Journal article
A network collaboration implementing technology to improve medication dispensing and administration in critical access hospitals
Journal of the American Medical Informatics Association : JAMIA, Vol.17(5), pp.584-587
2010
DOI: 10.1136/jamia.2010.004267
PMCID: PMC2995685
PMID: 20819868
Abstract
We report how seven independent critical access hospitals collaborated with a rural referral hospital to standardize workflow policies and procedures while jointly implementing the same health information technologies (HITs) to enhance medication care processes. The study hospitals implemented the same electronic health record, computerized provider order entry, pharmacy information systems, automated dispensing cabinets (ADC), and barcode medication administration systems. We conducted interviews and examined project documents to explore factors underlying the successful implementation of ADC and barcode medication administration across the network hospitals. These included a shared culture of collaboration; strategic sequencing of HIT component implementation; interface among HIT components; strategic placement of ADCs; disciplined use and sharing of workflow analyses linked with HIT applications; planning for workflow efficiencies; acquisition of adequate supply of HIT-related devices; and establishing metrics to monitor HIT use and outcomes.
Details
- Title: Subtitle
- A network collaboration implementing technology to improve medication dispensing and administration in critical access hospitals
- Creators
- Douglas S Wakefield - Center for Health Care Quality, Department of Health Management and Informatics, and the MU Informatics Institute, University of Missouri, Columbia, Missouri, USA Center for Health Policy and Research and Department of Health Management and Policy, University of Iowa, Iowa City, Iowa, USA Mercy Medical Center-North Iowa, Mason City, Iowa, USA Ellsworth Municipal Hospital, Iowa Falls, Iowa, USAMarcia M Ward - Center for Health Care Quality, Department of Health Management and Informatics, and the MU Informatics Institute, University of Missouri, Columbia, Missouri, USA Center for Health Policy and Research and Department of Health Management and Policy, University of Iowa, Iowa City, Iowa, USA Mercy Medical Center-North Iowa, Mason City, Iowa, USA Ellsworth Municipal Hospital, Iowa Falls, Iowa, USAJean L Loes - Center for Health Care Quality, Department of Health Management and Informatics, and the MU Informatics Institute, University of Missouri, Columbia, Missouri, USA Center for Health Policy and Research and Department of Health Management and Policy, University of Iowa, Iowa City, Iowa, USA Mercy Medical Center-North Iowa, Mason City, Iowa, USA Ellsworth Municipal Hospital, Iowa Falls, Iowa, USAJohn O'Brien - Center for Health Care Quality, Department of Health Management and Informatics, and the MU Informatics Institute, University of Missouri, Columbia, Missouri, USA Center for Health Policy and Research and Department of Health Management and Policy, University of Iowa, Iowa City, Iowa, USA Mercy Medical Center-North Iowa, Mason City, Iowa, USA Ellsworth Municipal Hospital, Iowa Falls, Iowa, USA
- Resource Type
- Journal article
- Publication Details
- Journal of the American Medical Informatics Association : JAMIA, Vol.17(5), pp.584-587
- DOI
- 10.1136/jamia.2010.004267
- PMID
- 20819868
- PMCID
- PMC2995685
- NLM abbreviation
- J Am Med Inform Assoc
- ISSN
- 1067-5027
- eISSN
- 1527-974X
- Publisher
- BMJ Group
- Language
- English
- Date published
- 2010
- Academic Unit
- Rural Telehealth Research Center; Health Management and Policy
- Record Identifier
- 9984214951802771
Metrics
32 Record Views