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Outcomes of an Emergency Department opioid alternatives Program implemented within a safety-net hospital system.
BMC Emerg Med
January 2025
Department of Emergency Medicine, University of Florida College of Medicine-Jacksonville, 655 West 8th Street, Jacksonville, FL, 32209, USA.
Background: The ongoing opioid epidemic in the United States has reinforced the need to provide multimodal and non-opioid pain management interventions. The PAMI-ED ALT program employed a multifaceted approach in the Emergency Department (ED) developing electronic health record (EHR) pain management order panels and discharge panels, as well as educating patients, clinicians, and ED staff on opioid alternatives, including non-pharmacologic interventions. The primary objective of this analysis was to compare changes in opioid and non-opioid analgesic administrations and prescribing in ED patients with select pain conditions (renal colic, headache, low back, and non-low back musculoskeletal pain) before and after implementation of PAMI ED-ALT.
View Article and Find Full Text PDFImplementing a collaborative care model for child and adolescent mental health in Qatar: Addressing workforce and access challenges.
Asian J Psychiatr
December 2024
Centre of Disease Control and Prevention Department, Hamad Medical Corporation, Qatar.
Child and adolescent mental health disorders in Qatar remain significantly underserved due to a critical shortage of specialists, stigma, and logistical barriers. This paper proposes implementing a Collaborative Care Model (CoCM) within Qatar's primary care settings, leveraging existing infrastructure, such as the CERNER electronic health record system, and innovations like telepsychiatry and AI-driven tools. The model integrates task-sharing among interdisciplinary teams to enhance accessibility and continuity of care.
View Article and Find Full Text PDFChallenges and solutions in implementing electronic prescribing in Iran's health system: a qualitative study.
BMC Med Inform Decis Mak
December 2024
Department of Health Information Technology, School of Paramedical Sciences and Rehabilitation, Mashhad University of Medical Sciences, Mashhad, Iran.
Background: The use of electronic prescribing is recognized as a strategic tool for improving healthcare. Given the nationwide implementation of electronic prescribing systems initiated in 2020, this study aims to explore the challenges and solutions for implementing electronic prescribing in Iran's health system as a developing country.
Methods: This qualitative study was conducted through interviews with physicians, pharmacy staff, and electronic prescribing representatives in 2023.
Barriers and facilitators to implementing polypharmacy management frameworks: a theory based qualitative exploration of key stakeholders.
Int J Clin Pharm
December 2024
School of Pharmacy and Life Sciences, Applied Sciences and Public Health, Robert Gordon University, Garthdee Road, Aberdeen, AB10 7GJ, UK.
Background: Inappropriate polypharmacy arises through many factors including deficiencies in prescribing processes. Most research has focused on solutions at the clinician/patient levels with less at the organisational level.
Aim: To explore key stakeholder identified barriers and facilitators to implementation of an organisational level polypharmacy management framework.
Effect of electronic prescription system modifications on reducing prescribing errors in a military hospital.
J Pharm Policy Pract
December 2024
Hospital Material and Management Department, King Fahad Military Medical Complex, Dhahran, Saudi Arabia.
Background: The implementation of electronic prescription systems has become a crucial advancement in healthcare, intending to enhance the precision, safety, and effectiveness of the prescription process. Electronic prescription systems provide many solutions to reduce prescribing errors by allowing system modifications that streamline the prescribing process to improve communication between healthcare practitioners In this study, we aimed to explore the effect of electronic prescription system modification on minimising prescribing errors.
Methods: This retrospective quantitative study assessed the effects of electronic prescribing system modification in a tertiary military centre in Saudi Arabia, specifically focusing on decreasing prescribing errors in different hospital departments.
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