取消Rx案例研究:对诊所和社区药房工作系统的影响
Taylor L Watterson1, Jamie A Stone2, Peter C Kleinschmidt3
1University of Illinois Chicago College of Pharmacy, Chicago, IL, USA.
BMC health services research
|December 7, 2023
概括
医疗IT工具CancelRx改善了药物停用沟通,但增加了药剂师的工作量,并引入了新的错误. 进一步的研究应该探索其在不同卫生系统的影响.
科学领域:
- 医疗信息学 医疗信息学
- 患者安全 患者安全
- 系统工程 系统工程
背景情况:
- 药物处方和停药是复杂的过程,涉及多个利益相关者和健康IT.
- 取消Rx是一个健康IT系统,旨在改善诊所和药房之间的药物停用沟通.
- 实施发生在一个中西部的学术卫生系统,有15个门诊社区药房.
研究的目的:
- 描述临床和社区药房工作系统的变化及其与药物停用有关的相互作用.
- 评估CancelRx实施对这些流程随着时间的推移的影响.
主要方法:
- 质量研究涉及采访医务助理 (n=9),社区药剂师 (n=12) 和药房管理员 (n=3).
- 采访是在三个时间点进行的:实施前,实施后3个月和实施后9个月.
- 混合分析结合了演性内容分析 (SEIPS框架) 和归纳性分析.
主要成果:
- 在诊所和药房中,CancelRx改变了药物停用过程.
- 临床工作流程和任务发生了变化,而MA的角色和沟通仍然是可变的.
- 药房经历了简化消息处理,但工作量增加和新的错误.
结论:
- 该研究使用系统方法来分析患者网络中的不同系统.
- 未来的研究应该研究医疗IT对系统间通信的影响以及实施决策的作用.
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