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By Shahzad Ali MPharm
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• Understand Drivers For Change
• Understand current and future requirements
• What standards need to be adhered to
• Types of interfaces
• Understand what skill mix is required
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• A seminal piece of work by the US Institute of Medicine in 1999, To Err is Human, first highlighted that too many inpatients were coming to unnecessary harm.1 An organisation with a memory, published in 2000, estimated that up to 10 per cent of hospital inpatients suffer adverse events and that 50 per cent of these are avoidable.2
1. Kohn LT, Corrigan JM, Donaldson MS, eds. To Err is Human: Building a Safer Health System. Washington, DC, USA: National Academies Press. 1999. 2. Department of Health. An Organisation With A Memory. Report of an Expert Group on Learning from Adverse Events in the NHS. London: The Stationery Office. 2000.
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ClinicalInformationSystem
Automated
Dispensing Cabinets
Bar
Code Medication
Admin.
Dispensing Robot
PN
Robot
Smart Pumps
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• Need to have consistent medication databases across multiple systems
• Different methods how this can be achieved-manual vs electronic
Clinical
Information System
Automated
Dispensing
Cabinets
CriticalCare
Chemo
Pharmacy Robot
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• Analysing which systems unable to integrate
• HL7
• Flat File
• Systems that can integrate but only have limited functionality
• Read only
• Structure
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• Clinical Decision Support
• Standards
• SNOMED,
• ICD10,
• LOINC,
• dm+d, GS1, GTIN
• Overcoming Supplier Preferential Partners
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• Increasingly required • Increases Patient Safety-less transcribing• Types that need to be understood• Business Requirements
• Functional Design Documents• Technical Design Documents
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• ADT-Demographic
• RDE-Order
• MFN-Formulary
• DFT-Financial
• ZPM-Load/Unload
• Others-Badger
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ClinicalInformationSystem
Automated
Dispensing Cabinets
Bar
Code Medication
Admin.
Dispensing Robot
PN
Robot
Smart Pumps
ADT
RDE
MFN
DFT
ZPM
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Informatics Lead
Interface Lead
Technical Lead
Additional Key Resources• Management• Clinical staff
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https://nhsreality.wordpress.com/2014/04/02/nhs-staff-with-poor-english-can-be-struck-off/