Implemented a computer decision-support system in a 23-county service area in both inpatient and outpatient settings, including several rural clinics; included a training component for physicians and other health care providers, as well as a hospital pharmacy component for adverse drug event management and prevention strategies.
Pharmacy Information System
Implemented a series of new health information technologies in carefully staged processes over 2 years to include an Inpatient Pharmacy System, Electronic Medication Administration Record, Bar Coding System, and a CPOE System; evaluated the impact of these systems on safety, quality, and efficiency.
Shared an electronic medical records system that improved patient safety and quality of care. Also served as a critical learning tool for clinicians in a coalition of three large health organizations and 24 primary care clinics in northern Iowa.
Built upon an existing infrastructure to construct a fully integrated EMR to give clinicians real-time access to patient data through pharmacy management, laboratory management, patient scheduling, barcoding, clinical physician order entry, electronic signature, insurance eligibility, and Pyxis medication-dispensing units at nursing stations.
This project developed an implementation plan for pharmacy and medication-related health information systems in critical access hospitals, and included an on-site health IT survey, two planning conferences, and an assessment of resources.
Implemented an interactive video-conferencing system at rural hospitals to provide continuing education for pharmacist and pharmacy technicians as well as a model for bedside verification of medication administration and medication bar coding; also evaluated structure, process, and outcomes related to improvement of patient safety and more effective patient medication management.
Safety Through Enhanced e-PreScribing Tools (STEPStools): Developing Web Services for Safe Pediatric Dosing
The project team successfully developed a knowledgebase specific to medication management for children. The tools created included an algorithm for rounding of medication doses and a compounded medication knowledgebase.
This project evaluated the Pharmaceutical Safety Tracking (PhaST) system, which monitors medication safety in children and adolescents who are taking antidepressants.