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Understanding and evaluating the effects of implementing an electronic paediatric prescribing system on care provision and hospital work in paediatric hospital ward settings: a qualitatively driven mixed-method study protocol.
BMJ Open 2016; 6(2):e010444BO

Abstract

INTRODUCTION

Electronic prescribing systems can improve the quality and safety of healthcare services, but their implementation is not straightforward and may create unexpected change. However, the added complexity of paediatric prescribing (eg, dose calculations, dilutions, manipulations) may pose additional challenges. This study will aim to (1) understand the complex organisational reality of a paediatric hospital in which a new electronic paediatric prescribing (ePP) system will be introduced; (2) describe ePP-related change, over time, in paediatric hospital ward settings; (3) explore staff perspectives in relation to currently established practices and processes; and (4) assess the impact of ePP on care provision and hospital work from the perspective of paediatricians, paediatric nurses and managers.

METHODS AND ANALYSIS

A qualitatively driven mixed-method approach will be adopted, including 3 inter-related substudies. The core component of the study will be qualitative (substudy 1): we will use ethnographic research methods, including non-participant observation in wards and informal conversational interviews with members of staff. In addition, the design will include 2 embedded supplementary components: a qualitative 1 (substudy 2) based on in-depth interviews and/or focus groups with paediatricians, paediatric nurses, paediatric pharmacists/pharmacy technicians and managers; and a quantitative 1 (substudy 3) in which a staff survey will be developed and administered before and after the ePP implementation. Analytic themes will be identified from ethnographic field notes and interview data. Survey data will be analysed using descriptive statistics and baseline and follow-up data compared to establish impact evaluation measures.

ETHICS AND DISSEMINATION

A favourable ethical opinion has been obtained from a National Health Service (NHS) Research Ethics Committee (15/SS/0157). NHS research governance approval has been obtained at the relevant hospital site. The results of the study will be disseminated through conferences and peer-reviewed journals, as well as fed back to those involved in clinical practice and policy development at the study site.

Authors+Show Affiliations

Institute of Applied Health Research, University of Birmingham, Birmingham, UK Research and Development, Birmingham Children's Hospital NHS Foundation Trust, Birmingham, UK.Institute of Applied Health Research, University of Birmingham, Birmingham, UK.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

26842275

Citation

Farre, Albert, and Carole Cummins. "Understanding and Evaluating the Effects of Implementing an Electronic Paediatric Prescribing System On Care Provision and Hospital Work in Paediatric Hospital Ward Settings: a Qualitatively Driven Mixed-method Study Protocol." BMJ Open, vol. 6, no. 2, 2016, pp. e010444.
Farre A, Cummins C. Understanding and evaluating the effects of implementing an electronic paediatric prescribing system on care provision and hospital work in paediatric hospital ward settings: a qualitatively driven mixed-method study protocol. BMJ Open. 2016;6(2):e010444.
Farre, A., & Cummins, C. (2016). Understanding and evaluating the effects of implementing an electronic paediatric prescribing system on care provision and hospital work in paediatric hospital ward settings: a qualitatively driven mixed-method study protocol. BMJ Open, 6(2), pp. e010444. doi:10.1136/bmjopen-2015-010444.
Farre A, Cummins C. Understanding and Evaluating the Effects of Implementing an Electronic Paediatric Prescribing System On Care Provision and Hospital Work in Paediatric Hospital Ward Settings: a Qualitatively Driven Mixed-method Study Protocol. BMJ Open. 2016 Feb 3;6(2):e010444. PubMed PMID: 26842275.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Understanding and evaluating the effects of implementing an electronic paediatric prescribing system on care provision and hospital work in paediatric hospital ward settings: a qualitatively driven mixed-method study protocol. AU - Farre,Albert, AU - Cummins,Carole, Y1 - 2016/02/03/ PY - 2016/2/5/entrez PY - 2016/2/5/pubmed PY - 2016/12/15/medline KW - Computerized Physician Order Entry System KW - Electronic Prescribing KW - Ethnography KW - PAEDIATRICS KW - Qualitatively-driven mixed-method research SP - e010444 EP - e010444 JF - BMJ open JO - BMJ Open VL - 6 IS - 2 N2 - INTRODUCTION: Electronic prescribing systems can improve the quality and safety of healthcare services, but their implementation is not straightforward and may create unexpected change. However, the added complexity of paediatric prescribing (eg, dose calculations, dilutions, manipulations) may pose additional challenges. This study will aim to (1) understand the complex organisational reality of a paediatric hospital in which a new electronic paediatric prescribing (ePP) system will be introduced; (2) describe ePP-related change, over time, in paediatric hospital ward settings; (3) explore staff perspectives in relation to currently established practices and processes; and (4) assess the impact of ePP on care provision and hospital work from the perspective of paediatricians, paediatric nurses and managers. METHODS AND ANALYSIS: A qualitatively driven mixed-method approach will be adopted, including 3 inter-related substudies. The core component of the study will be qualitative (substudy 1): we will use ethnographic research methods, including non-participant observation in wards and informal conversational interviews with members of staff. In addition, the design will include 2 embedded supplementary components: a qualitative 1 (substudy 2) based on in-depth interviews and/or focus groups with paediatricians, paediatric nurses, paediatric pharmacists/pharmacy technicians and managers; and a quantitative 1 (substudy 3) in which a staff survey will be developed and administered before and after the ePP implementation. Analytic themes will be identified from ethnographic field notes and interview data. Survey data will be analysed using descriptive statistics and baseline and follow-up data compared to establish impact evaluation measures. ETHICS AND DISSEMINATION: A favourable ethical opinion has been obtained from a National Health Service (NHS) Research Ethics Committee (15/SS/0157). NHS research governance approval has been obtained at the relevant hospital site. The results of the study will be disseminated through conferences and peer-reviewed journals, as well as fed back to those involved in clinical practice and policy development at the study site. SN - 2044-6055 UR - https://www.unboundmedicine.com/medline/citation/26842275/Understanding_and_evaluating_the_effects_of_implementing_an_electronic_paediatric_prescribing_system_on_care_provision_and_hospital_work_in_paediatric_hospital_ward_settings:_a_qualitatively_driven_mixed_method_study_protocol_ L2 - http://bmjopen.bmj.com/cgi/pmidlookup?view=long&pmid=26842275 DB - PRIME DP - Unbound Medicine ER -