Telemed J E Health - Rural inpatient telepharmacy consultation demonstration for after-hours medication review.

Tópicos

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Resumo

JECTIVE: Medication errors contribute to a significant number of fatal and nonfatal adverse medical events each year. Many actions, from both a policy and innovation standpoint, have been taken to reduce medication errors in the inpatient setting; yet, these actions often target larger urban hospitals. Rural hospitals face many more challenges in implementing these changes due to fewer resources and lower patient volumes. Our article discusses the implementation and results of a telepharmacy demonstration implemented between the University of California Davis Health System and six rural hospitals.MATERIALS AND METHODS: A retrospective chart review obtained baseline medication errors for comparison with the prospective review of medication orders through telepharmacy. Medication orders from rural hospitals were transmitted via fax to the University of California Davis Pharmacy for after-hours review. If a medication required after-hours removal from the pharmacy, it was requested that video verification by a telepharmacist be used to verify that the correct medication was removed from the pharmacy.RESULTS: Baseline findings from the retrospective chart review indicated that 30.0% of patients had one or more medication errors and that these errors occurred in 7.2% of the medication orders. None of these errors were found to have resulted in harm to the patients. During the telepharmacy demonstration, 2,378 medication orders were screened from 504 independent order review requests. In total, 58 (19.2%) patients had one or more medication errors. The errors from the telepharmacy demonstration represented potential errors that were identified through telepharmacy medication review.CONCLUSIONS: Telepharmacy represents a potential alternative to around-the-clock on-site pharmacist medication review for rural hospitals.

Resumo Limpo

jectiv medic error contribut signific number fatal nonfat advers medic event year mani action polici innov standpoint taken reduc medic error inpati set yet action often target larger urban hospit rural hospit face mani challeng implement chang due fewer resourc lower patient volum articl discuss implement result telepharmaci demonstr implement univers california davi health system six rural hospitalsmateri method retrospect chart review obtain baselin medic error comparison prospect review medic order telepharmaci medic order rural hospit transmit via fax univers california davi pharmaci afterhour review medic requir afterhour remov pharmaci request video verif telepharmacist use verifi correct medic remov pharmacyresult baselin find retrospect chart review indic patient one medic error error occur medic order none error found result harm patient telepharmaci demonstr medic order screen independ order review request total patient one medic error error telepharmaci demonstr repres potenti error identifi telepharmaci medic reviewconclus telepharmaci repres potenti altern aroundtheclock onsit pharmacist medic review rural hospit

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