• Logo
  • HamaraCo.

Functional Requirements of Pharmacy’s Information System in Hospitals

Mehrdad Farzandipour, Zahra Meidani, Hossein Riazi, Monireh Sadeqi Jabali
480

Views


Abstract

Introduction:  Pharmacy Information System (PIS) existed in hospitals collects, saves and manages the information related to drug and drug consumption in process of caring patients and results in decreasing error in interpreting handwritten prescriptions, distributing drug and controlling side effects of drug. Regarding the importance of knowing users’ expectations for designing successful system and based on procedure of clinical environment and in direction of patient’ security and improving care quality, this study conducted with the aim of determining functional requirements of pharmacy information system and by offering system ‘final users for poll.

Material and Methods: This research is descriptive cross-sectional one and of applied kind that conducted in 15 hospitals in 1391.  This study conducted in three independent steps including library study, internet search and designing finding semi produced guideline and questionnaire, offering ten experts the finding semi produced questionnaire for poll, offering 50 individuals of experts the final questionnaire for poll using Delphi technique. Validity of final questionnaire and its reliability confirmed through validity of content and re-test test, respectively. Data analyzed using SPSS software and answers given points of 0-4 and requirements with mean’ final point of 3 or more than 3 confirmed.

Results: Based on the first and second turns of Delphi technique, final list of pharmacy information system’ functional requirements of 80 requirements determined. The highest mean point related to capability to connect with computerized provider order entry (3.73%), capability to calculate dose of drug and warn about drug interference (3.71%), capability to apply barcode technology (3.71%) and capability to register expiration date , way and place of keeping good (3.63%).

Conclusion: Based on experts’ opinions, requirements that related to patient security were paid more attention. Finally, a list of pharmacy information system’ functional requirements presented that could be used by designers, developers and other beneficiaries of pharmacy information system in hospitals.

References

Toruner EK, Uysal G. Causes, reporting, and prevention of medication errors from a pediatric nurse perspective. Aust J Adv Nurs, The. 2012;29(4):28.

Cina JL, Gandhi TK, Churchill W, et al. How many hospital pharmacy medication dispensing errors go undetected? Jt Comm J Qual Patient Saf. 2006;32(2):73-80.

Poon EG, Keohane CA, Yoon CS, et al. Effect of bar-code technology on the safety of medication administration. N Engl J Med. 2010;362(18):1698-707.

Frith KH, Faye Anderson E, Tseng F, et al. Nurse staffing is an important strategy to prevent medication errors in community hospitals. Nurs Econ. 2012;30(5):288.

Handler SM, Nace DA, Studenski SA, et al. Medication error reporting in long term care. Am J Geriatr Pharmacother. 2004;2(3):190-6.

Hughes RG, Ortiz E. Medication errors: why they happen, and how they can be prevented. J Infus Nurs. 2005;28:14-24.

Leape LL, Bates DW, Cullen DJ, et al. Systems analysis of adverse drug events. Jama. 1995;274(1):35-43.

Al-Shara M. Factors contributing to medication errors in Jordan: a nursing perspective. Iran J Nurs Midwifery Res. 2011;16(2):158.

Bates DW. Using information technology to reduce rates of medication errors in hospitals. Bmj. 2000;320(7237):788-91.

Fassett K. Computer Application in Pharmacy. European Union: William and Wilkins. 1986.

CPOE, bedside technology, and patient safety: a roundtable discussion. Am J Health Syst Pharm. 2003;60(12845917).

Bates DW, Gawande AA. Improving safety with information technology. N Engl J Med. 2003;348(25):2526-34.

Anacleto TA, Perini E, Rosa MB, et al. Medication errors and drug-dispensing systems in a hospital pharmacy. Clinics. 2005;60(4):325-32.

Hebda T, Czar P, Mascara C. Handbook of informatics for nurses and health care professionals. Pearson Prentice Hall; 2005.

Abdelhak M, Hanken MA, Grostick S, et al. Health information: management of a strategic resource. Saunders WB Co; 2000.

Asadi F, Moghaddasi H, Hosseini A, et al. Pharmacy information systems in Tehran university hospitals and their relationship with pharmaceutical companies. J Paramed Sci. 2011;2(1).

Biohealthmatics Center. Pharmacy Information Systems, 2009. Available from:

Huffman E. Medical Record Management. USA: American medical record association (AMRA). 1994.

Wolper LF. Health care administration: planning, implementing, and managing organized delivery systems. Jones & Bartlett Learning; 2004.

Hodge MH. Medical Information Systems: A Resource for Hospitals.3RD ED. New York: Aspen system corporation(ASC);1997.

Collignon U, Oborne CA, Kostrzewski A. Pharmacy services to UK emergency departments: a descriptive study. Pharmacy world & science. 2010;32(1):90-6.

Emami E, Sharifian R, Sotude H, et al. Evaluation of hospital information systems of the teaching hospitals affiliated to Shiraz University of Medical Sciences, based on the American College of Physicians Criteria. Journal of Health Management and Informatics. 2013;1(1):11-4.

Saghaeiannejad-Isfahani S, Mirzaeian R, Jannesari H, et al. Evaluation of pharmacy information system in teaching, private and social services Hospitals in 2011. J Educ Health Promot. 2014;3(1):39.

Farzandipour M, Sadoughi F, Meidani Z. Hospital Information Systems User Needs Analysis: A Vendor Survey. Journal of Health Informatics in Developing Countries. 2011;5(1).

Ammenwerth E, Ehlers F, Hirsch B, et al. HIS-Monitor: An approach to assess the quality of information processing in hospitals. Int J Med Inform. 2007;76(2):216-25.

McAlearney AS, Hefner JL, Sieck C, et al. Evidence-based management of ambulatory electronic health record system implementation: An assessment of conceptual support and qualitative evidence. Int J Med Inform. 2014.

Romano CA. Development, implementation, and utilization of a computerized information system for nursing. Nurs Adm Q. 1986;10(2):1-9.

Bobb A, Gleason K, Husch M, et al. The epidemiology of prescribing errors: the potential impact of computerized prescriber order entry. Arch Intern Med. 2004;164(7):785-92.

Chertow GM, Lee J, Kuperman GJ, et al. Guided medication dosing for inpatients with renal insufficiency. Jama. 2001;286(22):2839-44.

Teich JM, Merchia PR, Schmiz JL, et al. Effects of computerized physician order entry on prescribing practices. Arch Intern Med. 2000;160(18):2741-7.

Evans RS, Pestotnik SL, Classen DC, et al. A computer-assisted management program for antibiotics and other antiinfective agents. N Engl J Med. 1998;338(4):232-8.

Nazzaro JT, Beary JF. Benefits of a computerized pharmacy. Jama. 1983;249(24):3302-3.

Wager KA, Lee FW, Glaser JP. Managing Health Care Information Systems: A Practical Approach for Health Care Executives. John Wiley & Sons; 2005.

Bates DW, Leape LL, Cullen DJ, et al. Effect of computerized physician order entry and a team intervention on prevention of serious medication errors. Jama. 1998;280(15):1311-6.

Kuperman GJ, Bobb A, Payne TH, et al. Medication-related clinical decision support in computerized provider order entry systems: a review. J Am Med Inform Assoc. 2007;14(1):29-40.

Ministry Of Health And Medical Education Statistics And Information Technology Office. The Results Of Performance Evaluation Hospital Information System Software. 2010.[In Persian].

Brown TR. Handbook of institutional pharmacy practice. Ashp; 2006.

Alipour J, Hayavi Haghighi M, Khorami F, et al. The Impact Of Medical Information Systems on Health Care Quality And Factors Affecting the Use of These Systems from Physician’s Viewpoints In Hormozgan University Of Medical Sciences. Journal of Health Administration. [Research]. 2012;14(46):47-56.

Gharamaleki A, Ahmadi A, Faraji Khiavi F, et al. Opinions of clinicians towards use of computer applications for detecting drug-food interactions. Payavard Salamat. [Research]. 2011;5(1):58-68.

Poon EG, Cina JL, Churchill W, et al. Medication dispensing errors and potential adverse drug events before and after implementing bar code technology in the pharmacy. Ann Intern Med. 2006;145(6):426-34.

Menachemi N, Brooks RG. Reviewing the benefits and costs of electronic health records and associated patient safety technologies. J Mel Syst. 2006;30(3):159-68.

Ammenwerth E, Schnell-Inderst P, Machan C, et al. The effect of electronic prescribing on medication errors and adverse drug events: a systematic review. J Am Med Inform Assoc. 2008;15(5):585-600.

Koppel R, Metlay JP, Cohen A, et al. Role of computerized physician order entry systems in facilitating medication errors. Jama. 2005;293(10):1197-203.


Refbacks

  • There are currently no refbacks.