Designing for the system, not just the user: a structured systems thinking approach to aligning pharmacy innovations with complex healthcare systems.

The article focuses on the challenges and opportunities in designing digital adverse drug event (ADE) management systems within healthcare. It highlights that while digital tools have the potential to improve medication safety, many existing systems suffer from poor integration with clinical workflo...

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Publicado en:International Journal of Pharmacy Practice Vol. 34; no. 1; pp. 68 - 71
Autores principales: Tagne, Joel Fossouo, Yakob, Reginald Amin, McDonald, Rachael, Wickramasinghe, Nilmini
Formato: Journal Article
Publicado: Oxford University Press / USA Feb2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Feb2026
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      pub: Oxford University Press / USA
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        atl: Designing for the system, not just the user: a structured systems thinking approach to aligning pharmacy innovations with complex healthcare systems.
      aug:
        au:
          Tagne, Joel Fossouo
          Yakob, Reginald Amin
          McDonald, Rachael
          Wickramasinghe, Nilmini
        affil: Centre for Digital Transformation of Health, University of Melbourne, Grattan Street, Parkville, VIC 3010, Australia
      sug:
        subj:
          Pharmacy and Pharmacology
          Systems Analysis
          Health Information Systems
          Decision Support Systems, Clinical
          Medication Errors Prevention and Control
          Adverse Drug Event
          Workflow
          Interprofessional Relations
          Usability Study
          Implementation Science
          Artificial Intelligence Utilization
          United States Centers for Medicare and Medicaid Services
          Policy Making
          Patient Safety
          Electronic Data Interchange
      ab: The article focuses on the challenges and opportunities in designing digital adverse drug event (ADE) management systems within healthcare. It highlights that while digital tools have the potential to improve medication safety, many existing systems suffer from poor integration with clinical workflows and broader healthcare infrastructures, limiting their effectiveness and sustainability. The authors argue for a systems-thinking approach that goes beyond user-centered design to address system-wide alignment, including financial, regulatory, and policy factors, to ensure long-term adoption and impact. Key concepts introduced include "Therapeutic Misalignment," where digital solutions do not fit healthcare contexts, and "Formulation Instability," referring to the failure of solutions to sustain over time without proper governance and funding. The article calls for structured implementation strategies and multi-stakeholder engagement to develop scalable, integrated digital health innovations that enhance patient safety and clinical decision-making.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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