.michiganpharmacists.org/education/online/may09_medrec.pdf• Turvey, C. L., Zulman, D. M., Nazi, K. M., Wakefield, B. J., Woods, S. S., Hogan, T. P., . . . McInnes, K. (2012). Transfer of Information from Personal Health Records: A Survey of Veterans Using My HealtheVet. Telemedicine and E-Health, 18(2), 109- 114.

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