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Barriers and facilitators to recovering from e-prescribing errors in community pharmacies
Community pharmacies can improve recovery from electronic prescribing errors by addressing organizational factors like communication, training, and teamwork. Optimizing the work system is key to successful error recovery and patient safety.
Area of Science:
- Pharmacy Practice
- Patient Safety
- Health Systems Engineering
Background:
- Electronic prescribing (e-prescribing) has become widespread in community pharmacies.
- Errors in e-prescribing can occur, necessitating effective recovery strategies.
- Understanding barriers and facilitators to error recovery is crucial for patient safety.
Purpose of the Study:
- To identify barriers and facilitators to recovering from e-prescribing errors in community pharmacies.
- To explore practical solutions for redesigning work systems to ensure successful error recovery.
Main Methods:
- Qualitative, cross-sectional design.
- Data collected through direct observations, interviews, and focus groups.
- Thematic analysis guided by the Systems Engineering Initiative for Patient Safety (SEIPS) model.
Main Results:
- Organizational factors (communication, training, teamwork, staffing) significantly impact e-prescribing error recovery.
- Pharmacy personnel's experience, knowledge, tool usability, interruptions, time pressure, and environmental noise also influence error recovery.
- Both positive and negative effects on recovery were observed based on these factors.
Conclusions:
- The SEIPS model effectively highlights key factors influencing e-prescribing error recovery.
- Factors include the work environment, teamwork, communication, technology, tasks, and organizational variables.
- Pharmacies need to establish supportive working conditions to ensure successful recovery from e-prescribing errors.
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