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
- NCC MERP Promoting and Standardizing Bar Coding
- ISMP Bar Coding
- FDA /Bar Coding
- FDA/Bar Coding to Reduce Errors
- 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
- National Quality Forum
- 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
- Leap Frog
- IOM
- 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
- IOM-1989 report
- National Quality Forum
- 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
- JCAHO (MM.1.)
- Supporting Literature - Reference 1 [PDF]