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实施电子健康技术:改变工作方式以减少用药错误的必要性。

Implementing eHealth Technologies: The Need for Changed Work Practices to Reduce Medication Errors.

作者信息

Dyb Kari, Warth Line Lundvoll

机构信息

Norwegian Centre for E-health Research, P.O. Box 35, N-9038 Tromsø, Norway.

University of Tromsø, The Arctic University of Norway, N-9019 Tromsø, Norway.

出版信息

Stud Health Technol Inform. 2019 Jul 4;262:83-86. doi: 10.3233/SHTI190022.

DOI:10.3233/SHTI190022
PMID:31349271
Abstract

Medication errors are a significant health problem and a serious threat to patient safety. In Norway, an estimated one-third of the elderly population has been exposed to potentially inappropriate medications. The Norwegian government has assumed a pivotal role in reducing medication errors and providing safer medication management for its citizens, particularly through the national eHealth system's e-prescription and Summary Care Record. In the present study, we depart from the governmental eHealth initiatives and examine why access to pharmaceutical information is not sufficient to solve the problem with medication errors. Empirical data were collected from 2015 to 2019 through the conduction of 56 qualitative interviews that were transcribed, thematically coded and analysed. The results illustrate how eHealth systems are helpful, at the same time, we emphasise changed work practices and professional knowledge-sharing as a basis for solving the issue of medication errors.

摘要

用药错误是一个重大的健康问题,对患者安全构成严重威胁。在挪威,估计有三分之一的老年人口接触过潜在不适当的药物。挪威政府在减少用药错误和为其公民提供更安全的药物管理方面发挥了关键作用,特别是通过国家电子健康系统的电子处方和总结护理记录。在本研究中,我们背离了政府的电子健康倡议,探讨为什么获取药品信息不足以解决用药错误问题。通过进行56次定性访谈收集了2015年至2019年的实证数据,这些访谈进行了转录、主题编码和分析。结果说明了电子健康系统是如何有帮助的,同时,我们强调改变工作实践和专业知识共享是解决用药错误问题的基础。

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