User Perceptions of the Implementation of an Electronic Medication Management System in a Paediatric Setting

The roll-out of a hospital-wide electronic medication management system (eMMS) is a challenging task, requiring planning, coordination, communication and change management. This research aimed to explore the views of doctors and nurses about the strategy used to implement an eMM system in a paediatric hospital. Semi-structured interviews were performed during the first week of the implementation on each ward, and were then followed up three and six weeks post implementation. In total, 90 users (60 nurses and 30 doctors) were asked about their impressions of the implementation, as well as their perceptions of training and IT support. Qualitative thematic analysis was performed by three researchers. Most users perceived the implementation of the eMM to be positive overall. Although perceptions of the implementation process remained largely consistent across the six weeks, users identified several areas where improvements were needed, especially early in implementation, including resources, planning, roll-out strategy and training. These findings are useful for future implementations of eMM systems in paediatric hospitals.

[1]  Fleur Fritz,et al.  Success criteria for electronic medical record implementations in low-resource settings: a systematic review , 2015, J. Am. Medical Informatics Assoc..

[2]  Ingrid M. Nembhard,et al.  A mixed methods study of how clinician ‘super users’ influence others during the implementation of electronic health records , 2015, BMC Medical Informatics and Decision Making.

[3]  Johanna I. Westbrook,et al.  Implementation of electronic medication management systems in hospitals: a literature scan , 2016 .

[4]  Janita F. J. Vos,et al.  Implementing electronic health records in hospitals: a systematic literature review , 2014, BMC Health Services Research.

[5]  Jeremiah Scholl,et al.  A case study of an EMR system at a large hospital in India: Challenges and strategies for successful adoption , 2011, J. Biomed. Informatics.

[6]  Jennifer L. Zinn,et al.  Perioperative nurses' attitudes toward the electronic health record. , 2015, Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses.

[7]  J. Ash,et al.  Effect of computerized prescriber order entry on pharmacy: experience of one health system. , 2015, American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists.

[8]  D. Handel,et al.  Implementing electronic health records in the emergency department. , 2010, The Journal of emergency medicine.

[9]  Christoph U. Lehmann,et al.  Stepped-wedge cluster randomised controlled trial to assess the effectiveness of an electronic medication management system to reduce medication errors, adverse drug events and average length of stay at two paediatric hospitals: a study protocol , 2016, BMJ Open.

[10]  Aziz Sheikh,et al.  A Qualitative Exploration of Workarounds Related to the Implementation of National Electronic Health Records in Early Adopter Mental Health Hospitals , 2014, PloS one.