Effects of computer-based prescribing on pharmacist work patterns.

Effects of computer-based prescribing on pharmacist work patterns.
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基于计算机的处方对药剂师工作模式的影响。

DOI:
10.1136/jamia.1998.0050546
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发表时间:
1998
期刊:
Journal of the American Medical Informatics Association : JAMIA
影响因子:
--
通讯作者:
Tierney,WM
Tierney,WM
中科院分区:
--
文献类型:
--
作者:
Murray,MD;Loos,B;Tu,W;Eckert,GJ;Zhou,XH;Tierney,WM

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目的:了解内科医师门诊计算机处方书写对药师工作模式的影响。设计:在医院门诊药房进行工作抽样。数据收集来自药剂师佩戴无声的随机信号发生器前后的计算机为基础的处方。测量:测量药剂师的工作类型(活动),工作原因(功能),接触的人(接触)。结果:计算机化处方前后的总工作时数和处方处理量基本一致。实施计算机化门诊处方前和实施后,药师分别记录了4687条和4735条观察结果。实施后,药剂师纠正处方问题的时间增加了12.9%,空闲时间减少了3.9%,与他人讨论的时间减少了2.2%。药剂师填写处方的时间也减少了34.0%,解决处方问题的时间增加了45.8%,提供建议的时间减少了3.4%。超过80%的药剂师时间都是在电脑门诊处方撰写之前和之后独自工作。结论:计算机化处方使医院门诊药师的工作类型和工作原因发生了较大变化,工作中接触的人群发生了较小变化。
Objective:To measure the effect of computer-based outpatient prescription writing by internal medicine physicians on pharmacist work patterns.Design:Work sampling at a hospital-based outpatient pharmacy. Data were collected from pharmacists wearing silent, random-signal generators before and after the implementation of computer-based prescribing.Measurements:The type of work performed by pharmacists (activity), the reason for their work (function), and the people they contacted (contact) were measured.Results:Total staff hours and prescriptions handled were similar before and after computer-based prescribing. Pharmacists recorded 4,687 observations before and 4,735 observations after implementation of computer-based outpatient prescription writing. After implementation, pharmacists spent 12.9 percent more time correcting prescription problems, had 3.9 percent less idle time, and spent 2.2 percent less time in discussions with others. Pharmacists also spent 34.0 percent less time filling prescriptions, 45.8 percent more time in problem-solving activities involving prescriptions, and 3.4 percent less time providing advice. Over 80 percent of pharmacist time was spent working alone both before and after computer-based outpatient prescription writing.Conclusion:Computer-based prescribing results in major changes in the type of work done by hospital-based outpatient pharmacists and in the reason for their work and small changes in the people contacted during their work.
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