Hardie Rae-Anne, Baysari Melissa T, Lake Rebecca, Richardson Lauren, McCullagh Cheryl, Westbrook Johanna I
Australian Institute of Health Innovation, Macquarie University Australia.
The Sydney Children's Hospitals Network Australia.
Stud Health Technol Inform. 2017;239:41-47.
The roll-out of a hospital-wide electronic medication management system (eMMS) is a challenging task, requiring planning, coordination, communication and change management. This research aimed to explore the views of doctors and nurses about the strategy used to implement an eMM system in a paediatric hospital. Semi-structured interviews were performed during the first week of the implementation on each ward, and were then followed up three and six weeks post implementation. In total, 90 users (60 nurses and 30 doctors) were asked about their impressions of the implementation, as well as their perceptions of training and IT support. Qualitative thematic analysis was performed by three researchers. Most users perceived the implementation of the eMM to be positive overall. Although perceptions of the implementation process remained largely consistent across the six weeks, users identified several areas where improvements were needed, especially early in implementation, including resources, planning, roll-out strategy and training. These findings are useful for future implementations of eMM systems in paediatric hospitals.
在全院范围内推行电子药物管理系统(eMMS)是一项具有挑战性的任务,需要进行规划、协调、沟通和变革管理。本研究旨在探讨医生和护士对在一家儿科医院实施eMM系统所采用策略的看法。在实施的第一周,对每个病房进行了半结构化访谈,然后在实施后的三周和六周进行了跟进。总共询问了90名用户(60名护士和30名医生)对实施情况的印象,以及他们对培训和信息技术支持的看法。由三名研究人员进行了定性主题分析。大多数用户认为eMM的实施总体上是积极的。尽管在六周内对实施过程的看法基本保持一致,但用户指出了几个需要改进的方面,特别是在实施初期,包括资源、规划、推行策略和培训。这些发现对未来儿科医院实施eMM系统很有帮助。