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At least 451 records · Page 25Linked to original sources
PubMed1993

Utilization care plans and effective patient data management.

This article introduces the concept of a utilization care plan (UCP) for supporting the communication of data required for effective utilization review and utilization management. Utilization review is a process of measurement that compares the performance of a ward, department, or entire facility against accepted criteria to identify resource use shortfalls. Utilization management is the deliberate action by third party payers to ensure that shortfalls in resource utilization are minimized. Critical to the success of utilization management is effective data communication; utilization review data must be accurate, complete, accessible, timely, and coordinated. Computer-based UCP systems can remind caregivers when and what services should be provided to patients and also monitor the portion of those services that should be administered during each phase of a patient's therapy. Deviations from the UCP system template constitute variances that can be documented and highlighted in a friendly automated system that ensures highly accurate and extremely timely concurrent utilization information. Some implications of using UCP systems for future research and practice are also discussed.

British Columbia↗
PubMed1994

Computer-based patient records and changing physicians' practice patterns.

Computer-based patient records (CPRs) have been under development for more than a quarter of a century. In comparison to the traditional paper medical record, they offer a vast improvement in reporting, organizing, and locating clinical information; they can support clinical decision making; and they can be designed to coordinate and manage patient care. Research concerning these three functions is reviewed. Despite their demonstrated benefits, CPRs have met with limited acceptance among physicians. Barriers to their acceptance and ability to change practice behavior are discussed. Empirical studies that have used opinion leaders among physicians to encourage the use of a medical information system and to change practice behavior are reviewed. Finally, suggestions as to how to facilitate the development and adoption of CPRs are outlined.

Attitude to Computers↗
PubMed1994

Reducing barriers to physician data entry for computer-based patient records.

Physician data entry and use of clinical workstations is one barrier to computer-based patient records (CPRs). Often, clinicians do not understand the potential benefits of CPRs. For the benefits to be realized, however, clinical personnel must use the workstations for both data entry and retrieval. The article reviews recent experience with physicians' direct data entry. It summarizes benefits that clinicians have realized from such systems and also disincentives to their use. It concludes by discussing implementation strategies for enhancing the benefits and reducing the barriers.

Attitude to Computers↗
PubMed1994

Pharmacy-based automated medication records: methods, application, and a survey of use.

A literature review of articles describing the development and implementation of automated medication administration records is summarized, and the results of a survey undertaken of all hospitals in Missouri to determine the extent of an automated medication administration record (MAR) are reported. For hospitals with an automated MAR, the survey compiled information about the demographics of responding facilities and production and distribution, design, implementation, and procedures for use of automated MARs. The most frequently reported advantages of an automated MAR were a more legible document, increased accuracy, savings in nursing personnel time, and fewer medication errors. The most frequently reported disadvantages were increases in pharmacy personnel time, different interpretation of orders by pharmacy and nursing, and multiple entries required for a medication order to appear correctly on the MAR.

Clinical Pharmacy Information Systems↗
PubMed1995

Electronic signature thrives in different environments.

Implementing electronic signature has been a positive experience for both our organizations. The benefits we sought were there, and unforeseen benefits surfaced. Five activities that facilitated the success of electronic signature at our two facilities were (1) flowcharting the electronic signature process prior to purchase and installation; (2) becoming familiar with legal requirements for electronic signature, and assuring that products under consideration meet these requirements; (3) gaining the support of medical staff leadership; (4) using a written agreement of password confidentiality and document responsibility with physicians; and (5) thoroughly training medical records staff, then establishing a positive one-on-one training procedure for physicians with a high degree of staff attention.

Authorship↗
PubMed1997

The role of the pharmacy department in the prevention of adverse drug events: a survey of current practices.

Adverse drug events have received a great deal of publicity during he past several years. The tracking and prevention of medication errors is an important part of ensuring quality care for patients. The American Society of Health-System Pharmacists, and the Institute For Safe Medication Practices are two groups who have published recommendations on the prevention of adverse drug events in hospitals. This study provides an informative analysis of the status of implementation of these recommendations by hospital pharmacists in Louisiana.

Adverse Drug Reaction Reporting Systems↗