Characterizing and assessing the significance of pharmacist interventions within an electronic medical record at a large academic medical center
Independent thesis Advanced level (degree of Master (One Year)), 20 credits / 30 HE creditsStudent thesis
Introduction: Many studies have been published demonstrating the value of clinical pharmacists but a few involve the use of a documentation system within an electronic health record (EHR) system. Classifying medication errors have been an area of great research and a number of different systems of classifying errors have been used. Advanced Patient-Centered Excellence (APeX) includes 31 types of interventions.
Aim: To characterize pharmacist interventions (iVents) at University of California, San Francisco (UCSF) medical center after the implementation of the EHR system and to assess the significance of each intervention made.
Materials and Methods: A retrospective, cross sectional study where data were collected from APeX and assessed in Microsoft Excel. Data were collected from 1st through 31st of January 2015. The iVents were categorized by type of iVent, response, medication, where iVent were created and significance. iVents created in the first 14 days in January were reassessed from the current significance system to a new one.
Results: There were 9016 iVents identified. The most common type of iVent was duplicate therapy and the most frequently reported medication class was antimicrobials, where vancomycin was the most common drug among all medications. After the new categorization system was applied 41% of the iVents were categorized as not applicable, 30% no harm, 29% temporary harm and 0.1% as permanent harm.
Conclusions: New iVent categories were identified and will be implemented. The new significance system was found to provide a more balanced classification system. Over the course 14 days, pharmacist interventions resulted in the prevention of two instances of serious harm.
Place, publisher, year, edition, pages
2015. , 39 p.
clinical pharmacy, pharmacutical interventions, EHR
Medical and Health Sciences
IdentifiersURN: urn:nbn:se:uu:diva-260645OAI: oai:DiVA.org:uu-260645DiVA: diva2:847802
Subject / course
Master of Science Programme in Pharmacy
Tsourounis, Candy, Professor
Hammarlund-Udenaes, Margareta, Professor