Iâ€™ve mentioned this before several times on this blog, but feel like I have to say it yet again; we need to start standardizing certain things about health information technology. The lack of standardization reared its ugly head at me again last week when our Pyxis med stations kept dropping medications off of patientâ€™s active profiles. It appeared to always be the same drug, IV ketorolac. It took me a while to figure out the problem, but it turns out that Pyxis and our pharmacy system don’t agree on certain basic elements of time. Go figure.
What we need is a system-neutral data structure for healthcare
During a web browsing session the other day I came across a very interesting blog post by Louis Gray titled â€œThe Future: Operating System And Application-Neutral Dataâ€. I enjoy reading Louisâ€™ posts because I think he has a great vision for the future of personal computing, data, and â€œthe cloudâ€
The blog speaks specifically to the ownership of personal data versus allowing companies to sit on it and possibly hold it hostage secondary to a lack of compatibility with other systems. The information you throw onto the internet defines who and what you are, more now than ever before, and you need to be able to move it around anytime from anywhere.
Cool Technology for Pharmacy
Pandora Data Systems (PDS) is a company that, in the past, has designed software solutions to take information from automated dispensing cabinets (ADCs) like Pyxis, store it, manipulated it, run queries against it and produce reports that allow pharmacy departments to view medication usage trends; including trends to identify diversion.PDS now appears to be expanding … Read more
Getting pharmacists to lay down their 3×5 cards
The decentralized pharmacy model brings with it the opportunity for pharmacists to be an integral part of the medical team. This includes following teams of healthcare provides, physicians, nurses, respiratory therapists, etc, on morning rounds. And like all good little pharmacists we like to be prepared with as much information as possible about the patient. Several methods for collecting data have been developed over the years, including the all time favorite; the 3×5 index card. The problem with this system is obvious; itâ€™s prone to human error. Taking information from one source and transcribing it somewhere else simply increases the chance for error. In addition, the information may be inaccurate as things can change rapidly with hospitalized patients, especially in areas like the ICU.
Moving storage around in the “cloud”
ByteandSwitch:â€ One of the great theoretical advantages of cloud computing is the implied portability – users can move data in and among cloud resources easily, and the cloud itself may move data between and among resources without the customer being aware that anything has changed. In practice, cloud data can prove just as firmly rooted … Read more
What are you going to do with all that data?
Informationweek.com: “The rollout of e-prescription, digital medical record and other clinical systems by healthcare providers is undoubtedly creating gigantic new mountains of data. The next big challenges for healthcare is in using that data to make better clinical decisions and save costs, and becoming more proactive in helping patients avoid imminent medical problems.Â “It’s estimated that … Read more
Sum(1) ..how could something so simple be so frustrating
This time of year always comes with a lot of requests for medication usage data from the Pharmacy Clinical Coordinator.Â This year has been no exception. The most recent request was for a report identifying all medications in the pharmacy drug master that were used less than ten times in 2008. Seemed simple enough. Right.Â