|
|
 |
Inefficiencies in the Practice of Medicine
And Unmet Needs
MDPad features and the inefficiencies they solve
MDPad’s integrated adaptive (AI) system provides decision support and
intelligently synthesizes and organizes information to efficiently provide
physicians real value without the need for customization.
Reported numbers are per physician per year unless otherwise noted.
 Order
Entry - Societal Benefits
|
|
 |
98,000 Americans die annually as
a result of medication errors.
Preventable adverse events are a leading cause of death in the United
States. Total national costs are estimated to be between $37.6 billion
and $50 billion for adverse events and between $17 billion and $29
billion for preventable adverse events. |
| |
2.4 million prescriptions are filled
improperly each year in Massachusetts.
88% of the errors involve giving patients the wrong drug or the wrong
strength. |
| |
Computerized drug order entry systems
have much potential to reduce errors.
Physician computer order entry can prevent up to 84% of the missing
dose medication errors, 86% of potential adverse drug events and 60%
of preventable adverse drug events. |
| |
Computerized prescribing in the practice
of medicine is a change, which is long over-due. Virtually all prescriptions
written in the United States are still handwritten. Instead, medication
orders should be performed on a system interacting with 3 databases,
i.e. 1) patient drug history, 2) scientific drug information and reference
guidelines, and 3) patient-specific (laboratory and weight) data.
|
| |
More than 50% of patients with life-threatening
medical conditions fail to receive appropriate therapies. |
| Order
Entry – Pharmacy Benefit Managers Benefits |
|
| |
Payers lose $20k - $40k per physician
per year, due to incomplete formulary compliance. |
| Order
Entry – Other Payers Benefits |
|
| |
Payers lose $100k - $150k per physician
per year due to physicians ordering unnecessary or duplicate tests.
|
| 1 |
This number exceeds the deaths attributable to
motor vehicle accidents (43,458), breast cancer (42,297) and AIDS
(16,516). Summary of Findings from Institute of Medicine Report: To
Err is Human, 1998 |
| 2 |
An adverse event is an injury caused by medical
management rather than by the underlying disease or condition of the
patient. It manifests by prolonged hospitalization or disability at
the time of discharge or both. In a study of 36,653 hospitalized patients,
731 adverse drug events in 648 patients were identified, but physicians,
pharmacists and nurses reported only 92 of these. To Err is Human,
1998 |
| 3 |
To Err is Human, 1998 |
| 4 |
The Massachusetts Board of Registration in Pharmacy
estimates in To Err is Human, 1998 |
| 5 |
To Err is Human, 1998 |
| 6 |
Computerized Prescribing. Building the Electronic
Infrastructure for Better Medication Usage, Schiff GD and Rucker TD,
JAMA 1998 April 1; v. 279: 1024-1029 |
|
|
