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Title: The impact of electronic prescribing on pharmacists' communication in UK inpatient settings : a mixed methods study
Author: Mohsin Shaikh, Soomal
ISNI:       0000 0005 0288 6500
Awarding Body: UCL (University College London)
Current Institution: University College London (University of London)
Date of Award: 2020
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Background: Electronic prescribing and medication administration (ePMA) systems are becoming widely adopted across the UK. System users, researchers and patients are now questioning the profound nature through which these systems affect the ways in which healthcare professionals (HCPs) communicate with each other. Aim: The overall aim of this PhD was to explore the impact of ePMA systems on pharmacists’ communication with other HCPs and identify areas of improvement. Method: A systematic review explored the impact of electronic prescribing systems on HCPs’ working practices. Focus groups and semi-structured interviews were conducted with hospital pharmacists, doctors and nurses to explore their perceptions of how ePMA systems have affected, or are expected to affect, the way they communicate with each other. Observations, collecting both quantitative and qualitative data, were carried out to study how pharmacists communicated with other HCPs at two sites with established ePMA systems and one with paper-based prescribing. Results: The systematic review identified four areas of working practices affected by ePMA. The focus group and interview study suggested that ePMA systems were not being used to facilitate communication among HCPs. Doctors felt that the written and physical presence of the pharmacist had reduced since ePMA systems were introduced. Participants suggested ways their current ePMA systems could improve and streamline communication. The observational study revealed differences in pharmacists’ working practices; factors included differences in pharmacy services, organisational cultures and prescribing systems. More medication charts were reviewed by the pharmacists at the ePMA sites, but a lower percentage of patients were reviewed face-to-face. This may be indicative of a potentially negative impact of ePMA on pharmacist-patient relationships. Conclusion: Practical challenges faced by HCPs working with ePMA systems were identified. Recommendations were made for clinical practice, ePMA providers and future researchers. A recommendation made to the hospitals was to consider updating their pharmacy clinical guidelines to incorporate ePMA into their working practice.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available