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From Medication Experts to System Navigators: Exploring Pharmacists' EHR Challenges and Opportunities
1Department of Pharmacy, Uppsala University, Uppsala, Sweden.
Studies in Health Technology and Informatics
|May 17, 2025
Summary
Health information systems (HISs) like electronic health records (EHRs) impact pharmacists. This study found EHRs present challenges in managing medication orders but also facilitate collaboration and safety, highlighting usability needs.
Area of Science:
- Health Informatics
- Clinical Pharmacy Practice
- Human-Computer Interaction
Background:
- Health Information Systems (HISs) and Electronic Health Records (EHRs) have reshaped healthcare delivery.
- The specific impact of these systems on clinical pharmacists' workflows, particularly concerning medication order management, requires further investigation.
Purpose of the Study:
- To explore clinical pharmacists' experiences with EHRs.
- To identify challenges and facilitators encountered when managing electronic medication orders.
- To understand the implications of EHR usability for pharmacy practice.
Main Methods:
- Qualitative study employing semi-structured interviews.
- Conducted with six clinical pharmacists at a large Swedish University Hospital.
- Thematic analysis was used to interpret interview data.
Main Results:
- Key challenges included navigating complex medication orders, inadequate decision support, and fragmented information systems.
- Facilitators involved improved physician collaboration, enhanced medication safety features, and expanded system permissions.
- Pharmacists reported that while HISs aid safe medication use, significant usability issues persist.
Conclusions:
- Electronic Health Records offer benefits for medication safety and pharmacist roles but present usability challenges.
- Incorporating clinical pharmacists' perspectives is crucial for optimizing EHR design and functionality.
- Further research should focus on improving EHR usability to better support pharmacy practice.
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