Design and implementation of a point-of-care computerized system for drug therapy in Stockholm metropolitan health region--Bridging the gap between knowledge and practice

International Journal of Medical Informatics
Bengt SjöborgLars L Gustafsson

Abstract

Stockholm County Council is the largest health care provider in Sweden with an annual budget of US$ 5 billion and catering the needs of a metropolitan population of 2 million people. About 10% of health care costs are used on drugs. In 1996 Stockholm County Council decided to address the main problems associated with the process and the quality of drug prescribing. A multiyear strategy was designed, including the establishment of a strong evidence-based organisation, Drug and Therapeutics Committees and editorial resources to adapt information to the IT-media and the development of the IT-architecture. The development and implementation of computerized tools such as a physician drug order entry system including decision support, a drug information website and electronic transmission of prescriptions were started in 1996. The implementation was slow at the point-of-care units. It took about 6 years before the implementation process gained speed. In September 2005 almost 1000 doctors could use the decision support system for prescribing drugs and more than 70% of all prescriptions were transmitted electronically in our region. The work with the strategy has shown that improvements in drug use can be accomplished by providing acce...Continue Reading

Citations

Mar 23, 2006·European Journal of Clinical Pharmacology·Marie EliassonLars L Gustafsson
Feb 12, 2009·European Journal of Clinical Pharmacology·Ylva BöttigerBirgit Eiermann
Sep 27, 2012·European Journal of Clinical Pharmacology·Ulrika NörbyLars L Gustafsson
May 10, 2013·European Journal of Clinical Pharmacology·Gunnar AlvánElisabeth Törnqvist
May 10, 2013·European Journal of Clinical Pharmacology·Linda Björkhem-BergmanLars L Gustafsson
Jan 28, 2009·BMC Medical Informatics and Decision Making·Bengt AstrandAnders Ekedahl
Sep 18, 2010·International Journal of Health Care Quality Assurance·Johanna UlfvarsonEva Andersén Karlsson
Sep 13, 2008·International Journal of Medical Informatics·Hannah J WongHoward Abrams
Jul 1, 2011·British Journal of Clinical Pharmacology·Pia Bastholm RahmnerAnikó Vég
Mar 19, 2011·Basic & Clinical Pharmacology & Toxicology·Lars L GustafssonUNKNOWN Regional Drug Expert Consortium
Dec 24, 2014·BMC Research Notes·Hamideh M EsmailyRolf Wahlström
Feb 12, 2015·International Journal of Medical Informatics·Marine L AnderssonBirgit Eiermann
Jul 12, 2011·Patient Education and Counseling·Aneta DimoskaMartin H N Tattersall
Mar 1, 2018·European Journal of Clinical Pharmacology·Michel EichelbaumFolke Sjöqvist
Jun 30, 2018·International Journal of Health Care Quality Assurance·Rose-Marie Johansson-PajalaKerstin Jorsäter Blomgren
Jul 2, 2011·Nature Reviews. Drug Discovery·Hans-Georg EichlerBrigitte Bloechl-Daum
Dec 14, 2018·Frontiers in Pharmacology·Stephen Goundrey-Smith

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