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Proper implementation of e-drug ordering needed
Despite high hopes that computerized medication ordering and monitoring systems can help hospitals reduce errors, recent analyses find just the opposite may be true.
Washington, D.C.-Despite high hopes that computerized medication ordering and monitoring systems can help hospitals reduce errors in drug prescribing and administration, recent analyses find just the opposite may be true. A study conducted at the Veterans Hospital in Salt Lake City, published in May in the Archives of Internal Medicine, found that some kind of prescribing error or adverse event occurred with almost half of the patients admitted to the hospital. Its computer system helped eliminate problems related to physician handwriting, but not those involved with administering medications or selecting correct drugs and doses.
Another study from the University of Pennsylvania School of Medicine found that computerized physician order entry systems may actually generate medication errors by displaying incomplete and confusing information and using inflexible ordering formats. And the U.S. Pharmacopeia reported in December 2004 that nearly 20% of hospital and health system medication errors involve computerization or automation.
Experts maintain that the solution lies not in fixing the software but in paying more attention to properly implementing electronic drug ordering programs. Better information systems also will help.
Bridging the Diversity Gap in Rare Disease Clinical Trials with Harsha Rajasimha of IndoUSrare
November 8th 2023Briana Contreras, an editor with Managed Healthcare Executive, spoke with Harsha Rajasimha, MD, founder and executive chairman of IndoUSrare, in this month's episode of Tuning in to the C-Suite podcast. The conversation was about how the disparity in diversity and ethnicity in rare disease clinical trials in the U.S. has led to gaps in understanding diseases and conditions, jeopardizing universal health, and increasing the economic burden of healthcare.
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35th World AIDS Day Marks 20 Years of PEPFAR: Challenges and Strategies to Combat HIV/AIDS
November 29th 2023PEPFAR, having invested $100 billion and saved 25 million lives in the global fight against HIV/AIDS, faces Congressional hurdles in its reauthorization due to abortion debates. Despite widespread support and no evidence of abortion-related activities, the legislative process is at a standstill. Members of PEPFAR and authors of a recent editorial stress the significance of PEPFAR and advocate for integrating behavioral and social science into healthcare programs to achieve UNAIDS targets and address barriers in HIV/AIDS testing and treatment.
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Managing Editor of Managed Healthcare Executive, Peter Wehrwein, had a discussion with William Shrank, M.D., a venture partner with Andreessen Horowitz, a venture capital firm in Menlo Park, California, about how artificial intelligence's role is improving healthcare, where we are today with value-based care and the ongoing efforts of reducing waste in the healthcare space for this episode of the "What's on Your Mind" podcast series.
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Study Raises Concerns Over Insurance Barriers to HIV Prevention Medications
November 29th 2023Despite its efficacy, PrEP remains underutilized compared to the need for it. High costs are among the barriers to PrEP use, along with limited knowledge among clinicians, lack of health insurance, stigma, and underestimation of personal HIV risk.
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