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Obstacles and Opportunities in Information Transfer Regarding Medications at Discharge - A Focus Group Study with Hospital Physicians

Glans, Maria LU orcid ; Midlöv, Patrik LU orcid ; Kragh Ekstam, Annika LU ; Bondesson, Åsa LU and Brorsson, Annika LU (2022) In Drug, Healthcare and Patient Safety 14. p.61-73
Abstract

Purpose: This qualitative study aimed to investigate experiences and perceptions of hospital physicians regarding the discharging process, focusing on information transfer regarding medications.

Methods: By purposive sampling three focus groups were formed. To facilitate discussions and maintain consistency, a semi-structured interview guide was used. Discussions were audio recorded and transcribed verbatim. Qualitative content analysis was used to analyze the anonymized data. A confirmatory analysis concluded that the main findings were supported by data.

Results: Identified obstacles were divided into three categories with two sub-categories each:
Infrastructure; IT-systems currently used are suboptimal and complex.... (More)

Purpose: This qualitative study aimed to investigate experiences and perceptions of hospital physicians regarding the discharging process, focusing on information transfer regarding medications.

Methods: By purposive sampling three focus groups were formed. To facilitate discussions and maintain consistency, a semi-structured interview guide was used. Discussions were audio recorded and transcribed verbatim. Qualitative content analysis was used to analyze the anonymized data. A confirmatory analysis concluded that the main findings were supported by data.

Results: Identified obstacles were divided into three categories with two sub-categories each:
Infrastructure; IT-systems currently used are suboptimal and complex. Hospital and primary care use different electronic medical records, complicating matters. The work organization is not helping with time scarcity and lack of continuity. Distinct routines could help create continuity but are not always in place, known, and/or followed.
Physician: knowledge and education in the systems is not always provided nor prioritized. Understanding the consequences of not following routines and taking responsibility regarding the medications list is important. Not everyone has the self-reliance or willingness to do so.
Patient/next of kin: For patients to provide information on medications used is not always easy when hospitalized. Understanding information provided can be hard, especially when medical jargon is used and there is no one available to provide support. A central theme, "
We're only human", encompasses how physicians do their best despite difficult conditions.

Conclusion: There are several obstacles in transferring information regarding medications at discharge. Issues regarding infrastructure are seldom possible for the individual physician to influence. However, several issues raised by the participating physicians are possible to act upon. In doing so medication errors in care transitions might decrease and information transfer at discharge might improve.

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author
; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Drug, Healthcare and Patient Safety
volume
14
pages
61 - 73
publisher
Dove Medical Press Ltd.
external identifiers
  • scopus:85130718953
  • pmid:35607638
ISSN
1179-1365
DOI
10.2147/DHPS.S362189
language
English
LU publication?
yes
additional info
© 2022 Glans et al.
id
a83e87b0-567c-46a2-9dca-8cd3e429058e
date added to LUP
2022-05-26 19:22:19
date last changed
2024-06-13 17:34:39
@article{a83e87b0-567c-46a2-9dca-8cd3e429058e,
  abstract     = {{<p>Purpose: This qualitative study aimed to investigate experiences and perceptions of hospital physicians regarding the discharging process, focusing on information transfer regarding medications.</p><p>Methods: By purposive sampling three focus groups were formed. To facilitate discussions and maintain consistency, a semi-structured interview guide was used. Discussions were audio recorded and transcribed verbatim. Qualitative content analysis was used to analyze the anonymized data. A confirmatory analysis concluded that the main findings were supported by data.</p><p>Results: Identified obstacles were divided into three categories with two sub-categories each: <br>
 Infrastructure; IT-systems currently used are suboptimal and complex. Hospital and primary care use different electronic medical records, complicating matters. The work organization is not helping with time scarcity and lack of continuity. Distinct routines could help create continuity but are not always in place, known, and/or followed. <br>
 Physician: knowledge and education in the systems is not always provided nor prioritized. Understanding the consequences of not following routines and taking responsibility regarding the medications list is important. Not everyone has the self-reliance or willingness to do so. <br>
 Patient/next of kin: For patients to provide information on medications used is not always easy when hospitalized. Understanding information provided can be hard, especially when medical jargon is used and there is no one available to provide support. A central theme, " <br>
 We're only human", encompasses how physicians do their best despite difficult conditions.<br>
 </p><p>Conclusion: There are several obstacles in transferring information regarding medications at discharge. Issues regarding infrastructure are seldom possible for the individual physician to influence. However, several issues raised by the participating physicians are possible to act upon. In doing so medication errors in care transitions might decrease and information transfer at discharge might improve.</p>}},
  author       = {{Glans, Maria and Midlöv, Patrik and Kragh Ekstam, Annika and Bondesson, Åsa and Brorsson, Annika}},
  issn         = {{1179-1365}},
  language     = {{eng}},
  pages        = {{61--73}},
  publisher    = {{Dove Medical Press Ltd.}},
  series       = {{Drug, Healthcare and Patient Safety}},
  title        = {{Obstacles and Opportunities in Information Transfer Regarding Medications at Discharge - A Focus Group Study with Hospital Physicians}},
  url          = {{http://dx.doi.org/10.2147/DHPS.S362189}},
  doi          = {{10.2147/DHPS.S362189}},
  volume       = {{14}},
  year         = {{2022}},
}