Odukoya Olufunmilola K, Stone Jamie A, Chui Michelle A
J Am Pharm Assoc (2003). 2015 Jan-Feb;55(1):52-8. doi: 10.1331/JAPhA.2015.13239.
To explore barriers and facilitators to recovery from e-prescribing errors in community pharmacies and to explore practical solutions for work system redesign to ensure successful recovery from errors.
Cross-sectional qualitative design using direct observations, interviews, and focus groups.
Five community pharmacies in Wisconsin.
13 pharmacists and 14 pharmacy technicians.
Observational field notes and transcribed interviews and focus groups were subjected to thematic analysis guided by the Systems Engineering Initiative for Patient Safety (SEIPS) work system and patient safety model.
Barriers and facilitators to recovering from e-prescription errors in community pharmacies.
Organizational factors, such as communication, training, teamwork, and staffing levels, play an important role in recovering from e-prescription errors. Other factors that could positively or negatively affect recovery of e-prescription errors include level of experience, knowledge of the pharmacy personnel, availability or usability of tools and technology, interruptions and time pressure when performing tasks, and noise in the physical environment.
The SEIPS model sheds light on key factors that may influence recovery from e-prescribing errors in pharmacies, including the environment, teamwork, communication, technology, tasks, and other organizational variables. To be successful in recovering from e-prescribing errors, pharmacies must provide the appropriate working conditions that support recovery from errors.
探讨社区药房电子处方错误恢复的障碍和促进因素，并探索重新设计工作系统的切实可行方案，以确保从错误中成功恢复。
采用直接观察、访谈和焦点小组的横断面定性设计。
威斯康星州的五家社区药房。
13名药剂师和14名药房技术员。
观察现场记录以及转录的访谈和焦点小组内容，在患者安全系统工程倡议（SEIPS）工作系统和患者安全模型的指导下进行主题分析。
社区药房从电子处方错误中恢复的障碍和促进因素。
组织因素，如沟通、培训、团队合作和人员配备水平，在从电子处方错误中恢复方面发挥着重要作用。其他可能对电子处方错误恢复产生正面或负面影响的因素包括经验水平、药房人员的知识、工具和技术的可用性或易用性、执行任务时的干扰和时间压力，以及物理环境中的噪音。
SEIPS模型揭示了可能影响药房电子处方错误恢复的关键因素，包括环境、团队合作、沟通、技术、任务和其他组织变量。为了成功从电子处方错误中恢复，药房必须提供支持从错误中恢复的适当工作条件。
