Eickhoff Christiane, Müller Uta, Strunz Ann Kathrin, Seidling Hanna M, Lampert Anette, Felberg Miriam, Breiholz Sabine, Klintworth Dirk, Schulz Martin
Geschäftsbereich Arzneimittel, ABDA - Bundesvereinigung Deutscher Apothekerverbände e. V., Berlin.
Klinische Pharmakologie und Pharmakoepidemiologie, Kooperationseinheit Klinische Pharmazie, Universitätsklinikum Heidelberg.
Dtsch Med Wochenschr. 2019 Sep;144(18):e114-e120. doi: 10.1055/a-0859-5862. Epub 2019 Mar 29.
A complete overview on the patient's medication is one precondition for medication safety. For this, a complete and current medication plan (MP) is an appropriate instrument. We aimed to develop and implement software to evaluate and exchange medication plans in local software systems of general practitioners (GPs) and community pharmacies (CPs). Furthermore, it was the aim to evaluate feasibility and acceptance of the defined processes.
CPs and GPs were involved to pilot the software in several steps. Additionally, they generated and updated MP according to pre-defined processes and responsibilities. Feasibility and acceptance were evaluated in a survey and a workshop.
For the first time in Germany, the technical requirements were established to generate and exchange MP electronically. Four software systems of CPs and one software system of GPs were involved. Solved Problems were technical errors, errors relevant for medication safety, differences in display of the medication data, and limited capacity of the barcode on the MP printout. Eleven GP and CP teams recruited 196 patients. 60 % were satisfied with the defined processes. 80 % of the GPs and 63 % of CPs agreed with the defined responsibilities. GPs considered the initial compilation on patient's medication in the CP as useful. The professional exchange between GPs and CPs improved: 70 % of GPs referred to increased knowledge on medication and 88 % of CPs received more information on patients' health conditions. The structured collaboration between GPs and CPs was considered to be important (25 %) or very important (75 %) for the quality of medication plans.
An electronic MP was successfully implemented for the first time in local software systems. Processes and responsibilities were accepted by both professions. These are important prerequisites for sustainably implementing the MP in daily practice.
全面了解患者的用药情况是用药安全的一个前提条件。为此，一份完整且最新的用药计划（MP）是一种合适的工具。我们旨在开发并实施软件，以在全科医生（GPs）和社区药房（CPs）的本地软件系统中评估和交换用药计划。此外，目的还在于评估所定义流程的可行性和可接受性。
CPs和GPs分几个步骤参与软件试用。此外，他们根据预定义的流程和职责生成并更新MP。通过一项调查和一次研讨会对可行性和可接受性进行评估。
在德国首次确立了以电子方式生成和交换MP的技术要求。涉及四个CPs的软件系统和一个GPs的软件系统。解决的问题有技术错误、与用药安全相关的错误、用药数据显示的差异以及MP打印件上条形码的容量有限。11个GP和CP团队招募了196名患者。60%的人对所定义的流程感到满意。80%的GPs和63%的CPs认同所定义的职责。GPs认为在CP中对患者用药进行的初始汇编很有用。GPs和CPs之间的专业交流得到了改善：70%的GPs提到用药知识有所增加，88%的CPs收到了更多关于患者健康状况的信息。GPs和CPs之间的结构化协作被认为对用药计划的质量很重要（25%）或非常重要（75%）。
电子MP首次在本地软件系统中成功实施。两个专业都接受了流程和职责。这些是在日常实践中可持续实施MP的重要前提条件。
