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Engineering Resilient Community Pharmacies for Chronic Care Management: Protocol for the Development of a Medication
Michelle A Chui1, Maria E Berbakov2, Aaron M Gilson2,3
1Chui SAMS (Systems Approach to Medication Safety) Lab, School of Nursing, University of Wisconsin-Madison, Madison, WI, United States.
This study introduces the Medication Safety Map (MedSafeMap) to enhance chronic care management (CCM) in community pharmacies. MedSafeMap aims to improve medication safety and resilience for patients with complex health conditions.
Area of Science:
- Health Services Research
- Human Factors Engineering
- Pharmacy Practice
Background:
- Increasing complex chronic health conditions strain US healthcare.
- Community pharmacies are vital for safe medication use in chronic care management (CCM).
- Workplace demands and system barriers hinder medication safety in pharmacies.
Purpose of the Study:
- To develop and evaluate a CCM system supporting safe medication use.
- To create and assess the Medication Safety Map (MedSafeMap) for patients with complex chronic conditions.
- To identify pharmacy work system requirements, design MedSafeMap, and pilot its impact on staff.
Main Methods:
- Utilizing participatory design and human factors engineering.
- Conducting qualitative observations and interviews to define system requirements.
- Developing MedSafeMap through stakeholder engagement and simulation testing.
Main Results:
- Recruited 6 pharmacy sites; completed 3 observation rounds and 2 interview rounds.
- Conducted 6 focus groups with pharmacists and technicians.
- Ongoing preparations for simulation-based testing of MedSafeMap components.
Conclusions:
- MedSafeMap offers an innovative strategy for pharmacists and technicians.
- It guides safe care for patients with complex chronic conditions.
- MedSafeMap facilitates navigation of complex care coordination tasks.
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