Int J Med Inform - A nationwide computerized patient medication history: evaluation of the Austrian pilot project e-Medikation.

Tópicos

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Resumo

RPOSE: To manage medication treatment and to assure medication safety, health care professionals need a complete overview of all drugs that have been prescribed or are taken by a patient. In 2009, Austria launched the pilot project "e-Medikation" in three pilot regions. E-Medikation gives access to a patient's nationwide medication list and includes medication safety checks. The objective of this paper is to report on the evaluation results and lessons learnt.METHODS: A formative evaluation study performed between July and December 2011 comprised a standardized survey of participating physicians, pharmacists, and patients, as well as an analysis of the e-Medikation log files.RESULTS: During the evaluation period, 18,310 prescriptions and 13,797 dispensings were documented, and 22,359 medication safety checks were performed. Overall, 61 physicians, 68 pharmacists, and 553 patients responded to a written survey. The results showed high acceptance of the idea of e-Medikation among pharmacists and patients and mixed acceptance among physicians. The satisfaction with the quality of the software used in the pilot project was low.CONCLUSIONS: The overall aim to increase medication safety seems achievable through e-Medikation, but several limitations of the pilot project need to be solved before a national rollout. Based on the evaluation results and after redesign of e-Medikation, Austria is now planning a nationwide introduction of e-Medikation starting in 2015.

Resumo Limpo

rpose manag medic treatment assur medic safeti health care profession need complet overview drug prescrib taken patient austria launch pilot project emedik three pilot region emedik give access patient nationwid medic list includ medic safeti check object paper report evalu result lesson learntmethod format evalu studi perform juli decemb compris standard survey particip physician pharmacist patient well analysi emedik log filesresult evalu period prescript dispens document medic safeti check perform overal physician pharmacist patient respond written survey result show high accept idea emedik among pharmacist patient mix accept among physician satisfact qualiti softwar use pilot project lowconclus overal aim increas medic safeti seem achiev emedik sever limit pilot project need solv nation rollout base evalu result redesign emedik austria now plan nationwid introduct emedik start

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