Pharmaceutical analysis of inpatient prescriptions: systematic observations of hospital pharmacists' practices in the early user-centered design phase (Preprint) DOI Creative Commons
Jesse Butruille, Natalina Cirnat,

Mariem Alaoui

и другие.

JMIR Human Factors, Год журнала: 2024, Номер 12, С. e65959 - e65959

Опубликована: Ноя. 25, 2024

Abstract Background The health care sector’s digital transformation has accelerated, yet adverse drug events continue to rise, posing significant clinical and economic challenges. Clinical decision support systems (CDSSs), particularly those related medication, are crucial for improving patient care, identifying drug-related problems, reducing events. Hospital pharmacists play a key role in using CDSSs management safety. Human factors ergonomics (HFE) methods essential designing effective, human-centered CDSSs. HFE involves 3 phases—exploration, design, evaluation—with exploration being critical often overlooked the literature. For medication-related CDSSs, understanding hospital pharmacists’ tasks challenges is vital creating user-centered solutions. Objective This study aimed explore actual practices identify needs of analyzing electronic prescriptions. focused on preliminary stage design pharmacist-centered CDSS. Methods involved observing 16 across 5 hospitals mainland France (a university hospital, 2 large general hospitals, smaller specialized clinic). Pharmacists were selected regardless expertise. observation method—systematic situ with shadowing posture—involved following as they analyzed Researchers recorded activities, tools used, verbalizations, behaviors, interruptions, an grid. Data analysis modeling cognitive work, categorizing activities by action type, specificity, information source. Sequential time data distance matrices used generate hierarchical clustering similarity groups among analyses. Each group was described its typical sequences covariates. Results In total, validated prescriptions 140 patients, averaging 5.48 minutes per patient. They spend 91% their searching rather than transmitting it. Most comes from list prescriptions, but it spent medical records (EMRs) that dominates at heart analysis. Pharmaceutical interventions most frequently transmitted last third sequence. pharmaceutical analyses grouped into 4 clusters: (cluster A, 22%) interventionist extensive crossing various sources almost systematic interventions; B, 52%) common focusing EMRs biology results; C, 13%) logistical analysis, pharmacy workflow medication circuit; D, quick, trivial based exclusively Conclusions process complex multifaceted. detectives, accessing wealth discriminate problems respond accordingly. also carry out different types which lead require solutions exploratory prerequisite meeting challenge pharmacists.

Язык: Английский

Pharmaceutical analysis of inpatient prescriptions: systematic observations of hospital pharmacists' practices in the early user-centered design phase (Preprint) DOI Creative Commons
Jesse Butruille, Natalina Cirnat,

Mariem Alaoui

и другие.

JMIR Human Factors, Год журнала: 2024, Номер 12, С. e65959 - e65959

Опубликована: Ноя. 25, 2024

Abstract Background The health care sector’s digital transformation has accelerated, yet adverse drug events continue to rise, posing significant clinical and economic challenges. Clinical decision support systems (CDSSs), particularly those related medication, are crucial for improving patient care, identifying drug-related problems, reducing events. Hospital pharmacists play a key role in using CDSSs management safety. Human factors ergonomics (HFE) methods essential designing effective, human-centered CDSSs. HFE involves 3 phases—exploration, design, evaluation—with exploration being critical often overlooked the literature. For medication-related CDSSs, understanding hospital pharmacists’ tasks challenges is vital creating user-centered solutions. Objective This study aimed explore actual practices identify needs of analyzing electronic prescriptions. focused on preliminary stage design pharmacist-centered CDSS. Methods involved observing 16 across 5 hospitals mainland France (a university hospital, 2 large general hospitals, smaller specialized clinic). Pharmacists were selected regardless expertise. observation method—systematic situ with shadowing posture—involved following as they analyzed Researchers recorded activities, tools used, verbalizations, behaviors, interruptions, an grid. Data analysis modeling cognitive work, categorizing activities by action type, specificity, information source. Sequential time data distance matrices used generate hierarchical clustering similarity groups among analyses. Each group was described its typical sequences covariates. Results In total, validated prescriptions 140 patients, averaging 5.48 minutes per patient. They spend 91% their searching rather than transmitting it. Most comes from list prescriptions, but it spent medical records (EMRs) that dominates at heart analysis. Pharmaceutical interventions most frequently transmitted last third sequence. pharmaceutical analyses grouped into 4 clusters: (cluster A, 22%) interventionist extensive crossing various sources almost systematic interventions; B, 52%) common focusing EMRs biology results; C, 13%) logistical analysis, pharmacy workflow medication circuit; D, quick, trivial based exclusively Conclusions process complex multifaceted. detectives, accessing wealth discriminate problems respond accordingly. also carry out different types which lead require solutions exploratory prerequisite meeting challenge pharmacists.

Язык: Английский

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