University of Utah Health, Salt Lake City, UT.
Am J Health Syst Pharm. 2019 Sep 1;76(Supplement_3):S69-S73. doi: 10.1093/ajhp/zxz122.
The implementation and maintenance of a process for adding and removing hyperlinks to medication management policies and guidelines approved by a pharmacy and therapeutics (P&T) committee into the electronic health record (EHR) are described.
Medication management policies and guidelines approved by the P&T committee are published on the University of Utah Health intranet, making it possible to add hyperlinks to this information within the EHR. Adding these hyperlinks allows policy and guideline information to be available to clinicians on the medication ordering, verification, and administration screens without requiring a separate search of the intranet. In a quality-improvement project, all medication management policies and guidelines posted on the intranet were reviewed for relevance to the medication ordering, verification, and administration processes. Hyperlinks to relevant policies and guidelines were implemented into the EHR for specific medications. At the beginning of the review, 100 unique drugs associated with 1 or more hyperlinks were identified. The hyperlinks referenced a total of 33 Web documents: 8 policies and 25 guidelines. There are 74 medication management policies and 78 medication management guidelines approved by the P&T committee at University of Utah Health. After investigator review, 12 of 74 policies (16%) and 41 of 78 guidelines (53%) were deemed relevant during the medication ordering, verification, and administration processes. The review and hyperlink implementation process took a total of 101 hours. A continual review process was developed to enable addition and removal of hyperlinks as appropriate.
Providing direct access to relevant medication management policies and guidelines approved by the P&T committee during the medication ordering, verification, and administration processes via hyperlinks in the EHR makes formulary information readily accessible by appropriate staff. These hyperlinks may also improve adherence to formulary information, reduce medication expenditure, and improve safety and therapeutic outcomes of medication therapy.
描述了为将药剂和治疗学（P&T）委员会批准的药物管理政策和指南添加和删除超链接到电子健康记录（EHR）中而实施和维护该过程。
P&T 委员会批准的药物管理政策和指南发布在犹他大学健康中心的内部网上，这使得在 EHR 中为这些信息添加超链接成为可能。添加这些超链接可以使政策和指南信息在药物医嘱、核对和管理屏幕上提供给临床医生，而无需在内部网上进行单独搜索。在一个质量改进项目中，对内部网上发布的所有药物管理政策和指南进行了审查，以确定它们与药物医嘱、核对和管理过程的相关性。为特定药物将相关政策和指南的超链接实现到 EHR 中。在审查开始时，确定了与 1 个或多个超链接相关的 100 种独特药物。这些超链接总共引用了 33 个 Web 文档：8 个政策和 25 个指南。犹他大学健康中心的 P&T 委员会批准了 74 项药物管理政策和 78 项药物管理指南。经过调查员审查，在药物医嘱、核对和管理过程中，有 12 项政策（16%）和 41 项指南（53%）被认为是相关的。审查和超链接实现过程共花费了 101 小时。制定了持续审查流程，以便在适当的情况下添加和删除超链接。
通过 EHR 中的超链接为药物医嘱、核对和管理过程提供对 P&T 委员会批准的相关药物管理政策和指南的直接访问，使处方信息易于适当的工作人员获取。这些超链接还可以提高对处方信息的遵守程度，降低药物支出，并改善药物治疗的安全性和治疗效果。
