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Improving IV Insulin Administration in a Community Hospital
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Implications on Work Practices for Mental Health Care Workers Using an Electronic Medication Management System.

Kjersti Zakariassen Fosse1, Pieter Jelle Toussaint1, Gunnar Ellingsen2

  • 1Norwegian University of Science and Technology, Norway.

Studies in Health Technology and Informatics
|May 17, 2025
PubMed
Summary

Implementing a new Electronic Health Record (EHR) system, Epic, made medication management more time-consuming for mental health clinicians but also increased their sense of safety.

Keywords:
Implementationelectronic medication managementwork practices

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Area of Science:

  • Health Informatics
  • Mental Health Services
  • Clinical Practice

Background:

  • The integration of Electronic Health Records (EHR) into clinical workflows is transforming healthcare delivery.
  • Mental health settings present unique challenges for implementing new health information technologies.
  • Electronic Medication Management Systems (EMMS) are increasingly adopted to improve medication safety and efficiency.

Purpose of the Study:

  • To investigate the impact of implementing the Epic EHR and its associated Electronic Medication Management System (EMMS) on the work practices of mental health clinicians.
  • To identify the key challenges and benefits experienced by clinicians during the transition to the new system.

Main Methods:

  • A case study approach was employed to examine the implementation process.
  • Qualitative data collection methods were likely used to understand clinician experiences (specifics not provided in abstract).
  • Analysis focused on changes in work practices and perceptions of safety and efficiency.

Main Results:

  • The implementation of the new EMMS resulted in work becoming more time-consuming for clinicians.
  • Despite the increased time demand, clinicians perceived the new EMMS as enhancing medication safety.
  • The study identified a trade-off between efficiency and perceived safety.

Conclusions:

  • The adoption of new EHR and EMMS in mental health care necessitates workflow adjustments.
  • While efficiency may be initially impacted, the perceived increase in safety is a significant positive outcome.
  • Further research may be needed to optimize EMMS use for both safety and efficiency in mental health settings.