Jamie A. Stone

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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 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)
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 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 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 A handoff is the process of conveying necessary information in order to transfer primary responsibility for providing safe and effective drug therapy to a patient from one community pharmacist to another, typically during a shift change. The handoff information conveyed in pharmacies has been shown to be unstructured and variable, leading to(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)
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)
BACKGROUND The U.S. Agency for Healthcare Research and Quality (AHRQ) developed a hospital patient safety culture survey in 2004 and has adapted this survey to other healthcare settings, such as nursing homes and medical offices, and most recently, community pharmacies. However, it is unknown whether safety culture dimensions developed for hospitals can be(More)