Date of Award

Spring 3-10-2023

Embargo Period

4-13-2023

Document Type

Thesis

Degree Name

Doctor of Health Administration

Department

Health Administration

College

College of Health Professions

First Advisor

Daniel Brinton

Second Advisor

Abby Swanson Kazley

Third Advisor

Dunc Williams

Abstract

Background: Recent data shows at least 1.5 million people are affected by adverse medication events (AME) every year. The purpose of this study is to see if increased use of FPHI is associated with lower instances of AME’s and lower mortality rates for hospitals.

Methods: Using a retrospective analysis and logistic regression, this study examines the relationship between IT use and quality. Specific metrics include AMEs and mortality rates in hospitals in the United States. Demographic data are used to control for confounders, CPT, DRG, and AHRQ questions are used as classifying variables for High IT utilization.

Results: Unadjusted rates of AME’s were higher among high-IT hospitals than non-high-It hospitals (27.8% vs. 15.8%; p

Conclusions: There is a clear association between the increased use of FPHI and lower adverse medication events (AME) rates. Studies have shown that of all the AME’s yearly 50% are preventable and the finding presented here show that high use of FPHI could potentially lower the odds of an AME by 36%. Given these findings, hospitals may want to consider incentivizing the utilization of FPHI in their Eds.

Rights

Copyright is held by the author. All rights reserved.

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