一项定性研究,探讨英国医院中电子处方风险和安全评估 (ePRaSE) 评估的可接受性和可用性
Jude Heed1, Andrew Heed2, Stephanie Klein2
1School of Pharmacy.
Journal of patient safety
|February 10, 2025
概括
电子处方风险和安全评估 (ePRaSE) 工具是评估医院电子处方系统的有用和可接受方法. 建议进行进一步的改进,以提高其优化处方安全的能力.
科学领域:
- 医疗信息学 医疗信息学
- 患者安全 患者安全
- 临床决策支持 临床决策支持
背景情况:
- 医院电子处方 (EP) 系统对于药物安全至关重要.
- 评估EP系统在提供适当的处方建议方面的有效性至关重要.
- 电子处方风险和安全评估 (ePRaSE) 工具是为了帮助评估过程而开发的.
研究的目的:
- 评估ePRaSE工具在英国国家卫生服务 (NHS) 医院的各种电子处方系统中的可用性和可接受性.
- 收集用户反,以对ePRaSE工具进行潜在的改进.
主要方法:
- 使用观察和半结构面试与22家NHS医院的医疗保健专业人员进行定性方法.
- 框架方法用于数据分析.
- 参与者使用经过验证的处方场景和虚构患者与ePRaSE工具进行互动.
主要成果:
- 32名医疗保健专业人员在11个不同的EP系统中发现ePRaSE工具易于使用,并且与临床处方任务相关.
- 参与者报告说,由于电子健康记录访问限制,数据输入,特别是实验室结果存在挑战.
- 改进建议包括捕捉更多临床决策支持功能和收到更详细的绩效反.
结论:
- ePRaSE工具是评估医院EP系统的有价值和可接受的方法.
- 需要进一步开发以改善数据记录和反机制,以充分优化EP系统以提高患者安全.
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