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Experiences of a nationwide web-based system: Reporting dispensing errors in Swedish pharmacies

机译:全国性基于Web的系统的经验:报告瑞典药房的分配错误

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Objectives To design and evaluate a national web-based dispensing error reporting system for all Swedish pharmacies, replacing the currently used paper-based system. Methods A working group designed the new system. The number of reports before (1999-2003) and after (2004-2005) introduction was studied in a descriptive analysis. The completeness of reports was evaluated through the study of 100 randomly selected reports from the third quarter of 2003 and 2004 from each system. Evaluation was done by chi-square analysis; P > 0.05. Perceptions on introduction were collected in semi-structured interviews (working group and one assistant) and subjected to descriptive analysis. Key findings Reported error rate per 100 000 dispensed items was 12.9 pre- and 21.4 post implementation. Completeness-analysis revealed that information was more comprehensively reported in the new system. A significant difference existed in the extent to which incidents were described as well as details provided of the medicine and the patient. According to the interviewees, users initially found the web-based system difficult to handle. It took more than 6 months to change this perception. Conclusions Introducing a web-based system for reporting dispensing errors had an impact on quantity of reports and completeness. Time and patience was needed to implement the changes.
机译:目的为瑞典所有药房设计和评估一个基于国家网络的配药错误报告系统,以取代当前使用的纸质系统。方法一个工作组设计了新系统。在描述性分析中研究了引入之前(1999-2003年)和之后(2004-2005年)的报告数量。通过研究2003年第三季度和2004年每个系统的100份随机选择的报告来评估报告的完整性。通过卡方分析进行评估; P> 0.05。在半结构化访谈中(工作组和一位助理)收集了关于介绍的看法,并进行了描述性分析。主要发现报告的每10万个分发物品的错误率是实施前的12.9和实施后的21.4。完整性分析表明,新系统中的信息得到了更全面的报告。在描述事件的程度以及提供的药物和患者详细信息方面存在显着差异。根据受访者的说法,用户最初发现基于Web的系统难以处理。改变这种看法花了超过6个月的时间。结论引入基于Web的报告分配错误的系统对报告的数量和完整性有影响。实施更改需要时间和耐心。

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