Richards-Green, Victoria (2024) The development of criteria and the subsequent evaluation of the available digital solutions for pharmaceutical care planning across ABUHB. Masters thesis, University of Wales Trinity Saint David.
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Richards-Green, Victoria (MSc) 2024 The Development of Criteria and the Subsequent Evaluation of the Available thesis pdf.pdf - Accepted Version Available under License CC-BY-NC-ND Creative Commons Attribution Non-commercial No Derivatives. Download (2MB) | Preview |
Abstract
Hospital pharmacists are routinely involved in patient care. Part of their work is to assess, monitor and advise on drug management during a patient’s hospital stay. Documentation of these interventions has historically been done via a paper Pharmaceutical Care Plan (PCP), kept separately to the patient’s medical records, and used by pharmacy staff to prioritise patients. Transfer of paper PCPs limits their effectiveness; therefore, a digital solution is required. While there have been studies that have looked at implementation and adoption of electronic patient records (EPRs), risk assessments, and prioritisation tools, there are no direct studies that define the requirements of a digital PCP. This study sought to define a set of requirements for a digital PCP, through a combination of a questionnaire and semi-structured interviews with pharmacy staff, before undertaking an options appraisal of available solutions. Digital literacy of pharmacy staff was also assessed through the questionnaire. Digital literacy of pharmacy staff was found to be below the level set by the UK Government with regards to basic digital literacy skills. This was linked to age, where older staff had lower levels of digital literacy, and lack of training on the specific systems used. Several training needs were identified to address the gaps. From the options appraisal, it was found that there are currently no solutions that meet the full requirements for a digital PCP, as defined during the study. While each requirement was achievable within at least one of the solutions appraised, all solutions require a degree of development to achieve the full specification. To meet the needs of a digital PCP, investment is required for its development as part of an EPR solution which is integrated with both an electronic prescription and medicines administration (ePMA) system and primary care systems. A locally developed solution, rather than a commercial solution or national development, allows for improved control over development timescales without the risks associated with commercial contracts or national engagement.
| Item Type: | Thesis (Masters) |
|---|---|
| Subjects: | H Social Sciences > HD Industries. Land use. Labor > HD28 Management. Industrial Management R Medicine > R Medicine (General) T Technology > T Technology (General) |
| Divisions: | Theses and Dissertations > Masters Dissertations |
| Depositing User: | Victoria Hankinson |
| Date Deposited: | 22 Aug 2024 13:37 |
| Last Modified: | 22 Aug 2024 13:37 |
| URI: | https://repository.uwtsd.ac.uk/id/eprint/3122 |
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