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dc.contributor.authorAhmed, Zamzam
dc.contributor.authorJani, Yogini
dc.contributor.authorFranklin, Bryony Dean
dc.identifier.citationAhmed , Z , Jani , Y & Franklin , B D 2018 , ' Qualitative study exploring the phenomenon of multiple electronic prescribing systems within single hospital organisations ' BMC Health Services Research , vol. 18 , no. 1 , pp. 969 .
dc.identifier.otherPURE: 16275088
dc.identifier.otherPURE UUID: dca12487-2049-480d-96e8-451b9f7d23e1
dc.identifier.otherPubMed: 30547779
dc.identifier.otherPubMedCentral: PMC6295095
dc.identifier.otherScopus: 85058570657
dc.description.abstractBACKGROUND: A previous census of electronic prescribing (EP) systems in England showed that more than half of hospitals with EP reported more than one EP system within the same hospital. Our objectives were to describe the rationale for having multiple EP systems within a single hospital, and to explore perceptions of stakeholders about the advantages and disadvantages of multiple systems including any impact on patient safety. METHODS: Hospitals were selected from previous census respondents. A decision matrix was developed to achieve a maximum variation sample, and snowball sampling used to recruit stakeholders of different professional backgrounds. We then used an a priori framework to guide and analyse semi-structured interviews. RESULTS: Ten participants, comprising pharmacists and doctors and a nurse, were interviewed from four hospitals. The findings suggest that use of multiple EP systems was not strategically planned. Three co-existing models of EP systems adoption in hospitals were identified: organisation-led, clinician-led and clinical network-led, which may have contributed to multiple systems use. Although there were some perceived benefits of multiple EP systems, particularly in niche specialities, many disadvantages were described. These included issues related to access, staff training, workflow, work duplication, and system interfacing. Fragmentation of documentation of the patient's journey was a major safety concern. DISCUSSION: The complexity of EP systems' adoption and deficiencies in IT strategic planning may have contributed to multiple EP systems use in the NHS. In the near to mid-term, multiple EP systems may remain in place in many English hospitals, which may create challenges to quality and patient safety.en
dc.relation.ispartofBMC Health Services Research
dc.titleQualitative study exploring the phenomenon of multiple electronic prescribing systems within single hospital organisationsen
dc.contributor.institutionDepartment of Clinical and Pharmaceutical Sciences
dc.contributor.institutionSchool of Life and Medical Sciences
dc.description.statusPeer reviewed
dc.relation.schoolSchool of Life and Medical Sciences
dc.description.versiontypeFinal Published version
rioxxterms.typeJournal Article/Review

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