OBJECTIVE To conduct a cost-effectiveness analysis of a hospital electronic medication management system (eMMS). METHODS We compared costs and benefits of paper-based prescribing with a commercial eMMS (CSC MedChart) on one cardiology ward in a major 326-bed teaching hospital, assuming a 15-year time horizon and a health system perspective. The eMMS implementation and operating costs were obt...

BACKGROUND Medication errors harm hospitalised patients and increase health care costs. Electronic Medication Management Systems (EMMS) have been shown to reduce medication errors. However, nurses do not always use EMMS as intended, largely because implementation of such patient safety strategies requires clinicians to change their existing practices, routines and behaviour. This study uses the...

INTRODUCTION Since 2011, the Vietnam's Ministry of Health implemented the ethnic minority midwives (EMMs) scheme in order to increase the utilization of maternal health services by women from ethnic minorities and those living in hard-to-reach mountainous areas. This paper analyzes the utilization of antenatal, delivery, and postpartum care provided by EMMs and reports the key determinants of u...

This chapter introduces the EMMS model for gas-solid two-phase flow and the motive for this series of work. The EMMS model focuses on the mesoscale phenomenon of particle clustering, correlating it to the micro-scale of single particles and the macro-scale of the vessel operating conditions, material properties, and boundary conditions by analyzing the compromise between dominant mechanisms to ...

This chapter introduces the EMMS model for gas-solid two-phase flow and the motive for this series of work. The EMMS model focuses on the mesoscale phenomenon of particle clustering, correlating it to the micro-scale of single particles and the macro-scale of the vessel operating conditions, material properties, and boundary conditions by analyzing the compromise between dominant mechanisms to ...

International strategic mergers and acquisitions (M&As) by emerging market multinationals (EMMs) are rapidly gaining importance. Whereas multinational firms from developed countries mostly invest abroad to leverage their existing assets, EMMs tend to seek strategic assets when investing in other countries. We examine the effect of M&As on the performance of acquired firms for 88 inbound M&As in...

Abstract Background Hospitals across Australia are implementing Clinical Information Systems, e.g. Electronic Medication Management Systems (EMMS) at a rapid pace to moderate health services. The benefits of the EMMS depend on acceptance system by clinicians. study hospital used unique patient-centric implementation strategy that was based guiding principle “one patient, one chart” avoid patien...

Variational KL (varKL) divergence minimization was previously applied to restructuring acoustic models (AMs) using Gaussian mixture models by reducing their size while preserving their accuracy. In this paper, we derive a related varKL for exponential family mixture models (EMMs) and test its accuracy using the weighted local maximum likelihood agglomerative clustering technique. Minimizing var...

Most studies evaluating the effect of computerised alerts embedded in electronic medication management systems (eMMS) on prescribing behavior demonstrate positive and often substantial effects. But many studies also report that doctors override computerised alerts, sometimes up to 95% of the time. Alert fatigue, due to excessive numbers of alerts being presented, is the primary reason for alert...