Clinical informatics

Topol Review

1. Develop a digital ready workspace

2. establish a national education and training framework

3. increase investment in digital health technology

4. foster a culture of innovation

5. promote ethicl and regulatory frameworks

Carter Review

Digitised ERPs improving access

Digital tools for patient engagement

promote the use of telemedicine

encourage the use of data analytics

improve IT infrastructure

GPhC Standards Driving Change

Support prescribing and clinical decision making

Expands patient access

increases safety and governance of practice

future proofs the profession

Digital literacy

safer patient care, more efficient workflows, evidence based decision making, collabaration through use of digital tools and data

Digital literacy six domains

1. information, data, consent

2. teaching, learning, self-development

3. communication, collaboration, participation

4. technical proficiency

5. creation, innovation, research

6. digital identity, wellbeing, safety, security

Electronic prescribing and medication administration - EPMA

Reduce medication errors and improve patient safety

improve communication between healthcare professionals - documentation

provide real time information about patient medications

support clinical decision making and efficiency

Clinical resources in EPM systems

DM+D, MDDF - accurate drug info

Access to clinical databases and national guidelines

supports safer prescribing and patient safety

pharmacists ensure correct standards and clinical impact

mitigating variability in prescribing systems

EPMA negatives

User error

alert fatigue

conformation bias

integration issues

staff resistance

technical issues

patient safety concerns

CDSS, Clinical decision support systems

identify and manage drug related problems

guidance on dosing and monitoring for specific patient populations

Clinical pharmacy dashboards

Visual representation of real time information and patient data

designed to support pharmacists with prioritisation of day-to-day work on the wards

MOAT - medication optimisation assessment tool

medication optimisation in complex patients

allocate resources for pharmacy services

integration with digital health systems

impact on healthcare efficiency

Telepharmacy services

remotely review and verify medication orders

improve medication safety in remote areas or underserved areas

Digital medication reviews

Improve quality of medication reviews

provide patient data from multiple sources

Medication adherence apps

patient manage their medications and imrpove adherance

improve clinical safety