TY - JOUR
KW - Decision Support Systems, Clinical
KW - Drug Toxicity
KW - Humans
KW - Medical Records Systems, Computerized/standards
KW - Medication Adherence
KW - Medication Errors/prevention & control
KW - Models, Theoretical
KW - Primary Health Care/standards
KW - Qualitative Research
KW - Quality of Health Care/standards
KW - Safety Management/methods/standards
KW - South Carolina
AU - L. S. Nemeth
AU - A. M. Wessell
A1 - 
AB - OBJECTIVES: Electronic health record (EHR) systems offer promising tools to assist clinicians and staff with improving medication safety, yet many of the decision support components within these information systems are not well used. The aim of this study was to identify the strategies planned by primary care practices participating in a 2-year medication safety quality improvement intervention within the Practice Partner Research Network. METHODS: A theoretical model for primary care practice improvement was used to foster team-based approaches to prioritizing performance, system redesign, better use of EHR tools, and patient activation. The intervention included network meetings, site visits and performance reports. Improvement plans were qualitatively evaluated from field notes and organized to present a comprehensive approach to improving medication safety in primary care using EHRs. RESULTS: A total of 32 distinct plans and 11 common strategies were developed by practices to improve adherence with prescribing and monitoring indicators. Common plans included enhancing medication reconciliation to improve the accuracy of medication lists, using Practice Partner Research Network reports to identify patients meeting criteria for preventable medication errors, and customizing and applying EHR decision support tools for medication dosing, drug-disease interactions, and monitoring. CONCLUSIONS: Medication safety might be improved by implementing specific strategies within the primary care setting. Further evaluation is needed to provide an evidence base for improvement.
BT - Journal of patient safety
C5 - HIT & Telehealth; Healthcare Policy
CP - 4
CY - United States
IS - 4
JF - Journal of patient safety
N2 - OBJECTIVES: Electronic health record (EHR) systems offer promising tools to assist clinicians and staff with improving medication safety, yet many of the decision support components within these information systems are not well used. The aim of this study was to identify the strategies planned by primary care practices participating in a 2-year medication safety quality improvement intervention within the Practice Partner Research Network. METHODS: A theoretical model for primary care practice improvement was used to foster team-based approaches to prioritizing performance, system redesign, better use of EHR tools, and patient activation. The intervention included network meetings, site visits and performance reports. Improvement plans were qualitatively evaluated from field notes and organized to present a comprehensive approach to improving medication safety in primary care using EHRs. RESULTS: A total of 32 distinct plans and 11 common strategies were developed by practices to improve adherence with prescribing and monitoring indicators. Common plans included enhancing medication reconciliation to improve the accuracy of medication lists, using Practice Partner Research Network reports to identify patients meeting criteria for preventable medication errors, and customizing and applying EHR decision support tools for medication dosing, drug-disease interactions, and monitoring. CONCLUSIONS: Medication safety might be improved by implementing specific strategies within the primary care setting. Further evaluation is needed to provide an evidence base for improvement.
PP - United States
PY - 2010
SN - 1549-8425; 1549-8417
SP - 238
EP - 243
EP - 
T1 - Improving medication safety in primary care using electronic health records
T2 - Journal of patient safety
TI - Improving medication safety in primary care using electronic health records
U1 - HIT & Telehealth; Healthcare Policy
U2 - 21500611
VL - 6
VO - 1549-8425; 1549-8417
Y1 - 2010
ER -