1. Mobile devices for medication safety, does it
fly?Tjalling van der Schors, Pharm.D.
Hospital Pharmacist & Chairman Board of Medical Specialists

2. Outline
• Introduction Westfriesgasthuis
• Medication IT in the Netherlands
• (Mobile) technology versus the process
• Our current focus and approach
• Mobile technology options
• Limitations
• How to overcome these obstacles?
EMRAM Stage
6 hospital

4. Westfriesgasthuis
Fact and Figures
• Teaching hospital beds 506
• Medical specialists 145
• Outpatient visits 275.000
• Inpatients 19.000
• Employees 2.200
• Annual Budget €170 mln
• Closed loop medication system fully integrated within EMR
EMRAM Stage
6 hospital
Facts&Figures
EMRAM Stage 6 hospital  Currently
applying for Stage 7 accreditation

5. EMRAM Stage 6
hospital
#1
Euro Health
Consumer
Index (EHCI)
2012
Medication IT in the Netherlands
The Netherlands is leading in
Medication IT

6. (Mobile) Technology is not the limiting factor
It starts with the right process!
At the source!
Source: Poon EG et al. N Engl J Med 2010;362:1698-707
Where do most medication
errors occur?

7. Old process versus New technology

8. Current approach Westfriesgasthuis
Essential elements
• Closed loop medication
• Integrated decision support
• Integrated CPOE
• Interactive floor plans
• Nursing record and activity
• Workflow support
All provided within our fully
integrated EMR
• Facilitated with Mobile (EMR) Technology
Focused approach
• At the source
• Cytostatics
• Radioactive drugs
Essential
elements

9. Mobile technology must support the process

10. Limitations and obstacles
What is currently slowing our
process down?
Lack of (standardized) barcode use on a
European level

11. How to overcome these obstacles?
Repackaging
or
Standardization of
European
(Medication) suppliers

12. Conclusion
• The process is crucial
• Integrated (EMR) software solution is essential
• Most errors occur at the source
• Mobile devices work as a facilitator to decrease medication
errors (at the source) significantly
• A wide variety of mobile devices are supported by our EMR
system
• With the right EMR, Mobile technology is NOT the limiting
factor
Mobile
technology
The right EMR

13. Mobile devices for medication safety, does it
fly?
YES!
But we have to kill the bugs!

14. Questions?
Tjalling van der Schors, Pharm.D.
Hospital Pharmacist & Chairman Board of Medical Specialists
tvds@westfriesgasthuis.nl
Questions about the fully integrated EMR (ChipSoft)
Westfriesgasthuis is using?
Marketing@ChipSoft.nl
Questions?