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Goal 5: Increase the extent to which health systems apply technology effectively to improve the safety of medication use.

Revised December 20, 2005

Objective 5.1

75% of hospitals will use machine-readable coding to verify medications before dispensing.

Baseline: 2004: 9.2% (95% CI, 7.0–11.9%)   2005: 11.5% (95% CI, 9.2-14.4%)

Crosswalk Resources

  1. NCC MERP Promoting and Standardizing Bar CodingExternal Link
  2. ISMP Bar CodingExternal Link
  3. FDA /Bar CodingExternal Link
  4. FDA/Bar Coding to Reduce ErrorsExternal Link
  5. Supporting Literature - References 1, 11, 65 [PDF]   

Objective 5.2

75% of hospitals will use machine-readable coding to verify all medications before administration to a patient.

Baseline: 2004: 4.4% (95% CI, 2.9–6.5%)   2005: 9.4% (95% CI, 7.4-11.9%)

Crosswalk Resources

  1. National Quality ForumExternal Link
  2. Supporting Literature - References 1, 11, 66-70 [PDF]  

Objective 5.3

For routine medication prescribing for inpatients and clinic patients, 70% of hospitals will use computerized prescriber order entry systems that include clinical decision support.*

Baseline: 2004: Inpatient: 3.1% (95% CI, 1.9–5.1%)  Outpatient: 2.0% (95% CI, 1.1–3.9%) 2005: 8.9% (95% CI, 4.1-8.3%)

*Clinical decision support may include, for example, medication interaction screening, dose checking, allergy checking, i.v. compatibility checking, and expert decision rules.

Crosswalk Resources

  1. Leap FrogExternal Link
  2. IOMExternal Link
  3. Supporting Literature - References 1, 11, 71-88 [PDF]

Objective 5.4

In 65% of health systems, pharmacists will use medication-relevant portions of patients' electronic medical records for managing patients' medication therapy.*

Baseline: 21% (95% CI, 17.5–25.1%)

*Managing medication therapy may include initiating, modifying, and monitoring a patient’s medication therapy; ordering and performing laboratory and related tests; assessing patient response to therapy; counseling and educating a patient about medications; and administering medications.

Crosswalk Resources

  1. IOM-1989 reportExternal Link
  2. National Quality ForumExternal Link
  3. Supporting Literature - Reference 1 [PDF]

Objective 5.5

In 70% of health systems, pharmacists will be able to access pertinent patient information and communicate across settings of care* to ensure continuity of pharmaceutical care for patient with complex and high-risk medication regimens.

Baseline: 19% (95% CI, 14.1–25.2%)

(*For example, among hospitals, clinics, home care operations, and chronic care operations)

Crosswalk Resources

  1. JCAHO (MM.1.)
  2. Supporting Literature - Reference 1 [PDF]  

 

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