Design and Implementation of a Medication Reconciliation Kiosk: the Automated Patient History Intake Device (APHID)

Blake J. Lesselroth, Robert S. Felder, Shawn M. Adams, Phillip D. Cauthers, David Dorr, Gordon J. Wong, David M. Douglas

Research output: Contribution to journalArticle

33 Citations (Scopus)

Abstract

Errors associated with medication documentation account for a substantial fraction of preventable medical errors. Hence, the Joint Commission has called for the adoption of reconciliation strategies at all United States healthcare institutions. Although studies suggest that reconciliation tools can reduce errors, it remains unclear how best to implement systems and processes that are reliable and sensitive to clinical workflow. The authors designed a primary care process that supported reconciliation without compromising clinic efficiency. This manuscript describes the design and implementation of Automated Patient History Intake Device (APHID): ambulatory check-in kiosks that allow patients to review the names, dosage, frequency, and pictures of their medications before their appointment. Medication lists are retrieved from the electronic health record and patient updates are captured and reviewed by providers during the clinic session. Results from the roll-in phase indicate the device is easy for patients to use and integrates well with clinic workflow.

Original languageEnglish (US)
Pages (from-to)300-304
Number of pages5
JournalJournal of the American Medical Informatics Association
Volume16
Issue number3
DOIs
StatePublished - May 2009

Fingerprint

Medication Reconciliation
Equipment and Supplies
Workflow
Medical Errors
Electronic Health Records
Documentation
Names
Primary Health Care
Appointments and Schedules
Joints
Delivery of Health Care

ASJC Scopus subject areas

  • Health Informatics

Cite this

Design and Implementation of a Medication Reconciliation Kiosk : the Automated Patient History Intake Device (APHID). / Lesselroth, Blake J.; Felder, Robert S.; Adams, Shawn M.; Cauthers, Phillip D.; Dorr, David; Wong, Gordon J.; Douglas, David M.

In: Journal of the American Medical Informatics Association, Vol. 16, No. 3, 05.2009, p. 300-304.

Research output: Contribution to journalArticle

Lesselroth, Blake J. ; Felder, Robert S. ; Adams, Shawn M. ; Cauthers, Phillip D. ; Dorr, David ; Wong, Gordon J. ; Douglas, David M. / Design and Implementation of a Medication Reconciliation Kiosk : the Automated Patient History Intake Device (APHID). In: Journal of the American Medical Informatics Association. 2009 ; Vol. 16, No. 3. pp. 300-304.
@article{6c0ae574913543b193525b73161d86af,
title = "Design and Implementation of a Medication Reconciliation Kiosk: the Automated Patient History Intake Device (APHID)",
abstract = "Errors associated with medication documentation account for a substantial fraction of preventable medical errors. Hence, the Joint Commission has called for the adoption of reconciliation strategies at all United States healthcare institutions. Although studies suggest that reconciliation tools can reduce errors, it remains unclear how best to implement systems and processes that are reliable and sensitive to clinical workflow. The authors designed a primary care process that supported reconciliation without compromising clinic efficiency. This manuscript describes the design and implementation of Automated Patient History Intake Device (APHID): ambulatory check-in kiosks that allow patients to review the names, dosage, frequency, and pictures of their medications before their appointment. Medication lists are retrieved from the electronic health record and patient updates are captured and reviewed by providers during the clinic session. Results from the roll-in phase indicate the device is easy for patients to use and integrates well with clinic workflow.",
author = "Lesselroth, {Blake J.} and Felder, {Robert S.} and Adams, {Shawn M.} and Cauthers, {Phillip D.} and David Dorr and Wong, {Gordon J.} and Douglas, {David M.}",
year = "2009",
month = "5",
doi = "10.1197/jamia.M2642",
language = "English (US)",
volume = "16",
pages = "300--304",
journal = "Journal of the American Medical Informatics Association",
issn = "1067-5027",
publisher = "Oxford University Press",
number = "3",

}

TY - JOUR

T1 - Design and Implementation of a Medication Reconciliation Kiosk

T2 - the Automated Patient History Intake Device (APHID)

AU - Lesselroth, Blake J.

AU - Felder, Robert S.

AU - Adams, Shawn M.

AU - Cauthers, Phillip D.

AU - Dorr, David

AU - Wong, Gordon J.

AU - Douglas, David M.

PY - 2009/5

Y1 - 2009/5

N2 - Errors associated with medication documentation account for a substantial fraction of preventable medical errors. Hence, the Joint Commission has called for the adoption of reconciliation strategies at all United States healthcare institutions. Although studies suggest that reconciliation tools can reduce errors, it remains unclear how best to implement systems and processes that are reliable and sensitive to clinical workflow. The authors designed a primary care process that supported reconciliation without compromising clinic efficiency. This manuscript describes the design and implementation of Automated Patient History Intake Device (APHID): ambulatory check-in kiosks that allow patients to review the names, dosage, frequency, and pictures of their medications before their appointment. Medication lists are retrieved from the electronic health record and patient updates are captured and reviewed by providers during the clinic session. Results from the roll-in phase indicate the device is easy for patients to use and integrates well with clinic workflow.

AB - Errors associated with medication documentation account for a substantial fraction of preventable medical errors. Hence, the Joint Commission has called for the adoption of reconciliation strategies at all United States healthcare institutions. Although studies suggest that reconciliation tools can reduce errors, it remains unclear how best to implement systems and processes that are reliable and sensitive to clinical workflow. The authors designed a primary care process that supported reconciliation without compromising clinic efficiency. This manuscript describes the design and implementation of Automated Patient History Intake Device (APHID): ambulatory check-in kiosks that allow patients to review the names, dosage, frequency, and pictures of their medications before their appointment. Medication lists are retrieved from the electronic health record and patient updates are captured and reviewed by providers during the clinic session. Results from the roll-in phase indicate the device is easy for patients to use and integrates well with clinic workflow.

UR - http://www.scopus.com/inward/record.url?scp=65349116201&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=65349116201&partnerID=8YFLogxK

U2 - 10.1197/jamia.M2642

DO - 10.1197/jamia.M2642

M3 - Article

C2 - 19261949

AN - SCOPUS:65349116201

VL - 16

SP - 300

EP - 304

JO - Journal of the American Medical Informatics Association

JF - Journal of the American Medical Informatics Association

SN - 1067-5027

IS - 3

ER -