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Updated: Jun 12, 2025

Author Spotlight: Workflow for Integrating POCUS Data into EHR for Managing Heart Failure Patients

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Collaboration Routines and Workflows in a National Electronic Prescription System: Qualitative Study.

Kristine Lundhaug¹, Arild Faxvaag², Randi Stokke¹

¹Department of Health Sciences in Gjøvik, Centre for Care Research East, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology (NTNU), Gjøvik, Norway.

Journal of Medical Internet Research

|June 10, 2025

Summary

Electronic prescription (EP) systems streamline physician workflows but increase home care nurses' workload. These systems shift medication management tasks, creating new responsibilities for nurses and impacting healthcare professionals' roles.

Keywords:

delegation e-prescription enabler ethnographic study health professionals mediator sociotechnical system workarounds

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Area of Science:

Health Informatics
Medication Management
Sociotechnical Systems

Background:

Electronic prescription (EP) systems are widely implemented across Europe.
Few studies have examined the impact of EP systems on healthcare professionals (HCPs) across different service levels.

Purpose of the Study:

To explore changes in HCPs' roles, tasks, and responsibilities in medication management.
To analyze the effects of a national EP system implementation in diverse healthcare settings.

Main Methods:

Qualitative study using an ethnographic approach.
Participant observations and 20 individual interviews with HCPs across hospital and home care settings.
Analysis using concepts of delegation and enabler within the sociotechnical system.

Main Results:

Physicians reported satisfaction with EP systems, noting delegation of tasks and improved workflow.
Home care nurses experienced increased workload and challenges, acting as mediators between GPs and pharmacies.
Nurses developed work-arounds to ensure the EP system's functionality and patient safety.

Conclusions:

Norwegian EP systems alter medication management, reducing physician tasks and creating new roles for home care nurses.
The study provides insights into the redistribution of responsibilities due to EP system implementation.
Concepts of delegation and enabler help understand these sociotechnical changes.