The California Clinical Data Project is a statewide initiative to remove barriers to the widespread and effective use of information technology to improve chronic disease care. The project is a case study in the development and widespread adoption of clinical data standards by varied and often competing stakeholders. As an initial step, the project defined precise data standards for the batch r...

OBJECTIVE To describe innovative programs within the Kaiser Permanente Pharmacy Department in the Colorado Region. SETTING One of eight regions of the nation's largest nonprofit health maintenance organization. PRACTICE DESCRIPTION The pharmacy department comprises two services, Clinical Pharmacy Services and Pharmacy Operations/Support Services, which are integrated to provide comprehensiv...

BACKGROUND Electronic prescribing (e-prescribing) can potentially help prevent medication errors. As the use of e-prescribing increases across Canada, understanding the benefits and gaps of early e-prescribing can help inform deployment of future e-prescribing systems. OBJECTIVE The purpose of this exploratory study was to determine the prevalence of, reasons for, and average time taken for p...

OBJECTIVE This paper explored pharmacy staff perceptions of the strengths and weaknesses of electronic prescribing (e-prescribing) design in retail pharmacies using the sociotechnical systems framework. This study examined how adoption of e-prescribing technology is affecting clinical practice and patient care. MATERIALS AND METHODS Direct observations and think aloud protocols were used to c...

The use of electronic health records is emerging across North America, but adoption of this tool has been slow. 1 A US survey conducted in 2008 revealed that 100% of pharmacy departments were computerized, but only 10% were using electronic health records. 2 A Canadian survey conducted in 2009 revealed that only 6% of departments were using this type of medical record, 3 even though the Canada ...

background: over 90% of pharmacy students’ work in pharmacies after graduation which needs both knowledge and skill, thus one of the most essential courses of their education is pharmacy clerkship. an important part of an educational program is the evaluation of the trainees. different studies show that conventional written exams are not successful in evaluating the skills of the students and c...

There are few reports of institutional use of voice recognition technology in clinical practice. We describe our experience with voice recognition-integrated synoptic-like dictation, associating templates with key spoken phrases, that we have used in gross examination of common specimens and as a major component of our workflow since 2001. The primary application is VoiceOver Enterprise (Voiceb...

OBJECTIVES The objective of this study was to create a new measure for clinical information technology (IT) adoption as a proxy variable of clinical IT use. METHODS Healthcare Information and Management Systems Society (HIMSS) data for 2004 were used. The 18 clinical IT applications were analyzed across 3,637 acute care hospitals in the United States. After factor analysis was conducted, the ...

BACKGROUND Because of concerns about patient safety and the quality of health care in America, in particular about drug therapy, pharmacists have unprecedented opportunities to increase their value and significance. When defining clinical pharmacy and pharmaceutical care, pharmacists long ago recognized the need to improve the safety and effectiveness of drug therapy. OBJECTIVE To describe ho...