Agile service development based on research – New drug reference

Agile service development based on
research – New drug reference tool for
nursing
WIS 18.8.2014
Personalized Medication Safety in the
Mobile Digital Future
Elli Leppä
Development Pharmacist (PhD)
Pharmaca Fennica for Nurses
• New web service in pilot phase
– To be launched in early 2015
• Pharmaca Fennica pharmaceutical compendium
formulated to support information needs in
nursing work
• Iterative and interactive project design
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Why nurses?
• Nurses’ role on the rise in health care and particularly
in medication
• Pharmaca Fennica pharmaceutical compendium:
familiar, up-to-date, physician centered
– Nurses’ daily work very different from physicians’
– Currently no electronic source of drug information
especially formulated for nurses
• Utilization of resources sub-optimal
– Medication safety may be compromised
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PIC nurse project 2011• In-depth knowledge of nurses’ pharmaceutical
information needs and daily situations
• Service design concepts and methods
• Iterative design of web service
• Several piloting phases
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PIC nurse project 2011Moni-Lääke project 2011-2012
• In collaboration with Turun AMK (Tekes SHOK [Salwe])
– How do nurses use drug information?
– What are the roles of nurses in medication?
• The most frequently used source of drug information:
Ask a colleague
• Electronic drug information sources not widely used
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PIC nurse project 2011Survey of nurses drug information needs 2013 (PIC)
• Workshops, observational visits, web survey (N= ca.
1000)
• Wide spectrum of experiences (geographic location,
experience & type of work)
• 75 % of nurses search for drug information several
times per week.
– 1 search takes on average 4 minutes
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PIC nurse project 2011• What are the problems in finding drug
information?
• How should information be presented?
• Is there variation in different fields of nursing
work?
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I search for drug information
often
sometimes
only in special cases
other
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How many times do you search for drug information per week?
0-1
2-3
4-5
>5
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Where do you need drug information?
when the patient arrives
during physicians’ rounds
dispensing medications
preparing for administration
administering medications
counselling patients
releasing patients
other
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Which areas most need symbolic drug information?
tablet crushing/halving
compatibility with milk
products
route of administration
adverse effects
indication
storage
special patients
food interactions
special attention drugs
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I would prefer
a printed book
a telephone service
a web service
a smart phone app
a mobile device (e.g.
tablet)
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Concept phase
• Results of the survey, workshops, visits etc.
• Organizing and classifying the information with a
service designer
– Various service design methods were used
• How to see things from a nurse’s viewpoint?
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Concept phase
• Quick and flexible searches
– Multiple search criteria
– As few steps as possible
• Support for medication counselling
• Comparison of generic drugs
– Image based search of tablets and capsules
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Pilot studies
• April – June 2014
– Several public health care organizations (incl. HUS [37
wards], Eksote)
– Care homes ... Intensive care units
– Further pilots ongoing
– Continuing development
• Release in early 2015s
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11. Do you find Hoitotyön Pharmaca Fennica easier to use than your previous sources of drug
information?
100%
80%
80%
60%
40%
20%
20%
0%
kyllä
YYes
Kaikki (KA:1.2, Hajonta:0.4) (Vastauksia:50)
ei
No
13. How have you used Hoitotyön Pharmaca Fennica?
tabletop
pöytäkone
computer
83%
Ylaptop
kannettava
34%
tabletti
tablet device
6%
älypuhelin
smart
phone
13%
0%
20%
40%
60%
Kaikki (KA:1.63, Hajonta:0.95) (Vastauksia:53)
80%
100%
Thank you!
Elli Leppä | Kehitysproviisori, FT
Puh. (09) 6150 4923 | 040 522 78 14
elli.leppa@laaketietokeskus.fi
Lääketietokeskus Oy
PL 206 (Porkkalankatu 1)
00181 HELSINKI
http://www.laaketietokeskus.fi
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