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Pharmacy Informatics Overview

Pharmacy informatics involves the application of computers and technology to store, analyze, and manage drug and patient health information to help pharmacists. It helps pharmacists manage insurance records, drug interactions, and prescriptions. Pharmacists can now play a key role in developing and maintaining healthcare information systems. Computerized provider order entry (CPOE) allows clinicians to directly enter patient orders into electronic health records and has benefits like reducing errors from illegible handwriting and checking for drug interactions and dosages. CPOE systems aim to improve safety and require pharmacist involvement for development and ongoing management.

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100% found this document useful (2 votes)
545 views3 pages

Pharmacy Informatics Overview

Pharmacy informatics involves the application of computers and technology to store, analyze, and manage drug and patient health information to help pharmacists. It helps pharmacists manage insurance records, drug interactions, and prescriptions. Pharmacists can now play a key role in developing and maintaining healthcare information systems. Computerized provider order entry (CPOE) allows clinicians to directly enter patient orders into electronic health records and has benefits like reducing errors from illegible handwriting and checking for drug interactions and dosages. CPOE systems aim to improve safety and require pharmacist involvement for development and ongoing management.

Uploaded by

Smoi Liver
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
  • Role of Technology in Medication Use Process
  • Pharmacy Informatics: New Role for Pharmacists
  • Introduction to Pharmacy Informatics
  • Electronic Medical Record (EMR) Systems
  • Computerized Provider Order Entry (CPOE)
  • Conclusion: Technology's Future in Healthcare

PHARMACY INFORMATICS

ALLAN MARC A. LENA, RPh.


Modern Pharmacy Practice vs. TRADITIONAL
PHARMACY PRACTICE
Introduction: Pharmacy Informatics
The application of computers to the storage,
retrieval, and analysis of drug information.
Helps the pharmacist manage including but not
limited to medical insurance records of patients,
drug interaction data, as well as prescription
data.
This is also the study of interactions between
natural and engineered systems within health
care with a focus on applying technology to
pharmacists.
Also referred to as pharmacoinformatics.
Pharmacy Informatics: New Role for
Pharmacists
In today's world of global connectivity and
increased communication, pharmacy is yet another
profession benefiting from technological advances,
which are evident in almost every corner of
pharmacy practice. Introduction of the electronic
medical record (EMR), computerized physician order
entry (CPOE), and robotics has eased the
pharmacist's work flow considerably, but human
input
is
still
required
for
development,
maintenance, and evaluation of these systems.
Pharmacists today can play a vital role in the
development and maintenance of information
technology. Input of clinical data must remain under
the control of a pharmacist if all the benefits of the
technology are to be realized, according to experts.
Additionally, pharmacists should be involved in the
interpretation of data collected from the new
systems.
Pharmacists are the ideal candidates for designing
and implementing systems that reduce medication
errors,
medication
cost,
and
medication
mismanagement. It is important for someone
pursuing a career in pharmacy informatics to be a
very detail-oriented person and the key is learn, to
identify where problems exist, knowing what the
current process is, and enhancing patient care and
services without negatively affecting the current
workflow.
Informatics and the Medication Use Process
The majority of technology acquisitions have
consisted of basic stand-alone computer systems ,
which were primarily used for data input to increase
each departments efficiency with financial
accountability measures

But even as improving technologies have emerged


allowing for seamless integration of information to
occur , most organizations have shown little
interests to incentive to incur the huge cost
associated with replacing their nonintegrated
computer system.
Roots of Informatics within the Information Sciences
Health informatics emerged as a distinct specialty
within healthcare over time as health professionals
and visionaries applied innovative developments in
the computer and information sciences to complex
problems in healthcare.
Computer science brings to health informatics the
technology and software coding required for this
specialty while information science contributes the
procedures and processes needed to develop and
process data information, and knowledge.
Computer Science is the systematic study of
algorithmic
methods
for
representing
and
transforming information, including their theory,
design, implementation, application and efficiency.
Information Science is a discipline that investigates
the properties and behavior of information, the
forces governing the flow of information, and the
means of processing information for optimum
accessibility and usability.
Computerized Provider Order Entry
Key Concepts:
1. Alert a patient-and-context-sensitive warning
presented to the ordering provider at the time
an order is being entered.
2. Clinical reminder a context-sensitive
electronic prompt to the provider to perform an
intervention or procedure, based on the
patients specific clinical data as applied to a set
of logical conditions.
3. Computerized Provider Order Entry direct
entry of medical orders into a healthcare
systems
EHR
by
licensed
independent
practitioners or other staff with specific ordering
privilieges, and not by clinical or administrative
support staff.
4. Corollary Orders orders entered as adjuncts
to a primary order eg. Orders for laboratory
tests to monitor effects of a medication order,
orders for special diets in preparation for a
medical procedure.
5. Downtime- the period of time during which the
healthcare facilitys computer system is
unavailable and electronic order entry is not
possible.
6. E latrogenesis patient harm caused at least
in part by the application of health information
technology.
7. Electronic Health Record (EHR) Systems
software programs designed for use by
healthcare systems to electronically place,
store, and retrieve clinical orders, results, notes,

reports and other information related to the care


of patients.
8. Order Menu a listing of orders from which
clinicians may select individual orders,
organized to support a specific purpose,
ordering environment or type of order.
9. Order set a group of medication and
procedure orders that can be accessed and
ordered from a single source in the EHR, to
facilitate entry of multiple orders and
standardize ordering for a specific purpose.
10. Quick order a pre configured order in which
the components are specified, allowing for
faster order entry and limiting opportunities for
entry orders.
Computerized Provider Order Entry
This is the direct entry of clinical orders into a
healthcare systems electronic health record (EHR)
by licensed independent clinicians or others with
ordering privileges.
This has the potential to dramatically reduce these
sources of order errors and significantly improve
patient care overall.
Orders may be entered by physicians, physicians
assistants, nurse practitioners and other licensed
independent practitioners as well as other clinical
staff whose scope of practice or protocols grant
specific prescribing privileges.
A healthcare system can have a comprehensive
electronic health record maintained by pharmacists,
laboratory and radiology technologists, nurses etc.,
who are not ordering providers.
Items frequently ordered together, such as
medications and monitoring laboratory tests, may
be grouped together into an order set to both
facilitate the ordering process as well as enhance
patient safety by prompting the provider to order
these corollary items.
Quick orders and order sets may be grouped
together in order menus to facilitate navigation to
correct orders.
Barriers that lead to ineffective
communication of medication orders:
1. illegible handwriting
a. -common cause of prescribing errors and
patients injury and death
2. Use of dangerous abbreviations
3. Dose designations
4. Verbal and faxed orders
Potential enhancements that a basic CPOE
system can offer:
Ambulatory care setting or both
Allow prescribers to access records and enter
orders from their office or home
Prescriber selectable standardized single orders
or order sets

Implementation of organization-specific
standing orders based on specific situations
such as before or after the procedures
Menu-driven organization-specific lists of
medications on formulary
Passive feedback systems that present patientspecific data in an organized fashion such as
test results, charges ,reference materials and
progress notes or active feedback systems to
provide clinical decision-making tools by
providing specific assessments or
recommendations through alerts and reminders

Importance of CPOE
With this system, impressive patient safety benefits
can be achieved.
CPOE can remind the ordering clinician of a
patients allergy to a specific medication and
suggest alternatives or how to manage a
reaction.
This can alert the clinician of drug-drug
interactions, educate on the severity and
mechanism of action, and provide advice on
managing them.
Can check dosages against the patients
physical parameters, laboratory parameters,
and previous dosing history and then warn the
clinician of potential problems and how to alter
a course of therapy.
CPOE system for medications that is integrated
with diet orders and diagnoses can alert
providers of dangerously incongruent ordering
scenarios.
This can facilitate appropriate monitoring with
any potentially risky therapy.
CPOE can promote safety at the point of order
selection by detaching sound-alike drugs into
separate
order
menus
organized
by
pharmacological class.
To Err is Human, the Leapfrog Group was
convened. Leapfrog Group is a consortium of
purchasers of healthcare plans whose members
base their purchases on quality improvement and
consumer involvement.
10 Leapfrog Safe Practices Score
1. Drug allergy alert
2. Drug drug interaction alert
3. Drug laboratory result alert
4. Drug monitoring laboratory test
5. Drug diagnosis alert
6. Drug diet interaction
7. Individual dose checking
8. Cumulative dose checking
9. Physical Incompatibilities
10. Preventative health clinical reminders

In promoting safe ordering, CPOE can realize other


benefits for the health care system. Through the
use of electronic access and signatured codes,
electronically-enabled identification cards, and
biometric devices utilizing optical or fingerprint
scanners.
CPOE can verify the identity of the ordering
provider and prevent order forgery and other
sources of diversion and fraud.

It can cross the-check the ordering providers


privilieges and scope of practice against the orders
he is attempting to place and limit the provider to
types of orders within his clinical specialty.

Common questions

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CPOE systems significantly enhance patient safety by ensuring accuracy in medical orders, reducing order errors, and improving overall patient care. They alert clinicians to potential drug interactions, allergies, and dosage issues, thereby preventing adverse drug events. CPOE systems promote safety by organizing drug menus and separating similar-sounding drugs. However, despite these advantages, potential drawbacks include the high cost of implementation and maintenance, potential disruptions during system downtimes, and risks of e-iatrogenesis, which refers to patient harm caused by the system itself .

The integration of quick orders and order sets in EHR systems streamlines the ordering process by allowing healthcare providers to quickly select pre-configured orders tailored for specific clinical scenarios, reducing the time needed for order entry. Order sets group commonly used orders together, facilitating efficient entry of multiple orders simultaneously. This process not only speeds up the ordering workflow but also standardizes it, ensuring consistent patient care and minimizing errors. The use of order menus further enhances navigation, allowing providers to access the correct orders efficiently .

Potential solutions for addressing barriers like illegible handwriting and dangerous abbreviations include the widespread implementation of computerized provider order entry (CPOE) systems, which ensure all orders are electronically logged and clear. Educating healthcare providers about standardized abbreviations and dose designations can reduce misunderstandings. Developing comprehensive order sets and leveraging decision-support tools in EHRs can further eliminate reliance on handwritten orders and ambiguous abbreviations. Providing ongoing training and creating awareness about the importance of clear communication can also mitigate these issues .

Advancements in pharmacy informatics have significantly transformed the role of pharmacists by integrating technology such as electronic medical records (EMR), computerized physician order entry (CPOE), and robotics into their workflow. These tools have eased operational tasks, allowing pharmacists to focus more on data management, interpretation, and patient care enhancement. Pharmacists are now pivotal in developing, maintaining, and evaluating these systems, ensuring medication errors are reduced, medication costs are minimized, and overall medication management is improved. Their involvement is crucial in controlling data inputs and designing systems, highlighting their role as integral to the technology-driven healthcare landscape .

E-iatrogenesis refers to patient harm that arises, at least in part, from the application of health information technology. It implicates potential safety concerns associated with the digital health infrastructure, such as errors introduced by faulty systems, user-induced errors from complex interfaces, or incorrect system configurations. These implications underscore the importance of careful planning, implementation, and training in the deployment of technological systems within healthcare to ensure they enhance rather than compromise patient safety .

Pharmacy informatics intersects with the medication use process by ensuring that technology is effectively applied to manage prescription data, drug interactions, and patient information. This integration enhances accuracy, efficiency, and safety in medication management. However, organizations face challenges such as the high cost of transitioning from standalone systems to integrated ones, which despite offering seamless information flow, are daunting due to financial constraints. Additionally, there is often resistance to change and apprehension towards the complexity of new systems, posing a barrier to achieving full integration .

Pharmacy informatics plays a critical role in the design and implementation of systems aimed at reducing medication errors, costs, and mismanagement by leveraging technologies like EMRs and CPOE. Pharmacists are uniquely positioned to identify inefficiencies within current processes and design targeted interventions that optimize ordering systems. They participate in the strategic construction of integrated data platforms that facilitate real-time monitoring and decision support, ultimately enhancing patient safety and operational cost-effectiveness by minimizing errors and optimizing resource allocation .

CPOE systems reduce the risk of medication errors by automatically checking for drug interactions and verifying dosages against patient-specific data such as physical and laboratory parameters and dosing history. They provide alerts about potential issues, suggest alternatives, and offer recommendations on managing drug interactions, thereby preventing adverse events and ensuring safe prescribing practices .

Health informatics distinguishes itself as a specialty within healthcare by focusing on the application of computer and information sciences to solve complex problems in healthcare systems. Computer science contributes through the development of algorithmic methods for processing information efficiently, including theory, design, and implementation of IT systems. Meanwhile, information science focuses on optimizing the accessibility and usability of information. Together, these fields provide the technological and methodological foundation for health informatics, allowing the seamless handling of healthcare data to improve decision-making, operational efficiency, and patient outcomes .

Corollary orders within CPOE systems are adjunctive orders related to a primary medication or procedure, such as laboratory tests to monitor drug effects or specific diet orders for a medical procedure. They enhance patient care by ensuring comprehensive and coordinated management of treatment plans, prompting healthcare providers to address all relevant aspects of patient care systematically and efficiently, thereby reducing oversight risks and improving the continuity and safety of patient management .

PHARMACY INFORMATICS
ALLAN MARC A. LENA, RPh.
Modern Pharmacy Practice vs. TRADITIONAL 
PHARMACY PRACTICE
Introduction: Pharm
reports and other information related to the care
of patients.
8.
Order Menu – a listing of orders from which 
clinicians may
In promoting safe ordering, CPOE can realize other 
benefits for the health care system. Through the 
use of electronic acces

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