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Minimizing Medication Errors from Electronic Prescription Transmission—Digitizing Compounded Drug Preparations

Lack of standardization related to compounded drug preparations, especially in the transition of care situations, threatens patient safety by facilitating medication error. This paper outlines progress to-date from the United States Pharmacopeia (USP) Expert Panel on the Exchange of Compounded Drug...

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Autores principales: Parrish, Richard H., Gilak, Lucy, Bohannon, Donna, Emrick, Steven P., Serumaga, Brian, Guharoy, Roy
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6958393/
https://www.ncbi.nlm.nih.gov/pubmed/31703306
http://dx.doi.org/10.3390/pharmacy7040149
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author Parrish, Richard H.
Gilak, Lucy
Bohannon, Donna
Emrick, Steven P.
Serumaga, Brian
Guharoy, Roy
author_facet Parrish, Richard H.
Gilak, Lucy
Bohannon, Donna
Emrick, Steven P.
Serumaga, Brian
Guharoy, Roy
author_sort Parrish, Richard H.
collection PubMed
description Lack of standardization related to compounded drug preparations, especially in the transition of care situations, threatens patient safety by facilitating medication error. This paper outlines progress to-date from the United States Pharmacopeia (USP) Expert Panel on the Exchange of Compounded Drug Preparation Information in Health IT Systems. The work plan developed for the group is focused on proposing a set of encoding rules that would govern how compounded nonsterile drug preparations (CNSPs) are digitized and exchanged, including patient electronic health records (EHR), pharmacy systems, e-prescribing (eRx), and other Health IT (HIT) systems to ensure a seamless compounding process tailored to the needs of an individual patient. Included in this work are identifying authorized compounding monographs, surveying provider and end-user groups for information about data specificity during e-prescribing, and generating guidelines for the development of a compatible data model for clinical formulation identifiers (CF-IDs). This paper will also discuss how evolving nomenclature standards for CNSPs within HIT systems are part of a quality assurance system for comprehensive medication management (CMM) in children, thereby minimizing medication errors across the continuum of care. Finally, a network approach for the design of medication management systems for children and their families/caregivers is proposed.
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spelling pubmed-69583932020-01-23 Minimizing Medication Errors from Electronic Prescription Transmission—Digitizing Compounded Drug Preparations Parrish, Richard H. Gilak, Lucy Bohannon, Donna Emrick, Steven P. Serumaga, Brian Guharoy, Roy Pharmacy (Basel) Conference Report Lack of standardization related to compounded drug preparations, especially in the transition of care situations, threatens patient safety by facilitating medication error. This paper outlines progress to-date from the United States Pharmacopeia (USP) Expert Panel on the Exchange of Compounded Drug Preparation Information in Health IT Systems. The work plan developed for the group is focused on proposing a set of encoding rules that would govern how compounded nonsterile drug preparations (CNSPs) are digitized and exchanged, including patient electronic health records (EHR), pharmacy systems, e-prescribing (eRx), and other Health IT (HIT) systems to ensure a seamless compounding process tailored to the needs of an individual patient. Included in this work are identifying authorized compounding monographs, surveying provider and end-user groups for information about data specificity during e-prescribing, and generating guidelines for the development of a compatible data model for clinical formulation identifiers (CF-IDs). This paper will also discuss how evolving nomenclature standards for CNSPs within HIT systems are part of a quality assurance system for comprehensive medication management (CMM) in children, thereby minimizing medication errors across the continuum of care. Finally, a network approach for the design of medication management systems for children and their families/caregivers is proposed. MDPI 2019-11-07 /pmc/articles/PMC6958393/ /pubmed/31703306 http://dx.doi.org/10.3390/pharmacy7040149 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Conference Report
Parrish, Richard H.
Gilak, Lucy
Bohannon, Donna
Emrick, Steven P.
Serumaga, Brian
Guharoy, Roy
Minimizing Medication Errors from Electronic Prescription Transmission—Digitizing Compounded Drug Preparations
title Minimizing Medication Errors from Electronic Prescription Transmission—Digitizing Compounded Drug Preparations
title_full Minimizing Medication Errors from Electronic Prescription Transmission—Digitizing Compounded Drug Preparations
title_fullStr Minimizing Medication Errors from Electronic Prescription Transmission—Digitizing Compounded Drug Preparations
title_full_unstemmed Minimizing Medication Errors from Electronic Prescription Transmission—Digitizing Compounded Drug Preparations
title_short Minimizing Medication Errors from Electronic Prescription Transmission—Digitizing Compounded Drug Preparations
title_sort minimizing medication errors from electronic prescription transmission—digitizing compounded drug preparations
topic Conference Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6958393/
https://www.ncbi.nlm.nih.gov/pubmed/31703306
http://dx.doi.org/10.3390/pharmacy7040149
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