设计一种工具，确保老年患者出院后能在正确的时间服用正确的药物——这是参与式设计过程的第一步。
Designing a tool ensuring older patients the right medication at the right time after discharge from hospital- the first step in a participatory design process.
作者信息
Mikkelsen Thorbjørn Hougaard, Søndergaard Jens, Kjær Niels Kristian, Nielsen Jesper Bo, Ryg Jesper, Kjeldsen Lene Juel, Mogensen Christian Backer
机构信息
Emergency Department, Hospital Sønderjylland, Aabenraa, Denmark.
Research Unit of Emergency Medicine, Department of Regional Health Research, University of Southern Denmark, Odense, Denmark.
出版信息
BMC Health Serv Res. 2024 Apr 24;24(1):511. doi: 10.1186/s12913-024-10992-3.
BACKGROUND
On average, older patients use five or more medications daily, increasing the risk of adverse drug reactions, interactions, or medication errors. Healthcare sector transitions increase the risk of information loss, misunderstandings, unclear treatment responsibilities, and medication errors. Therefore, it is crucial to identify possible solutions to decrease these risks. Patients, relatives, and healthcare professionals were asked to design the solution they need.
METHODS
We conducted a participatory design approach to collect information from patients, relatives, and healthcare professionals. The informants were asked to design their take on a tool ensuring that patients received the correct medication after discharge from the hospital. We included two patients using five or more medications daily, one relative, three general practitioners, four nurses from different healthcare sectors, two hospital physicians, and three pharmacists.
RESULTS
The patients' solution was a physical location providing a medication overview, including side effects and interactions. Healthcare professionals suggested different solutions, including targeted and timely information that provided an overview of the patient's diagnoses, treatment and medication. The common themes identified across all sub-groups were: (1) Overview of medications, side effects, and diagnoses, (2) Sharing knowledge among healthcare professionals, (3) Timely discharge letters, (4) Does the shared medication record and existing communication platforms provide relevant information to the patient or healthcare professional?
CONCLUSION
All study participants describe the need for a more concise, relevant overview of information. This study describes elements for further elaboration in future participatory design processes aimed at creating a tool to ensure older patients receive the correct medication at the correct time.
背景
老年患者平均每天使用五种或更多药物，这增加了药物不良反应、相互作用或用药错误的风险。医疗保健部门的过渡增加了信息丢失、误解、治疗责任不明确和用药错误的风险。因此，确定降低这些风险的可能解决方案至关重要。我们要求患者、亲属和医疗保健专业人员设计他们需要的解决方案。
方法
我们采用参与式设计方法从患者、亲属和医疗保健专业人员那里收集信息。我们要求这些信息提供者设计他们心目中的一种工具，以确保患者出院后能正确用药。我们纳入了两名每天使用五种或更多药物的患者、一名亲属、三名全科医生、来自不同医疗保健部门的四名护士、两名医院医生和三名药剂师。
结果
患者提出的解决方案是一个实体场所，能提供药物概述，包括副作用和相互作用。医疗保健专业人员提出了不同的解决方案，包括有针对性且及时的信息，能提供患者诊断、治疗和用药的概述。在所有子群体中确定的共同主题有：（1）药物、副作用和诊断的概述；（2）医疗保健专业人员之间的知识共享；（3）及时的出院小结；（4）共享的用药记录和现有的沟通平台是否能向患者或医疗保健专业人员提供相关信息？
结论
所有研究参与者都表示需要更简洁、相关的信息概述。本研究描述了在未来参与式设计过程中需进一步细化的要素，旨在创建一种工具，以确保老年患者在正确的时间获得正确的药物。
Zotero 插件