IT in Pharmacy Practice Flashcards
What is an example of technology in medication safety and quality?
Ensuring the uniqueness of medicine names: can technology assist the TGA to manage look-alike, sound-alike (LASA) medicines
How to prioritise LASA medicines for alerts?
What does prediction mean in relation to clinical decision support rules in computer systems? What are examples?
>initiatives directly relevant to pharmacy practice
Prediction using artifical intelligence (dynamic modelling, machine learning, adaptive algorithms), accessing single or multiple sources of data to guide management decisions –> see attached image for example
Stock management and ordering using sales data to predict
> seasonal changes
> wastage due to expired stock
- clinical prompts and guidance for medication selection, dosing and adjustments (personalised medicine)
- sentiments analysis to adapt machine responses to match a persons emotion (personalised coaching)
What are barriers to prediction?
siloed/secure data
inconsistency in data (e.g. coding medical conditions)
How to prevent clinical errors (initiatives)?
Automated alerts detecting
- duplicate medication classes (e.g. two sedatives)
- drug interactions
- multiple routes of administration
- out-of-range doses
- allergies to medicines
- potnetial for confusion between medicine names or routes
Caution re alert fatigue (desensitisation)
- excessive alerts are generally false positive
- ignoring alerts can be significant patient safety hazard
recommend
> tiers of alerts
> restrict alerts to most significant issues (override default settings –> risk vs benefit)
> apply human factors in design of alerts (appearence, sound)
Need for systems that….?
> initiatives
Reduce faith in the machine –> human logic and cognitive processes still required
Prevent silent errors e.g. wrong selection from lists
Support rather than replace communication
Help manage interuuptions in work flow
Recognise non-linear work flows e.g. dispensary technician handing over to pharmacist mid-dispensing
Offer more efficient incident reporting (in real time)
Health consumers use of technology?
What has Dr Kenneth Lee said?
What has Dr Kevin Anderson said?
What are some health apps?
What do wireless sensors/transmitters do? advantages?
monitor biological parameters (e.g. free style libre blood glucose scanning to replace finger prick tests)
- assist with medication or smoking cessation. adherence
- detect falls
- link to medical data
Applications of health technologies?
What is the potential linkage flowchart of the health data universe?
Health professionals role with IT? Pharmacists should be able to operate…
Health professionals role with IT in daily pharmacy practice?
Challenges and risks with IT in pharmacy practice?
Sumamry
