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Institution: University of Washington
Grant Title: Evaluating e-Prescribing in a Community-based, Integrated Health System
Grant Number: K08 HS14739
Duration: 5 years (2006-2011)
Total Award: $556,200
Project Description: There are three aims in this research:
- Conduct an impact evaluation of the implementation of medication safety clinical decision support system (CDS) alerts on medication errors and adverse events (ADEs) associated with generic and therapeutic drug
duplications, appropriate drug-laboratory monitoring, appropriate prescribing in patients >65 years of age, drug-drug interactions, and appropriate prescribing in pregnancy.
- Use qualitative research methods to design medication safety CDS alerts that are considered by prescribers to be useful and easy to use.
- Conduct a cost-benefit analysis of the implementation of the ambulatory setting (ACPOE)/CDS system from the perspective of the health system.
Career Goals: Dr. Devine is a Research Associate Professor in the Department of Pharmacy at the University of Washington, Seattle. She received her PharmD from the University of the Pacific, Stockton, CA and did her pharmacy residency at the Veterans Affairs Medical Center in Palo Alto, CA. She went on to earn her MBA at the University of San Francisco and her PhD in Health Services Research from the University of Washington. Her long-term goal is to become an independent investigator in health services focusing on the impact of ACPOE on medication safety.
Progress to Date: For Aim #1, Dr. Devine refined and finalized the protocol and data elements included in the final dataset. She reviewed the literature for estimates of the costs and benefits of implementing a CPOE system in the ambulatory setting, or as a viable alternative, the costs and benefits of implementing an HER in the ambulatory setting (Aim #3).
Future Plans: For Aim #2, the grantee will create simulation scenarios to explore the preferences of clinicians with differing screen displays where DCS alerts are presented, and will characterize these in their varying stages of development. Manuscripts will be drafted.
Highlights and Specific Accomplishments:
- Award for Best New Investigator Podium Presentation, 2000.
- Award for Best New Investigator Poster Presentation, 2000.
- Member, Admissions Committee and the Curriculum Revision Task Force — Pharmaceutical Outcomes Program.
Devine EB, Wilson-Norton JL, Lawless NJ, et al. Characterization of prescribing errors in an internal medicine clinic. American Journal of Health Systems Pharmacy 2007. 64:1062-70.
Hollingworth, W, Devine EB, Hansen RN, et al. The impact of e-prescribing on prescriber and staff time in ambulatory care clinics: A time-motion study. Journal of the American Medical Informatics Association 2007. 14:722-30.
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