Preview

Information Systems Evolution

Powerful Essays
Open Document
Open Document
1266 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Information Systems Evolution
Information Systems; Computerized Pharmacy Evolution

Within the past decade, there has been much advancement in technology that is changing the way health care is providing for its patients. Information technologies such as bar coding, personal health records and computerized pharmacy have changed the way health care workers organize patient medical records. In this brief essay, one will learn how the invention and use of computerized pharmacy information has changed health care as a whole, good and bad.
History of Computerized Pharmacy In 1966, the basic computerized information system (CIS) was integrated with an automated hospital information system (AHIS) by the office of Veterans Affairs. This first AHIS as intended to automate manual tasks performed within all VA hospitals. This early AHIS included functions such as order entry, transmission and included subsystems that included a pharmacy. Over the next ten years, updated CIS systems were developed however; many had trouble staying afloat with the ever changing clinical needs in health care. During the 1970s and 1980s, entrepreneurs and pharmacists began developing independent information systems that were designed specifically to meet pharmaceutical needs in health care settings. Initially, pharmacy information technology was developed to manage the immediate needs of the pharmacy and staff, and to provide data for the growing number of requirements for unit doses per medical unit. Computer information systems were not the most developed programs during this period of time, and because of this, most medical facilities invested in the “best-of-breed” mainframe or stand-alone pharmacy information systems. A request for proposal purchasing process was used throughout facilities to purchase these mainframes. In the late 1980s to mid 1990s, mainframe-based integrated CISs began to intrigue medical facility administrators whom were seeking a greater integration quality in their



References: Chaffee, Bruce., Bonasso, Josephine. (2004). Strategies for Pharmacy Integration and Pharmacy Information Systems Interfaces, Part I: History and Pharmacy Integration Options. American Journal of Health-System Pharmacy. 2004-03-01. Kaboli, Peter J., McClimon, Brad J., Hoth, Angela., Barnett, Mitchell. (2004). Assessing the Accuracy of Computerized Medication Histories. The American Journal of Managed Care. 2004-11 Salemi, Charles., Singleton, Norvella. (2007). Decreasing Medication Discrepancies Between Outpatient and Inpatient Care Through the Use of Computerized Pharmacy Data. The Permanente Journal. 2007; Vol. 11 No. 2

You May Also Find These Documents Helpful

  • Powerful Essays

    Cmgt 554 Week4

    • 1618 Words
    • 7 Pages

    References: Apollo Group, Inc. (2013). Patton-Fuller Community Hospital. Information Systems Overview. Retrieved from CMGT/554 – IT Infrastructure…

    • 1618 Words
    • 7 Pages
    Powerful Essays
  • Satisfactory Essays

    Hcs/483 It Failures

    • 712 Words
    • 3 Pages

    “The time and resources needed to implement a new health care information system can vary considerably based on the scope of the project, the needs and complexity of the organization, the number of applications being installed, and the number of user groups involved.” (Wager, Lee, & Glaser, 2009). The first part in implementing a system is to first assign a team of professionals within the organization. The responsibility and role of the team would be to plan, coordinate, budget, and manage the new system set up. The team should determine what the objectives and goals of the new system should be. After this the next step is to develop and implement the process. Some major steps should include how long each activity should take, resources and budget, and ways to alleviate completion and success. Components of an implementation plan are workflow and analysis, system installation, staff training, conversion, communication, and a go-live date. The size and needs of an organization is what determines the type of system that will be needed.…

    • 712 Words
    • 3 Pages
    Satisfactory Essays
  • Better Essays

    Health care organizations are constantly striving to keep up with technological advances in order to provide the best quality patient care imaginable. Success depends on implementing an information system that is designed to meet the quality standards set for the health care industry. Implementing an information system can be a big challenge, which is why choosing an information system that will assist the organization in meeting their goals is important. Including stakeholder input is also vital to ensuring the correct system is chosen. This briefing will discuss the process of selecting and acquiring an information system, how the goals of the organization, and how the stakeholders affect the selection process.…

    • 850 Words
    • 4 Pages
    Better Essays
  • Good Essays

    Hlth430 Unit 4 Project 1

    • 764 Words
    • 4 Pages

    For this assignment we are to write an informational proposal assessing the development of an integrated health care system affects the installation of computer networks. The items addressed in my proposal include: What key considerations are involved in setting up a computer network for an integrated health care system? How do integrated systems affect the installation of networks? What are the benefits of networking within an integrated system? What are the challenges of networking within an integrated system?…

    • 764 Words
    • 4 Pages
    Good Essays
  • Better Essays

    Nut1 Task 2

    • 1684 Words
    • 7 Pages

    Electronic medication administration records (MAR) are useful in displaying medications due at specific times. Not only is it possible to sort the medications due at one time, the MAR will also alert the nurse to potential drug interactions. Late medications will be displayed in red to be easily seen. If bar coding is implemented, medication errors can be reduced by a range of 60%-97% (Hunter, 2011).…

    • 1684 Words
    • 7 Pages
    Better Essays
  • Good Essays

    Upon admission, a medication history is obtained by an RN. If the patient is unable to provide the history at that time it can be done a number of ways: family interview, written patient med list, rx vials, recent H&P, transfer records, recent discharge med list, and/or retail pharmacy list. The pharmacist uses a program on the computer to pull up this gathered information to evaluate it for completeness and may interview the patient themselves. There is only one pharmacist responsible for med-rec therefore many patient…

    • 405 Words
    • 2 Pages
    Good Essays
  • Good Essays

    The computerized databases in a pharmacy collect a host of patient information including the patient’s address, the patient’s name, the date it was filled, the place it was filled, the patient’s gender and age, the prescribing physician, what drug was prescribed, the dosage, and how many pills.…

    • 1067 Words
    • 5 Pages
    Good Essays
  • Better Essays

    Medication errors are reaching dangerous levels in Long Term Care Facilities and technology can help to alleviate this problem. Is there a better and more effective way of charting medications for distributing medications to help the med-pass run more efficiently? The med-pass is the process of distributing medications to an individual in a long-term care facility or other medical type setting. Incorporating Bar Code Technology, which implements electronic charting is a more accurate and more thorough way to document medications given. The use of Bar Code Medication Administration Technology will decrease the amount…

    • 1716 Words
    • 7 Pages
    Better Essays
  • Better Essays

    Any kind of error, whether it causes no harm to the patient or kills the patient, is still an error that needs to be reported and addressed. This collection of data begins with looking at the CPOE (electronic physician orders), Pyxis dispense history, eMAR, narcotic waste history (if a narcotic error), barcode scans, and the stage that the error occurred. These are all important data pieces to collect and analyze in order to pain the picture of what happened and why. The stages of where/when the error occurred are very important for identifying patient harm. Stage one is considered a prescribing error where the incorrect drug or dose is selected for a patient. This kind of error is also the cause of illegible handwriting and/or the misspelling of a drug with a similar name (Williams, 2007). Prescription errors make up for between 1-11% of all written prescriptions (Sanders & Esmail, 2003). Stage two is where dispensing errors occur. This is considered to be selection of the wrong product where usually there are look alike and sound alike drugs involved such as Losec and Lasix. Step three and four are the preparation and administering stages and the rates of these errors vary between 3.5% and 49% (NPSA, 2007). These stages are areas of high risk within nursing practice where nurses fail to verify important information such as drug, patient, dose, time, and route (Williams, 2007). IV drugs are suggested to be as high as 25% of medication errors in these stages (Bruce & Wong, 2001). Stage five is errors in monitoring outcome. Patients take certain drugs that require continuous monitoring to ensure the dosing is correct and there are no adverse…

    • 1069 Words
    • 5 Pages
    Better Essays
  • Good Essays

    Technology is being used in doctors’ offices, clinics, dental offices, and hospitals. This new technology keeps the doctors’ connected to hospitals, specialists to primary care physicians, and pharmacies to doctors. Although it is not being used everywhere, and the areas where technology is being used provides some serious advancements to health care providers and patients alike. According to the Health Resources and Services Administration web site on Health Information Technology, one of the main advantages of health information technology (HIT) is that it instantly makes ones health information available to anyone who needs it (U.S. Department of Health and Human Services, 2013). With the help of health information technology there has been a decrease in duplicate test ordered by physicians. Another perspective of HIT is that all of the patient’s information can be entered into a system and all of their doctors can have access to the information. When health care information is more coordinated and there are less repeats of testing and treatments, health expenses are less. Doctors’ offices, clinics, and hospitals have realized a compelling cost savings through the use of health information technology, due to how information is managed. The health care business has seen many changes and has developed over the years and this trend will continue because of advances in pharmaceutical products and technology (Christ,…

    • 767 Words
    • 4 Pages
    Good Essays
  • Good Essays

    Bar Code Medication Error

    • 408 Words
    • 2 Pages

    We use many different tools to integrate communications regarding medications. We have been live on an EHR since 1999, and adopted Computerized Provider Order Entry (CPOE) in 2007. Nurses are alerted in the EHR when a new order is placed by the provider. Our medication reconciliation, documentation of the medication history, and discharge medication prescription is all electronic. Pyxis is fully integrated into the EHR, and last year we integrated, smart-pump integration, and BCMA. Since implementing BCMA there has been a steady decline in adverse drug events. The staff has adapted well to the technology, which is measured through data extracted from the EHR. One report measures bar-code med scanning compliance and we are at 86% compliance. The data is detailed enough to see which staff members are overriding scanning at the time of medication…

    • 408 Words
    • 2 Pages
    Good Essays
  • Good Essays

    Evolution of Healthcare

    • 1092 Words
    • 4 Pages

    In the 1980s, skilled nursing facilities just began using personal computers to process data and do business. Some skilled nursing facilities began introducing billing systems and intergrating financial and administrative information (Wager, Lee, & Glaser, 2005). Information systems 20 years ago were just becoming introduced into the health care field. More rural areas had…

    • 1092 Words
    • 4 Pages
    Good Essays
  • Better Essays

    Electronic Health Records

    • 864 Words
    • 4 Pages

    Implementing a new electronic health records (EHR) system to replace manual records is an extremely complicated task. EHRs use complex algorithms to exchange patient data among different physicians and departments such as a pharmacy and laboratory. EHRs are becoming popular because employees and patients can access records anytime and anywhere. Patient drug alerts are also part of the system to warn emergency room and intensive care nurses about potential…

    • 864 Words
    • 4 Pages
    Better Essays
  • Good Essays

    Electronic Prescription

    • 841 Words
    • 4 Pages

    There is a significant increase in the use of electronic prescription over the last several years. Historically, the US Government Agencies in the late 1990s explored the potential need for electronic prescribing systems to reduce clinical risk in busy hospitals and between 1999 and 2001. Later the US Institute of Medicine (IOM) published two reports, on how technology can support and improve patient safety. And in the 2001 report, “Crossing the Quality Chasm”, recommended that providers, purchasers, clinicians and patients work together to redesign the health care processes, with the goals to create an evidence-based medicine. In 2001, the US Senate came up with Medication Errors Reduction Act, a $ 1 billion federal grant programmed for healthcare…

    • 841 Words
    • 4 Pages
    Good Essays
  • Good Essays

    The first commercial electronic medical record was implemented in 1971, in a hospital in central California. The key to its success was the integration, ease of use, and clinical workflow support. Physicians, nurses, and pharmacy clinical processes were integrated into a single version and also the eMar. Computerized provider order entry has freed nurses from order transcription and order-clarifying phone calls. Test results are available shortly after the tests are complete and interventions are being implemented in a timely manner.…

    • 297 Words
    • 2 Pages
    Good Essays