Jamie A. Stone

Learn More
BACKGROUND In an effort to increase cost-effectiveness of health care and reduce overall costs, patient-centered medical homes have been proposed to spur fundamental changes in the way primary care is delivered. One of the chief principles that describe a patient-centered medical home is that care is organized across all elements of the broader health care(More)
OBJECTIVE To explore types of e-prescribing errors in community pharmacies and their potential consequences, as well as the factors that contribute to e-prescribing errors. METHODS Data collection involved performing 45 total hours of direct observations in five pharmacies. Follow-up interviews were conducted with 20 study participants. Transcripts from(More)
PURPOSE OF THE STUDY To elicit the thought process or mental model that community pharmacists use when making recommendations on over-the-counter (OTC) medications to older adults and to elicit the current practices of community pharmacists in providing information, advice, and counseling to older adults about potentially inappropriate OTC medications. (More)
BACKGROUND The use of e-prescribing is increasing annually, with over 788 million e-prescriptions received in US pharmacies in 2012. Approximately 9% of e-prescriptions have medication errors. OBJECTIVE To describe the process used by community pharmacy staff to detect, explain, and correct e-prescription errors. METHODS The error recovery conceptual(More)
OBJECTIVE Primary care efficiency and quality are essential for the nation's health. The demands on primary care physicians (PCPs) are increasing as healthcare becomes more complex. A more complete understanding of PCP workflow variation is needed to guide future healthcare redesigns. METHODS This analysis evaluates workflow variation in terms of the(More)
OBJECTIVE To explore barriers and facilitators to recovery from e-prescribing errors in community pharmacies and to explore practical solutions for work system redesign to ensure successful recovery from errors. DESIGN Cross-sectional qualitative design using direct observations, interviews, and focus groups. SETTING Five community pharmacies in(More)
BACKGROUND Adverse drug events (ADEs) associated with over-the-counter (OTC) medications cause 178,000 hospitalizations each year. Older adults, aged 65 and older, are particularly vulnerable to ADEs. Of the 2.2 million older adults considered at risk for a major ADE, more than 50% are at risk due to concurrent use of an OTC and prescription medication. (More)
OBJECTIVE To describe and explore handoffs in community pharmacy. DESIGN Descriptive, exploratory, nonexperimental study. SETTING Wisconsin, August to October 2008. PARTICIPANTS Community pharmacists. INTERVENTION Brief, face-to-face, semistructured interviews. MAIN OUTCOME MEASURE Information on characteristics of handoffs, including the reasons(More)
BACKGROUND Older adults are the largest consumers of over the counter (OTC) medications. Of the older adults who are at risk of a major adverse drug event, more than 50% of these events involve an OTC medication. OBJECTIVE To explore how older adults select and hypothetically use OTC medications and if the selected medications would be considered safe for(More)
OBJECTIVE To elicit and describe mutually agreed upon common problems and subsequent solutions resulting from a facilitated face-to-face meeting between pharmacists and physicians. DESIGN Descriptive, exploratory, nonexperimental study. SETTING Wisconsin from October to December 2011. PARTICIPANTS Physicians and community pharmacists. INTERVENTION(More)