PHP63 Integrated Medication Reconciliation Model in Computerized Physician Order Entry (CPOE) System

  • Chu L
  • Su H
  • Wang H
  • et al.
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Abstract

OBJECTIVES: To assess the effects of medication reconciliation model in computerized physician order entry (CPOE) system for integrated patients. METHODS: Build a medication reconciliation model in computerized physician order entry (CPOE) system Pharmacist search integrated patients return information from system, and evaluate patient's drugs and laboratory data before patient return to visit the doctor. Medication suggestion was showed in CPOE immediately, include adjust dosage, discontinue and change drug. The system according physicians choose assist prescribing. Pharmacists provided patient's education. on drug administration, drug interaction, duplicated drug use, adverse drug reaction etc. The outcome measures included the decrease of items and quantities of drug prescribed in one prescription, patients' knowledge of drug safety, and the decrease of drug cost. RESULTS: Total number of 1415 integrated patients include in this study. There were 378 drugs related recommendation through medication reconciliation model showed in CPOE, 81.5% (308/378) medication reconciliation were accepted by the physicians. The average number of drugs prescribed to one patient was from 5.29 reduced to 4.5(14.85%), each month emerge department visit reduced 21.7% (0.079 vs 0.063). Medication reconciliation model in CPOE system intervention reduced average drug cost about NT 107,430 per month. CONCLUSIONS: By medication reconciliation model in computerized physician order entry (CPOE) system, physicians can receive the medical suggestion from pharmacists immediately, and correct prescription rapid and easy. At the same time this system can improve patient outcome and live quality

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APA

Chu, L. L., Su, H. C., Wang, H. Y., Chou, C. W., Huang, T. Y., Chang, C. Y., & Wang, C. N. (2012). PHP63 Integrated Medication Reconciliation Model in Computerized Physician Order Entry (CPOE) System. Value in Health, 15(7), A620. https://doi.org/10.1016/j.jval.2012.08.112

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