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[通过基于机器的药品泡罩包装和MediMan链接平台改善患者护理以及药房与护理服务之间的协作效率:一项案例研究]

[Improved patient care and more efficient collaboration between pharmacies and nursing services through machine-based medication blistering and the MediMan linking platform: a case study].

作者信息

Kajüter Patricia, Behne Alina, Teuteberg Frank

机构信息

Fachgebiet "Unternehmensrechnung und Wirtschaftsinformatik", Universität Osnabrück, Osnabrück, Deutschland.

出版信息

HMD Prax Wirtsch Inform. 2023;60(1):173-192. doi: 10.1365/s40702-022-00879-4. Epub 2022 May 27.

Abstract

People in need of care often cannot put together their own medication, so this is done by trained specialist staff from outpatient care services. This process is prone to errors, because the medications are often put together manually by the nursing staff during the night shift. This can lead to risks such as double medication and unconsidered interactions of different medications. In addition, this process is not resource-efficient and is not sustainable due to the already existing shortage of skilled personnel. Due to the comparatively low level of digital linking in the German healthcare system, there is further need for improvement in interprofessional collaboration between pharmacies, nursing services, blister centers and doctors' practices. The aim of this paper is therefore to show which findings and areas of action can be derived from a case study on the digital linking platform MediMan and how, in this context, machine-based medication blistering can help to guide interprofessional collaboration between pharmacies, nursing services, blister centers and doctors' practices through safe and efficient patient care. A process model based on expert interviews and focus groups with stakeholders from the healthcare sector is used to show the potentials that arise from automated blistering in combination with a networking platform. As a result, eight findings and areas for action can be derived, which are presented in more detail in this article: (1) Process simplification, (2) platform testing, (3) coordination requirements, (4) employee integration and training, (5) information dissemination, (6) remuneration regulations, (7) interface to the enterprise resource planning system, as well as (8) interoperability and telematics infrastructure.

摘要

需要护理的人往往无法自行配药,因此这一工作由门诊护理服务的专业培训人员完成。这一过程容易出错,因为药品通常是夜班护理人员手动配装的。这可能导致诸如重复用药以及不同药物间未考虑到的相互作用等风险。此外,由于现有技术人员短缺,这一过程缺乏资源效率且不可持续。由于德国医疗系统中的数字连接水平相对较低,药房、护理服务机构、泡罩包装中心和医生诊所之间的跨专业协作还有进一步改进的空间。因此,本文旨在展示从数字连接平台MediMan的案例研究中可以得出哪些发现和行动领域,以及在这种背景下,基于机器的药品泡罩包装如何通过安全高效的患者护理来促进药房、护理服务机构、泡罩包装中心和医生诊所之间的跨专业协作。基于与医疗保健部门利益相关者进行的专家访谈和焦点小组讨论建立了一个流程模型,以展示自动化泡罩包装与网络平台相结合所产生的潜力。结果得出了八项发现和行动领域,本文将更详细地介绍这些内容:(1)流程简化,(2)平台测试,(3)协调要求,(4)员工融入与培训,(5)信息传播,(6)薪酬规定,(7)与企业资源规划系统的接口,以及(8)互操作性和远程信息处理基础设施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a86/9136781/10cc32c41cb0/40702_2022_879_Fig1_HTML.jpg

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