Implementation of a Medication Reconciliation Assistive Technology: A Qualitative Analysis.

: To aid the implementation of a medication reconciliation process within a hybrid primary-specialty care setting by using qualitative techniques to describe the climate of implementation and provide guidance for future projects. : Guided by McMullen et al's Rapid Assessment Process, we performed semi-structured interviews prior to and iteratively throughout the implementation. Interviews were coded and analyzed using grounded theory and cross-examined for validity.

Beyond technology acceptance to effective technology use: a parsimonious and actionable model.

Objective: To develop and test a parsimonious and actionable model of effective technology use (ETU).

Design: Cross-sectional survey of primary care providers (n = 53) in a large integrated health care organization that recently implemented new medication reconciliation technology.

Methods: Surveys assessed 5 technology-related perceptions (compatibility with work values, implementation climate, compatibility with work processes, perceived usefulness, and ease of use) and 1 outcome variable, ETU.

Influence of drift and admixture on population structure of American black bears (Ursus americanus) in the Central Interior Highlands, USA, 50 years after translocation.

Bottlenecks, founder events, and genetic drift often result in decreased genetic diversity and increased population differentiation. These events may follow abundance declines due to natural or anthropogenic perturbations, where translocations may be an effective conservation strategy to increase population size. American black bears (Ursus americanus) were nearly extirpated from the Central Interior Highlands, USA by 1920.

Primary care provider perceptions and use of a novel medication reconciliation technology.

Background: Although medication reconciliation (MR) can reduce medication discrepancies, it is challenging to operationalise. Consequently, we developed a health information technology (HIT) to collect a patient medication history and make it available to the primary care (PC) provider. We deployed a self-service kiosk in a PC clinic that permits patients to indicate a medication adherence history.

Psychological antecedents of escalation behavior: effects of choice, responsibility, and decision consequences.

Research on escalation behavior has proposed that choice of an initial course of action, responsibility for decision outcomes, and negative decision consequences are necessary conditions for the escalation effect to occur. This proposition was tested in a sample of 257 undergraduates. Results show that although responsibility and negative decision consequences contribute to the escalation effect, they are not necessary conditions for escalation to occur.