J Am Pharm Assoc (2003). 2019 Mar-Apr;59(2S):S78-S85.e2. doi: 10.1016/j.japh.2019.01.001. Epub 2019 Feb 5.
To describe the architecture, design, and testing of an innovative mobile application (Medivate) that facilities accurate sharing of medication lists with linked education.
The deployment and testing of this app occurred in both the community and hospital settings in Pittsburgh, PA.
Medivate is an iOS smartphone application and cloud architecture for patients and providers to keep medication and vaccine lists accurate by providing a method and tool to easily exchange these data. Medications are added directly to the app from the electronic health record (EHR) or by the patient manually. Quick response (QR) code technology is used to trigger the secure transfer and sharing of medications on demand via HL-7 Fast Healthcare Interoperability Resources-based data transfer. An iterative user-centered design process involving patients and student pharmacists practicing in community settings was used to develop and refine functionality.
Adults with an iPhone were approached for participation in the design and evaluation of Medivate. Its functionality and integration into clinical workflow at hospital discharge or vaccine administration in the community were determined.
In the community setting, interviews of pharmacists were conducted. In the hospital, metrics of study participation and experience with app deployment were determined.
The app was deployed in the community for patients that received vaccinations. Interviews provided insight into barriers and logistics for successful engagement. The app was integrated into hospital workflow and demonstrated interoperability with the inpatient EHR. Thirteen patients were provided the app before discharge. Engagement with the app was evident through medication list shares, education access, and changes to medication lists. Patients noted strong agreement with usefulness of the app to learn more about the purposes and adverse effects of medications prescribed.
A mobile app to achieve medication and vaccine list portability was successfully designed and integrated into the inpatient and community settings.
描述一种创新型移动应用程序（Medivate）的架构、设计和测试，该应用程序通过链接教育功能促进准确共享用药清单。
该应用程序的部署和测试在宾夕法尼亚州匹兹堡的社区和医院环境中进行。
Medivate 是一款用于 iOS 智能手机的应用程序和云架构，通过提供一种简单易用的方法和工具来准确交换这些数据，帮助患者和提供者保持用药和疫苗清单的准确性。可以直接从电子健康记录 (EHR) 或患者手动将药物添加到应用程序中。使用快速响应 (QR) 码技术，根据需要通过 HL-7 Fast Healthcare Interoperability Resources 数据传输触发安全传输和共享药物。使用迭代的以患者为中心的设计过程，让在社区环境中实践的患者和学生药剂师参与其中，开发和完善功能。
向使用 iPhone 的成年人介绍 Medivate 的设计和评估，并确定其功能及其在医院出院或社区疫苗接种时的临床工作流程中的整合。
在社区环境中，对药剂师进行了访谈。在医院，确定了研究参与度和应用程序部署经验的指标。
该应用程序已在接受疫苗接种的患者中在社区中部署。访谈深入了解了成功参与的障碍和后勤工作。该应用程序已集成到医院工作流程中，并与住院 EHR 实现了互操作性。在出院前为 13 名患者提供了该应用程序。通过药物清单共享、教育资源访问和药物清单更改，可见患者对该应用程序的积极参与。患者对该应用程序非常有用，可了解所开药物的用途和不良反应，对此表示强烈认同。
成功设计并将移动应用程序整合到住院和社区环境中，实现了药物和疫苗清单的可移植性。
