From Paper to E-Prescribing of Multidose Drug Dispensing: A Qualitative Study of Workflow in a Community Care Setting
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...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-02-01
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| Series: | Pharmacy |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2226-4787/9/1/41 |
| _version_ | 1797396358252986368 |
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| author | Anette Vik Josendal Trine Strand Bergmo |
| author_facet | Anette Vik Josendal Trine Strand Bergmo |
| author_sort | Anette Vik Josendal |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-03-09T00:50:05Z |
| format | Article |
| id | doaj.art-f7312af52d71478ea0e78f1b8998a824 |
| institution | Directory Open Access Journal |
| issn | 2226-4787 |
| language | English |
| last_indexed | 2024-03-09T00:50:05Z |
| publishDate | 2021-02-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Pharmacy |
| spelling | doaj.art-f7312af52d71478ea0e78f1b8998a8242023-12-11T17:18:52ZengMDPI AGPharmacy2226-47872021-02-01914110.3390/pharmacy9010041From Paper to E-Prescribing of Multidose Drug Dispensing: A Qualitative Study of Workflow in a Community Care SettingAnette Vik Josendal0Trine Strand Bergmo1Norwegian Centre for E-Health Research, University Hospital of North Norway, 9038 Tromsø, NorwayNorwegian Centre for E-Health Research, University Hospital of North Norway, 9038 Tromsø, NorwayE-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.https://www.mdpi.com/2226-4787/9/1/41e-prescribingmultidose drug dispensingcommunity careinterviewsnursespharmacists |
| spellingShingle | Anette Vik Josendal Trine Strand Bergmo From Paper to E-Prescribing of Multidose Drug Dispensing: A Qualitative Study of Workflow in a Community Care Setting Pharmacy e-prescribing multidose drug dispensing community care interviews nurses pharmacists |
| title | From Paper to E-Prescribing of Multidose Drug Dispensing: A Qualitative Study of Workflow in a Community Care Setting |
| title_full | From Paper to E-Prescribing of Multidose Drug Dispensing: A Qualitative Study of Workflow in a Community Care Setting |
| title_fullStr | From Paper to E-Prescribing of Multidose Drug Dispensing: A Qualitative Study of Workflow in a Community Care Setting |
| title_full_unstemmed | From Paper to E-Prescribing of Multidose Drug Dispensing: A Qualitative Study of Workflow in a Community Care Setting |
| title_short | From Paper to E-Prescribing of Multidose Drug Dispensing: A Qualitative Study of Workflow in a Community Care Setting |
| title_sort | from paper to e prescribing of multidose drug dispensing a qualitative study of workflow in a community care setting |
| topic | e-prescribing multidose drug dispensing community care interviews nurses pharmacists |
| url | https://www.mdpi.com/2226-4787/9/1/41 |
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