The University of Sydney, Faculty of Medicine and Health, Australia.
Australian Institute of Health Innovation, Macquarie University, Australia.
Stud Health Technol Inform. 2021 Nov 8;286:72-76. doi: 10.3233/SHTI210640.
Electronic medication management (eMM) systems can have a significant impact on efficiency and safety. There is limited evidence on the effects of eMM implementation on the physical location of work. The objective of this study was to evaluate the impact of eMM and associated hardware implementation on the location of tasks performed by doctors and nurses. 41.5 hours of observation were conducted in the oncology ward of a paediatric hospital. Tasks, locations and resources used were recorded pre and post eMM implementation. Results showed that a wider variety of locations were used to conduct tasks following eMM implementation. Post-eMM, more tasks were performed in the hallway, where medication trolleys with attached laptops were situated, and in patient rooms where additional computers were installed, providing more opportunities for patient/carer and clinician interaction. The findings from this study reveal the impact that computer placement has on the location of work for doctors and nurses, and the importance of planning hardware placement for eMM implementation.
电子医嘱管理（eMM）系统对效率和安全有重大影响。关于 eMM 实施对工作物理位置的影响，证据有限。本研究的目的是评估 eMM 及相关硬件实施对医生和护士执行任务的位置的影响。在一家儿童医院的肿瘤科病房进行了 41.5 小时的观察。在实施 eMM 之前和之后记录了任务、位置和使用的资源。结果表明，实施 eMM 后，执行任务的地点更多样化。实施 eMM 后，更多的任务在带有笔记本电脑的药物推车所在的走廊和安装了额外电脑的病房中进行，为患者/护理人员和临床医生的互动提供了更多机会。本研究的结果揭示了计算机放置对医生和护士工作地点的影响，以及为 eMM 实施规划硬件放置的重要性。
