Memorandum on the Use of Information Technology to Improve Medication Safety

E. Ammenwerth; A.-F. Aly; T. Bürkle; P. Christ; H. Dormann; W. Friesdorf; C. Haas; W. E. Haefeli; M. Jeske; J. Kaltschmidt; K. Menges; H. Möller; A. Neubert; W. Rascher; H. Reichert; J. Schuler; G. Schreier; S. Schulz; H. M. Seidling; W. Stühlinger; M. Criegee-Rieck

doi:10.3414/ME14-01-0040

Methods of Information in Medicine, Inhaltsverzeichnis

Methods Inf Med 2014; 53(05): 336-343
DOI: 10.3414/ME14-01-0040

Original Articles

Schattauer GmbH

Memorandum on the Use of Information Technology to Improve Medication Safety

E. Ammenwerth

¹Institute of Health Informatics, University for Health Sciences, Medical Informatics and Technology (UMIT), Hall in Tirol, Austria

,

A.-F. Aly

²Drug Commission of the German Medical Association, Berlin, Germany

,

T. Bürkle

³Chair of Medical Informatics, Friedrich-Alexander University Erlangen-Nuremberg, Germany

,

P. Christ

⁴Medizinische Medien Information, Neu Isenburg, Germany

,

H. Dormann

⁵Department of Emergency Medicine, Klinikum Fürth, Fürth, Germany

,

W. Friesdorf

⁶Institute for Health Care Systems Management Berlin, Berlin, Germany

,

C. Haas

⁷DIMDI – German Institute of Medical Documentation and Information, Köln, Germany

,

W. E. Haefeli

⁸Department of Clinical Pharmacology and Pharmacoepidemiology, University of Heidelberg, Heidelberg, Germany

,

M. Jeske

⁹Department of Pharmacology and Toxicology, Institute of Pharmacy, University of Innsbruck, Innsbruck, Austria

,

J. Kaltschmidt

⁸Department of Clinical Pharmacology and Pharmacoepidemiology, University of Heidelberg, Heidelberg, Germany

,

K. Menges

¹⁰Federal Institute for Medicinal Products and Medical Devices (BfArM), Bonn, Germany

,

H. Möller

²Drug Commission of the German Medical Association, Berlin, Germany

,

A. Neubert

¹¹Department of Paediatric and Adolescents Medicine, University Hospital Erlangen, Erlangen, Germany

,

W. Rascher

¹¹Department of Paediatric and Adolescents Medicine, University Hospital Erlangen, Erlangen, Germany

,

H. Reichert

¹²Master of Science in Medical Informatics, Berlin, Germany

,

J. Schuler

¹³Institute of General Practice, Family Medicine and Preventive Medicine, Paracelsus Medical University, Salzburg, Austria

,

G. Schreier

¹⁴Assistive Healthcare Information Technology, AIT Austrian Institute of Technology GmbH, Graz, Austria

,

S. Schulz

¹⁵Institute for Medical Informatics, Statistics and Documentation, Medical University of Graz, Austria

,

H. M. Seidling

¹⁶Department of Clinical Pharmacology and Pharmacoepidemiology, Cooperation Unit Clinical Pharmacy, University of Heidelberg, Heidelberg, Germany

,

W. Stühlinger

¹⁷Department of Public Health and Health Technology Assessment, University for Health Sciences, Medical Informatics and Technology (UMIT), Hall in Tirol, Austria

,

M. Criegee-Rieck

³Chair of Medical Informatics, Friedrich-Alexander University Erlangen-Nuremberg, Germany

› Institutsangaben

Abstract

Summary

Background: Information technology in health care has a clear potential to improve the quality and efficiency of health care, especially in the area of medication processes. On the other hand, existing studies show possible adverse effects on patient safety when IT for medication-related processes is developed, introduced or used inappropriately.

Objectives: To summarize definitions and observations on IT usage in pharmacotherapy and to derive recommendations and future research priorities for decision makers and domain experts.

Methods: This memorandum was developed in a consensus-based iterative process that included workshops and e-mail discussions among 21 experts coordinated by the Drug Information Systems Working Group of the German Society for Medical Informatics, Biometry and Epidemiology (GMDS).

Results: The recommendations address, among other things, a stepwise and comprehensive strategy for IT usage in medication processes, the integration of contextual information for alert generation, the involvement of patients, the semantic integration of information resources, usability and adaptability of IT solutions, and the need for their continuous evaluation.

Conclusion: Information technology can help to improve medication safety. However, challenges remain regarding access to information, quality of information, and measurable benefits.

Keywords

Drug therapy safety - information technology - medication safety - decision support systems - drug safety - patient safety

Volltext

Referenzen

References
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