The impact of closed-loop electronic medication management on time to first dose: a comparative study between paper and digital hospital environments

Austin, Jodie A; Smith, Ian; Tariq, Amina

doi:10.1111/ijpp.12432

Cited by 24 publications

(14 citation statements)

References 12 publications

(38 reference statements)

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“…Based on the present study and earlier data [4,19] ADCs can improve the medication process by bringing the medicines near the patients, offering real-time stock control and helping to ensure with barcode scanning that the right medicine has been retrieved. ADCs have also an essential role in building the closed loop medication system which allows the real-time documentation of medication and patient information [20,21].…”

Section: Discussionmentioning

confidence: 99%

Nurses´ perceptions of automated dispensing cabinets – an observational study and an online survey

et al. 2020

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Background: Thirty-two automated dispensing cabinets (ADCs) were introduced in May 2015 in Kuopio University Hospital, Finland. These medication distribution systems represent relatively new technology in Europe and are aimed at rationalising the medication process and improving patient safety. Nurses are the end-users of ADCs, and it is therefore important to survey their perceptions of ADCs. Our aim was to investigate nurses' perceptions of ADCs and the impacts of ADCs on nurses' work. Methods: The study was conducted in the Anaesthesia and Surgical Unit (OR) and Intensive Care Unit (ICU), of a tertiary care hospital, in Finland. We used two different research methods: observation and a survey. The observational study consisted of two 5-day observation periods in both units, one before (2014) and the other after (2016) the introduction of ADCs. An online questionnaire was distributed to 346 nurses in April 2017. The data were analysed using descriptive statistics including frequencies and percentages and the Chi-Square test.Results: The majority (n = 68) of the 81 respondents were satisfied with ADCs. Attitudes to ADCs were more positive in the ICU than in the OR. Nearly 80% of the nurses in the ICU and 42% in the OR found that ADCs make their work easier. The observational study revealed that in the OR, time spent on dispensing and preparing medications decreased on average by 32 min per 8-h shift and more time was spent on direct patient care activities. The need to collect medicines from outside the operating theatre during an operation was less after the introduction of ADCs than before that. Some resistance to change was observed in the OR in the form of non-compliance with some instructions; nurses took medicines from ADCs when someone else was logged in and the barcode was not always used. The results of the survey support these findings.Conclusions: Overall, nurses were satisfied with ADCs and stated that they make their work easier. In the ICU, nurses were more satisfied with ADCs and complied with the instructions better than the nurses in the OR. One reason for that can be the more extensive pilot period in the ICU.

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Section: Discussionmentioning

confidence: 99%

Nurses´ perceptions of automated dispensing cabinets – an observational study and an online survey

et al. 2020

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“…BİT'nin hasta ve çalışan yararına kullanıldığı hastaneler dijital hastane olarak nitelendirilmektedir (Austin, Smith, & Tariq, 2018). Dijital hastane uygulamaları, personel verimliliği ve hizmet sunum kalitesini arttırmayı, hasta güvenliğini sağlamayı amaçlayan sistemler bütünüdür (Sligo vd., 2017, s. 88).…”

Section: Introductionunclassified

SAĞLIK BİLİŞİMİ ve TÜRKİYE’DE HASTANELERİN DİJİTALLEŞMESİ

Peker

Gıersbergen

Biçersoy³

2018

Sağlık Akademisi Kastamonu

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Achieving a healthy and developed community goal is only possible with a wellorganized health system Health information systems have a great importance in the creation of a well-organized health care system. Today, the use of computers, internet and communication technologies has become widespread in every field of life. Along with the widespread use of information communication technologies, it provides great convenience in business and private lives of people and in different service areas of institutions. Institutions in health sector have to make use of information technology and health information systems in decision-making process for health services. Health informatics is defined as the provision of knowledge management in the fields of health sciences using advanced information communication technologies. The hospitals where information communication systems are used for patients and employees are described as digital hospitals. Assessment of hospitality digitalizations is made by the internationally accredited accreditation body,Health Information Management Systems Society. The digitalization process of the institutions that provide health services in our country has started within the scope of the health transformation project of the Ministry of Health In order that changes digitalization process brings to healthcare system can be adopted and sustained by particularly health professionals and all stakeholders, a clear understanding of all the components of the process is required. The purpose of this compilation is to investigate the status of digitalization in Turkey's hospital within the framework of health informatics.

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“…This needs to be addressed, but we see positive signs in medication safety. The utility of barcode-assisted medication administration (BCMA) has been recognised in previous studies [ 9 , 10 , 34 ].…”

Section: Discussionmentioning

confidence: 99%

“…Closed-loop Electronic Medication Management Systems (EMMS) have been seen as a potential technology to prevent medication errors and enhance the quality of the medication process, although the research on them is still limited [ 9 , 10 ]. Electronic medication management is a broad term covering all computer systems involved: it refers to a closed-loop system that encompasses prescribing, administration, pharmacy verification, smart infusion pumps, automated dispensing cabinets, barcode medication administration, and anything that has electronic medicine datasets or encompasses medication management processes [ 11 , 12 ].…”

Section: Introductionmentioning

confidence: 99%

Implementing a New Electronic Health Record System in a University Hospital: The Effect on Reported Medication Errors

et al. 2022

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Closed-loop electronic medication management systems (EMMS) have been seen as a potential technology to prevent medication errors (MEs), although the research on them is still limited. The aim of this paper was to describe the changes in reported MEs in Helsinki University Hospital (HUS) during and after implementing an EPIC-based electronic health record system (APOTTI), with the first features of a closed-loop EMMS. MEs reported from January 2018 to May 2021 were analysed to identify changes in ME trends with quantitative analysis. Severe MEs were also analysed via qualitative content analysis. A total of 30% (n = 23,492/79,272) of all reported patient safety incidents were MEs. Implementation phases momentarily increased the ME reporting, which soon decreased back to the earlier level. Administration and dispensing errors decreased, but medication reconciliation, ordering, and prescribing errors increased. The ranking of the TOP 10 medications related to MEs remained relatively stable. There were 92 severe MEs related to APOTTI (43% of all severe MEs). The majority of these (55%, n = 53) were related to use and user skills, 24% (n = 23) were technical failures and flaws, and 21% (n = 21) were related to both. Using EMMS required major changes in the medication process and new technical systems and technology. Our medication-use process is approaching a closed-loop system, which seems to provide safer dispensing and administration of medications. However, medication reconciliation, ordering, and prescribing still need to be improved.

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The impact of closed-loop electronic medication management on time to first dose: a comparative study between paper and digital hospital environments

Cited by 24 publications

References 12 publications

Nurses´ perceptions of automated dispensing cabinets – an observational study and an online survey

Nurses´ perceptions of automated dispensing cabinets – an observational study and an online survey

SAĞLIK BİLİŞİMİ ve TÜRKİYE’DE HASTANELERİN DİJİTALLEŞMESİ

Implementing a New Electronic Health Record System in a University Hospital: The Effect on Reported Medication Errors

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