Alanazi Sarah M, Alanazi Abdullah T
College of Public Health and Health Informatics, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, SAU.
Health Informatics, King Abdullah International Medical Research Center, Riyadh, SAU.
Cureus. 2024 Sep 7;16(9):e68865. doi: 10.7759/cureus.68865. eCollection 2024 Sep.
A pharmacy information system (PIS) is a crucial tool for preventing errors and enhancing patient safety. This study aims to assess the influence of a PIS on workflow and medication errors (MEs) within the pharmacy department of a medical city in Saudi Arabia. The analysis encompasses an evaluation of the current workflow within pharmacy modules (in-patient, out-patient, and clinical pharmacy modules) and an exploration of associated challenges and inefficiencies.
The study employed both qualitative and quantitative methodologies, incorporating structured interview techniques and the review of system records, such as logs, incident reports, and ME databases.
Respondents recognized the benefits of the PIS, including the management of high-quality real-time data (26%), reduction of MEs (25%), acceleration of healthcare practices (23%), and absence of space-time constraints (14%). The study highlighted the role of PIS in addressing medication stock control and shortage issues, thereby improving overall medication availability. Furthermore, PIS significantly enhanced safety (93.3%), efficiency (80%), reliability, accuracy, ease of use (56.7%, 56.7%), and cost-effectiveness (53.7%). Following the implementation of the PIS, there was an increase in ME reporting, indicating improved error detection and management.
The research revealed an increase in ME reporting rates in hospitals after PIS installation, attributed to improved medication management processes resulting in higher detection rates. As healthcare facilities increasingly embrace electronic medical records, the understanding of patient care quality will be significantly impacted. Consequently, further research is warranted to explore the role of PIS in reporting, detecting, analyzing, and mitigating MEs, as well as their influence on the work environment to promote a secure and efficient patient journey.
药房信息系统(PIS)是预防差错和提高患者安全的关键工具。本研究旨在评估PIS对沙特阿拉伯一座医疗城药房部门工作流程和用药差错(MEs)的影响。分析包括对药房各模块(住院、门诊和临床药房模块)当前工作流程的评估,以及对相关挑战和低效情况的探索。
该研究采用了定性和定量方法,结合了结构化访谈技术以及对系统记录(如日志、事件报告和ME数据库)的审查。
受访者认识到PIS的益处,包括高质量实时数据管理(26%)、用药差错减少(25%)、医疗实践加速(23%)以及不受时空限制(14%)。该研究强调了PIS在解决药品库存控制和短缺问题方面的作用,从而提高了整体药品可及性。此外,PIS显著提高了安全性(93.3%)、效率(80%)、可靠性、准确性、易用性(56.7%,56.7%)和成本效益(53.7%)。PIS实施后,用药差错报告有所增加,表明差错检测和管理得到改善。
研究表明,安装PIS后医院的用药差错报告率有所上升,这归因于用药管理流程的改善导致更高的检测率。随着医疗机构越来越多地采用电子病历,对患者护理质量的理解将受到重大影响。因此,有必要进一步研究PIS在报告、检测、分析和减轻用药差错方面的作用,以及它们对工作环境的影响,以促进安全高效的患者就医过程。