Effects of an electronic medication management system on pharmacists' work in a paediatric hospital.

Background: Many studies have explored the effect of electronic medication management systems (EMMS) on doctors' and nurses' work, but few have focused specifically on pharmacists' work. Aim: This study examined how implementation of a commercial EMMS affected the work of pharmacists in an Australia...

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Publicado en:Journal of Pharmacy Practice & Research Vol. 49; no. 4; pp. 317 - 324
Autores principales: Baysari, Melissa T., Hardie, Rae‐Anne, Barclay, Peter, Westbrook, Johanna I.
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Aug2019
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Aug2019
      vid: 49
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1002/jppr.1507
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        atl: Effects of an electronic medication management system on pharmacists' work in a paediatric hospital.
      aug:
        au:
          Baysari, Melissa T.
          Hardie, Rae‐Anne
          Barclay, Peter
          Westbrook, Johanna I.
        affil: Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, Macquarie University, Sydney Australia
      sug:
        subj:
          Pharmacist Attitudes Evaluation
          Electronic Health Records Australia
          Medication Management Australia
          Medication Systems Australia
          Systems Implementation Australia
          Hospitals, Pediatric Australia
          Workload Australia
          Human
          Australia
          Semi-Structured Interview
          Inpatients
          Outpatients
          Oncologists
          Task Performance and Analysis
          Nurse Attitudes
          Health Information
          Support, Psychosocial
          Workflow
      ab: Background: Many studies have explored the effect of electronic medication management systems (EMMS) on doctors' and nurses' work, but few have focused specifically on pharmacists' work. Aim: This study examined how implementation of a commercial EMMS affected the work of pharmacists in an Australian paediatric hospital. In particular, the study investigated whether any pharmacy tasks changed or were eliminated, or whether new tasks emerged following EMMS introduction. Methods: Two rounds of semistructured interviews with pharmacists, one 4 months and the other 1 year after EMMS implementation, were conducted. In total, 17 pharmacists were interviewed, comprising inpatient, outpatient and oncology pharmacists, as well as pharmacy managers. Results: EMMS implementation eliminated a small number of tasks, changed some tasks and created many new work tasks for pharmacists. These new tasks included helping doctors and nurses to use the EMMS, duplicated data entry and the review of additional information. Pharmacists held the view that their workload had increased and that additional pharmacists were necessary to cope with the new work requirements associated with the EMMS. Some problems were perceived to be the result of implementation of a US‐designed EMMS that did not fully support Australian pharmacy workflows. Conclusion: Implementation of an EMMS in a paediatric hospital affected pharmacists' work in a variety of ways, predominately by introducing new tasks. Anticipating how workflows will change with EMMS implementation is challenging. Undertaking regular reviews of workflow and planning for an increased burden on pharmacy staff is likely to improve the transition from paper to electronic medication management.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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