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Coping with information silos: An examination of the medication management process in residential aged care facilities (RACFs)

机译:应对信息筒仓:留置住宅老年护理设施中的药物管理进程(RACF)

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The aim of this study was to examine the actions of geographically dispersed process stakeholders (doctors, community pharmacists and RACFs) in order to cope with the information silos that exist within and across different settings. The study setting involved three metropolitan RACFs in Sydney, Australia and employed a qualitative approach using semi-structured interviews, non-participant observations and artefact analysis. Findings showed that medication information was stored in silos which required specific actions by each setting to translate this information to fit their local requirements. A salient example of this was the way in which community pharmacists used the RACF medication charts to prepare residents' pharmaceutical records. This translation of medication information across settings was often accompanied by telephone or face-to-face conversations to cross-check, validate or obtain new information. Findings highlighted that technological interventions that work in silos can negatively impact the quality of medication management processes in RACF settings. The implementation of commercial software applications like electronic medication charts need to be appropriately integrated to satisfy the collaborative information requirements of the RACF medication process.
机译:这项研究的目的是为了应对存在内和跨不同设置的信息孤岛考察地理上分散的过程中的利益相关者(医生,社区药剂师和RACFs)的行动。这项研究涉及设置三个大都市RACFs在澳大利亚悉尼,并采用半结构式访谈,非参与观察和分析的人工制品采用定性的方法。调查结果显示,用药信息存储在其中所需的特定行动的每个设置这些信息,以满足他们当地的要求转化孤岛。这方面的一个显着的例子是在社区药师使用的RACF药物图表编制居民的医药记录的方式。这种跨越设置的药物信息翻译常伴通过电话或面对面地交谈面对交叉检查,验证或获取新的信息。结果强调技术干预,在发射井的工作可以在负RACF设置药物管理过程的质量产生影响。商业软件应用,如电子图表药物实施需要进行适当整合,以满足RACF用药过程中的协同信息的要求。

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