国家电子处方系统中的协作程序和工作流程:定性研究
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
概括
电子处方 (EP) 系统简化了医生的工作流程,但增加了家庭护理护士的工作量. 这些系统转移了药物管理任务,为护士创造了新的责任,并影响了医疗保健专业人员的角色.
科学领域:
- 医疗信息学 医疗信息学
- 药物管理 药物管理
- 社会技术系统 社会技术系统
背景情况:
- 电子处方 (EP) 系统在欧洲广泛实施.
- 很少有研究研究了EP系统在不同服务层面对医疗保健专业人员 (HCP) 的影响.
研究的目的:
- 探索医疗保健人员在药物管理中的角色,任务和责任的变化.
- 分析国家EP系统在不同医疗保健机构的实施的影响.
主要方法:
- 使用民族学方法进行定性研究.
- 参与者观察和20个个人采访与医院和家庭护理机构的医疗保健工作者.
- 在社会技术系统中使用委托和启用者的概念进行分析.
主要成果:
- 医生们对EP系统表示满意,并指出了任务的授权和工作流程的改善.
- 家庭护理护士经历了增加的工作量和挑战,在全科医生和药房之间担任调解员.
- 护士制定了解决方案,以确保EP系统的功能和患者安全.
结论:
- 挪威的EP系统改变了药物管理,减少了医生的任务,并为家庭护理护士创造了新的角色.
- 该研究提供了由于EP系统实施而导致的责任重新分配的见解.
- 委托和启用者的概念有助于理解这些社会技术变化.
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