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Finding the 'sweet spot' between customisation and workflows when optimising ePrescribing systems: a multisite

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This summary is machine-generated.

Optimizing electronic prescribing (ePrescribing) systems through configuration and customization is crucial for patient safety and workflow efficiency. However, healthcare professionals are adopting a more cautious approach to system modifications, seeking fewer changes to enhance ePrescribing benefits.

Keywords:
Adverse eventsHealth informaticsQUALITATIVE RESEARCHQuality in health care

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Area of Science:

  • Health Informatics
  • Clinical Pharmacy
  • Healthcare Management

Background:

  • Electronic prescribing (ePrescribing) systems aim to enhance medication safety, quality, and efficiency.
  • System customization and configuration are necessary to align ePrescribing with diverse hospital workflows and avoid workarounds.
  • Optimizing ePrescribing is essential to realize its full potential in patient care.

Purpose of the Study:

  • To identify transferable ePrescribing optimization strategies for hospitals across different national settings.
  • To explore healthcare professionals' perspectives on the impact of configuration and customization on workflow.
  • To understand how system modifications influence the benefits of ePrescribing.

Main Methods:

  • Qualitative study involving 54 semi-structured interviews with clinicians, pharmacists, and informatics professionals.
  • Interviews conducted across eight hospital sites and one health system in four countries (UK, USA, mainland Europe).
  • Inductive thematic analysis of interview transcripts to identify key themes.

Main Results:

  • Five themes emerged, highlighting that optimization involves configuration/customization to address workarounds, local policies, and specific patient populations.
  • System modifications can lead to increased local training burdens and missed vendor updates.
  • Collaboration with vendors and other users can reduce extensive modifications and improve outcomes.

Conclusions:

  • Modifying ePrescribing systems remains vital for patient safety and workflow optimization.
  • A trend towards a more cautious approach to customization and configuration was observed among users.
  • Users are increasingly seeking to minimize system changes while still aiming for optimization.