Dr. Devine's career goal is to become an independent investigator, conducting health services research that evaluates the impact of information technology on medication safety. She is a Research Assistant Professor, University of Washington, School of Pharmacy, where she completed a post-PharmD fellowship in pharmacoeconomics and outcomes research. Committed to pursuing an academic career as an independent investigator, Dr. Devine began by collecting data that characterizes the epidemiology of medication errors both pre- and post-implementation of an ACPOE system in an integrated health system. She quickly realized that to conduct rigorous evaluations, advanced skills and training are necessary. To meet her career objectives she is proposing to merge her background in clinical practice with future expertise in health services and biomedical informatics research methods, acquired through a rigorous program of training that includes didactic and research components, under the guidance of qualified mentors. Dr. Devine will be obtaining a PhD in Health Services Research. Her curriculum will consist of courses that will considerably strengthen her analytic skills that will be directly applied to her research plan. Courses in health services research methods will provide the underlying framework. She will add courses in biostatistics, epidemiology, biomedical health informatics, human factors, survey methods and financial evaluation. She has chosen mentors who have expertise in these areas who will guide her in the application of these disciplines to her research. Dr. Devine has developed a research plan that builds upon her early work, as well as work currently funded by an AHRQ HIT implementation grant held by her primary mentor, Dr. Sean Sullivan. She includes three aims: 1) Evaluating the impact of medication safety, clinical decision support interventions on adverse drug events; 2) Optimizing the design of these interventions from the perspective of the human-computer interface; and 3) Conducting a cost-benefit analysis of the electronic prescribing system to the integrated health system. Studying the impact of electronic prescribing on medication safety in the ambulatory setting is a field that stands to have a significant impact on the safety of public heath; yet, it is in its infancy. As an independent investigator, Dr. Devine will contribute to the advancement of this field. ? ? ?

Agency
National Institute of Health (NIH)
Institute
Agency for Healthcare Research and Quality (AHRQ)
Type
Clinical Investigator Award (CIA) (K08)
Project #
5K08HS014739-03
Application #
7425021
Study Section
Health Care Technology and Decision Science (HTDS)
Program Officer
Anderson, Kay
Project Start
2006-08-01
Project End
2011-07-31
Budget Start
2008-08-01
Budget End
2009-07-31
Support Year
3
Fiscal Year
2008
Total Cost
Indirect Cost
Name
University of Washington
Department
Other Health Professions
Type
Schools of Pharmacy
DUNS #
605799469
City
Seattle
State
WA
Country
United States
Zip Code
98195
Overby, Casey Lynnette; Devine, Emily Beth; Abernethy, Neil et al. (2015) Making pharmacogenomic-based prescribing alerts more effective: A scenario-based pilot study with physicians. J Biomed Inform 55:249-59
Forrester, Sara H; Hepp, Zsolt; Roth, Joshua A et al. (2014) Cost-effectiveness of a computerized provider order entry system in improving medication safety ambulatory care. Value Health 17:340-9
Lau, B; Overby, C L; Wirtz, H S et al. (2013) The association between use of a clinical decision support tool and adherence to monitoring for medication-laboratory guidelines in the ambulatory setting. Appl Clin Inform 4:476-98
Ney, John Peter; Devine, Emily Beth; Watanabe, Jonathan H et al. (2013) Comparative efficacy of oral pharmaceuticals for the treatment of chronic peripheral neuropathic pain: meta-analysis and indirect treatment comparisons. Pain Med 14:706-19
Cheng, Mindy M; Goulart, Bernardo; Veenstra, David L et al. (2012) A network meta-analysis of therapies for previously untreated chronic lymphocytic leukemia. Cancer Treat Rev 38:1004-11
Overby, Casey Lynnette; Devine, Emily Beth; Tarczy-Hornoch, Peter et al. (2012) Deriving rules and assertions from pharmacogenomics knowledge resources in support of patient drug metabolism efficacy predictions. J Am Med Inform Assoc 19:840-50
Devine, Emily Beth; Patel, Rupa; Dixon, David R et al. (2010) Assessing attitudes toward electronic prescribing adoption in primary care: a survey of prescribers and staff. Inform Prim Care 18:177-87
Devine, Emily Beth; Hansen, Ryan N; Wilson-Norton, Jennifer L et al. (2010) The impact of computerized provider order entry on medication errors in a multispecialty group practice. J Am Med Inform Assoc 17:78-84
Devine, Emily Beth; Williams, Emily C; Martin, Diane P et al. (2010) Prescriber and staff perceptions of an electronic prescribing system in primary care: a qualitative assessment. BMC Med Inform Decis Mak 10:72
Devine, Emily Beth; Hollingworth, William; Hansen, Ryan N et al. (2010) Electronic prescribing at the point of care: a time-motion study in the primary care setting. Health Serv Res 45:152-71

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