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Am J Hosp Pharm. 1983 Jul;40(7):1213-5.
Drug information centers: future trends.
Rosenberg JM.
The future of drug information centers (DICs) is discussed in light of current problems and future needs. DICs are not being used to their full potential in supplying drug information to health professionals, and the entire system appears to be inefficient. The efficiency of answering nonjudgmental questions in DICs is questionable, especially since community and hospital pharmacists could answer these questions using readily available references. There is no minimum standard of quality for DICs, and DICs do not use computer technology to its fullest extent. Many DICs have had funding problems. In spite of these problems, DICs will continue to perform useful functions, such as providing support for clinical pharmacy services, teaching undergraduate and graduate pharmacy students, and performing reviews for pharmacy and therapeutics committees. Quality assurance guidelines must be instituted for all DICs, as well as standards for facilities, resources, and personnel. The establishment of regional DICs, which are self-supported through fees charged to hospitals, pharmacies, health professionals, consumers, and corporate users, is a possible means of improving the efficiency and providing consistent quality in DICs. Since routine drug information will be readily available online to health practitioners, in the future DICs will provide primarily consultative drug information services.
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=6881162&dopt=Abstract
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Am J Health Syst Pharm. 1995 Jun 15;52(12):1305-9.
Medication-management component of a point-of-care information system.
Puckett F.
Pharmacy Service, North Colorado Medical Center, Greeley 80631, USA.
Implementation of and experience with the medication-management component of a point-of-care information system are described. A point-of-care information system (CliniCare) implemented at a 326-bed primary and tertiary care center provides online medication profiles, medication administration scheduling, and other patient data. All medications are bar coded and are scanned at or near the patient's bedside by using hand-held scanners; this prompts a safety check, records medication administration, and generates the drug charge. Use of the system has resulted in a lower medication error rate, improved medication records, improved scheduling of medications, better communication between nursing and pharmacy staff, more efficient drug monitoring, and more accurate and timely billing. Problems include the need for a bar-coding operation for unit dose oral solids and injectable dosage forms, the steep learning curve for some nurses and physicians, and resistance to the change from a manual system. A point-of-care information system has improved medication management but has been difficult to implement.
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=7656117&dopt=Abstract
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Am J Hosp Pharm. 1977 Feb;34(2):155-62.
Integration of pharmacy into the computerized problem-oriented medical information system (PROMIS)--a demonstration project.
Gilroy G, Ellinoy BJ, Nelson GE, Cantrill SV.
The integration of pharmacy into the computerized problem-oriented medical information system (PROMIS) at the Medical Center Hospital of Vermont is discussed. Practioners who generate and retrieve information communicate directly with the computer without intermediary personnel. Touch-screen cathode-ray tube terminals are used for data input. Under PROMIS, the pharmacist has two new resources which better integrate his services into total patient care: (1) the ability to directly access online patient data in the pharmacy, and (2) the ability to directly couple online current drug information to a specific patient's computerized medical record in the pharmacy. The PROMIS solutions to pharmacy problems in drug ordering, drug distribution and drug therapy audit are discussed; In a demonstration project on a 20-bed unit, PROMIS made the medical record readily available to all health care providers, reduced reliance on memory, preserved the logic of medical action, and provided feedback loops for corrective action in everyday medical practice. Also discussed are user acceptance of the system, effect on pharmacy staffing, and implications for pharmacy.
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=842545&dopt=Abstract
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