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Understanding and evaluating the effects of implementing an electronic paediatric prescribing system on care

Albert Farre1, Carole Cummins2

  • 1Institute of Applied Health Research, University of Birmingham, Birmingham, UK Research and Development, Birmingham Children's Hospital NHS Foundation Trust, Birmingham, UK.

BMJ Open
|February 5, 2016
PubMed

Insights

Implementing electronic paediatric prescribing (ePP) systems presents unique challenges in hospitals. This study explores staff perspectives and impacts of ePP on care provision and hospital work.

Area of Science:

  • Healthcare Informatics
  • Patient Safety
  • Pediatric Care

Background:

  • Electronic prescribing systems enhance healthcare quality and safety.
  • Paediatric prescribing involves complex dose calculations and manipulations, posing unique implementation challenges.
  • Understanding the organizational context is crucial for successful ePP system adoption.

Purpose of the Study:

  • To understand the organizational reality of introducing an electronic paediatric prescribing (ePP) system in a paediatric hospital.
  • To describe the changes associated with ePP implementation over time in paediatric wards.
  • To explore staff perspectives on ePP in relation to existing practices and assess its impact on care provision and hospital work.

Main Methods:

  • A qualitatively driven mixed-method approach incorporating ethnographic observation and interviews.
  • Substudy 1: Ethnographic research including non-participant observation and informal interviews.
  • Substudy 2: In-depth interviews and focus groups with healthcare professionals and managers.
  • Substudy 3: A quantitative staff survey administered pre- and post-implementation.

Main Results:

  • Analysis of ethnographic field notes and interview data to identify themes.
  • Descriptive statistics for survey data, with comparisons between baseline and follow-up.
  • Evaluation of ePP's impact on care provision and hospital work from multiple stakeholder perspectives.

Conclusions:

  • The study will provide insights into the complex implementation of ePP systems in paediatric settings.
  • Findings will inform strategies for optimizing ePP adoption and maximizing its benefits for patient safety and care quality.
  • Results will be disseminated through conferences, peer-reviewed journals, and feedback to clinical practice and policy development.
Abstract

Keywords:
Computerized Physician Order Entry SystemElectronic PrescribingEthnographyPAEDIATRICSQualitatively-driven mixed-method research

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