By Shahzad Ali MPharm

Understand Drivers For Change Understand current and future requirements What standards need to be adhered to Types of interfaces Understand what skill mix is required

A seminal piece of work by the US Institute of Medicine in 1999, To Err is Human, first highlighted that too many inpatients were coming to unnecessary harm. 1 An organisation with a memory, published in 2000, estimated that up to 10 per cent of hospital inpatients suffer adverse events and that 50 per cent of these are avoidable Kohn LT, Corrigan JM, Donaldson MS, eds. To Err is Human: Building a Safer Health System. Washington, DC, USA: National Academies Press Department of Health. An Organisation With A Memory. Report of an Expert Group on Learning from Adverse Events in the NHS. London: The Stationery Office

Clinical Information System Automated Dispensing Cabinets Bar Code Medication Admin. Dispensing Robot PN Robot Smart Pumps

Need to have consistent medication databases across multiple systems Different methods how this can be achieved- manual vs electronic Clinical Information System Automated Dispensing Cabinets Critical Care Chemo Pharmacy Robot

Analysing which systems unable to integrate HL7 Flat File Systems that can integrate but only have limited functionality Read only Structure

Clinical Decision Support Standards SNOMED, ICD10, LOINC, dm+d, GS1, GTIN Overcoming Supplier Preferential Partners

Increasingly required Increases Patient Safety-less transcribing Types that need to be understood Business Requirements Functional Design Documents Technical Design Documents

ADT-Demographic RDE-Order MFN-Formulary DFT-Financial ZPM-Load/Unload Others-Badger

Clinical Information System Automated Dispensing Cabinets Bar Code Medication Admin. Dispensing Robot PN Robot Smart Pumps ADT RDE MFN DFT ZPM

Informatics Lead Interface Lead Technical Lead Additional Key Resources Management Clinical staff