Josendal Anette Vik, Bergmo Trine Strand
Norwegian Centre for E-Health Research, University Hospital of North Norway, 9038 Tromsø, Norway.
Section for Pharmaceutics and Social Pharmacy, Department of Pharmacy, University of Oslo, 0316 Oslo, Norway.
Pharmacy (Basel). 2021 Feb 16;9(1):41. doi: 10.3390/pharmacy9010041.
E-prescribing is now widespread and, in some countries, has completely replaced paper prescriptions. In Norway, almost all prescribing is electronic, except for multidose drug dispensing (MDD), which is still sent to the pharmacy by fax or ordinary mail. MDD is an adherence aid used by one-third of all patients receiving home care services. In this paper, we present results from a qualitative study evaluating the introduction of e-prescribing for MDD in a community health care setting. The focus is on the work and workflow for the pharmacists and nurses involved in the medication-handling process. We used the pragmatic process evaluation framework and the systematic text condensation method to analyse the data. We conducted 12 interviews with 34 nurses and pharmacists. This study shows that the e-prescribing of MDD led to greater integration between systems, both within the existing MDD system and across care levels, potentially improving patient safety. However, the structured prescriptions increased the need for clarifications, resulting in an increased overall workload. A greater understanding of the roles and responsibilities of the different professionals in the medication management chain and their needs would improve the workflow of the nurses and pharmacists involved.
电子处方如今已广泛应用，在一些国家，它已完全取代了纸质处方。在挪威，几乎所有的处方开具都是电子化的，但多剂量药物调配（MDD）除外，MDD仍通过传真或普通邮件发送至药房。MDD是三分之一接受家庭护理服务的患者所使用的一种依从性辅助工具。在本文中，我们展示了一项定性研究的结果，该研究评估了在社区医疗环境中引入MDD电子处方的情况。重点关注参与药物处理过程的药剂师和护士的工作及工作流程。我们使用务实的过程评估框架和系统文本浓缩方法来分析数据。我们对34名护士和药剂师进行了12次访谈。这项研究表明，MDD电子处方使系统之间实现了更大程度的整合，包括在现有的MDD系统内部以及不同护理层面之间，这有可能提高患者安全。然而，结构化处方增加了澄清需求，导致总体工作量增加。更好地理解药物管理链中不同专业人员的角色和职责以及他们的需求，将改善相关护士和药剂师的工作流程。
