Exploring the Use of Persuasive System Design Principles to Enhance Medication Incident Reporting and Learning...

Area of Science:

• Health Informatics
• Patient Safety
• Pharmacy Practice

Background:

• Medication incidents (MIs) have severe consequences, necessitating effective reporting systems.
• Medication Incident Reporting and Learning Systems (MIRLS) aim to improve community pharmacy safety but face reporting barriers.
• Understanding these barriers is crucial for enhancing MI reporting and patient safety.

Purpose of the Study:

• Investigate harms from medication incidents.
• Identify technological barriers in MIRLS reporting.
• Explore persuasive design strategies to increase MIRLS reporting.

Main Methods:

• Conducted two scoping reviews on medication errors, patient harm, and reporting barriers.
• Analyzed a Canadian MIRLS using the Persuasive System Design (PSD) taxonomy.
• Assessed system persuasiveness based on primary task, dialogue, social, and credibility support.

Main Results:

• Significant or serious harm and death were frequent outcomes of medication incidents.
• Iterative design can improve MIRLS usability, but data security and validation remain challenges.
• While some PSD strategies were effective, others like cooperation were less favored; additional strategies can enhance persuasiveness.

Conclusions:

• MIRLS with persuasive features can motivate pharmacists to report incidents, improving safety.
• Highlighting the value of MI reporting and enhancing system design can increase pharmacist participation.
• Persuasive design guidelines can aid developers and managers in creating more effective MIRLS.