Next Article in Journal
A Peer Educational Tool to Promote Antimicrobial Stewardship on a University Campus
Previous Article in Journal
Prescription Renewal Request Reviews by Student Pharmacists in a Family Medicine Clinic
 
 
Systematic Review

The Secondary Use of Data to Support Medication Safety in the Hospital Setting: A Systematic Review and Narrative Synthesis

1
Research Department of Practice and Policy, UCL School of Pharmacy, 29–39 Brunswick Square, London WC1N 1AX, UK
2
Centre for Medication Safety and Service Quality, Pharmacy Department, Imperial College Healthcare NHS Trust, London W6 8RF, UK
3
NIHR Patient Safety Translational Research Centre, Department of Surgery and Cancer, Faculty of Medicine, St Mary’s Campus, Imperial College London, 5th Floor Wright Fleming Building, Norfolk Place, London W2 1PG, UK
4
NIHR Yorkshire and Humber Patient Safety Translational Research Centre, School of Psychology, University of Leeds, Woodhouse Lane, Leeds LS2 9JT, UK
*
Author to whom correspondence should be addressed.
Academic Editor: Pierrick Bedouch
Pharmacy 2021, 9(4), 198; https://doi.org/10.3390/pharmacy9040198
Received: 25 October 2021 / Revised: 7 December 2021 / Accepted: 9 December 2021 / Published: 13 December 2021
(This article belongs to the Section Pharmacy Practice and Practice-Based Research)
Objectives: To conduct a systematic review and narrative synthesis of interventions based on secondary use of data (SUD) from electronic prescribing (EP) and electronic hospital pharmacy (EHP) systems and their effectiveness in secondary care, and to identify factors influencing SUD. Method: The search strategy had four facets: 1. Electronic databases, 2. Medication safety, 3. Hospitals and quality/safety, and 4. SUD. Searches were conducted within EMBASE, Medline, CINAHL, and International Pharmaceutical Abstracts. Empirical SUD intervention studies that aimed to improve medication safety and/or quality, and any studies providing insight into factors affecting SUD were included. Results: We identified nine quantitative studies of SUD interventions and five qualitative studies. SUD interventions were complex and fell into four categories, with ‘provision of feedback’ the most common. While heterogeneous, the majority of quantitative studies reported positive findings in improving medication safety but little detail was provided on the interventions implemented. The five qualitative studies collectively provide an overview of the SUD process, which typically comprised nine steps from data identification to analysis. Factors influencing the SUD process were electronic systems implementation and level of functionality, knowledge and skills of SUD users, organisational context, and policies around data reuse and security. Discussion and Conclusion: The majority of the SUD interventions were successful in improving medication safety, however, what contributes to this success needs further exploration. From synthesis of research evidence in this review, an integrative framework was developed to describe the processes, mechanisms, and barriers for effective SUD. View Full-Text
Keywords: electronic systems; medication safety; secondary use of data; quality improvement; hospital electronic systems; medication safety; secondary use of data; quality improvement; hospital
Show Figures

Figure 1

MDPI and ACS Style

Chaudhry, N.T.; Franklin, B.D.; Mohammed, S.; Benn, J. The Secondary Use of Data to Support Medication Safety in the Hospital Setting: A Systematic Review and Narrative Synthesis. Pharmacy 2021, 9, 198. https://doi.org/10.3390/pharmacy9040198

AMA Style

Chaudhry NT, Franklin BD, Mohammed S, Benn J. The Secondary Use of Data to Support Medication Safety in the Hospital Setting: A Systematic Review and Narrative Synthesis. Pharmacy. 2021; 9(4):198. https://doi.org/10.3390/pharmacy9040198

Chicago/Turabian Style

Chaudhry, Navila Talib, Bryony Dean Franklin, Salmaan Mohammed, and Jonathan Benn. 2021. "The Secondary Use of Data to Support Medication Safety in the Hospital Setting: A Systematic Review and Narrative Synthesis" Pharmacy 9, no. 4: 198. https://doi.org/10.3390/pharmacy9040198

Find Other Styles
Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Access Map by Country/Region

1
Back to TopTop