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Implementing a Pharmacy System: Facilitators and Barriers

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Abstract

To describe facilitators and barriers to the implementation of an inpatient pharmacy system at two pediatric hospitals. Interviews, pre- and post-implementation, were conducted with pharmacy and clinical managers. Key findings from the pre-implementation survey were included in the post-implementation survey to further assess facilitators and barriers to the adoption of a pharmacy system. The majority of pharmacy participants and all clinical leaders believed that project goals were being met. Pharmacist’s described staff readiness-to-change as the most significant facilitator to adoption and concerns with the usability of information in the pediatric drug file as the most significant barrier. Clinical managers described system training and education as the most significant facilitator to adoption and adjustment to new work processes as the most significant barrier. We described major facilitators and barriers to the adoption of an inpatient pharmacy system at two pediatric hospitals. Strategies identified by our informants to overcome barriers may promote successful pharmacy implementations at other pediatric facilities.

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Acknowledgement

This project was supported by grant number 1 UC1 HSO15236 from the Agency for Healthcare Research and Quality.

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Authors and Affiliations

  1. Department of Health Policy and Management, Rollins School of Public Health, Emory University, 1518 Clifton Road, NE, # 622, Atlanta, GA, 30322, USA

    Steven D. Culler & Ansley D. Dee

  2. Children’s Healthcare of Atlanta, Atlanta, GA, USA

    James Jose

  3. Emory Center on Health Outcomes and Quality, Rollins School of Public Health, Emory University, Atlanta, GA, USA

    Susan Kohler & Kimberly Rask

  4. HIMformatics LLC, Dunwoody, GA, USA

    Paula Edwards

  5. Division of Health Policy and Management, University of Minnesota School of Public Health, Minnealopis, MN, USA

    Francois Sainfort

Authors
  1. Steven D. Culler
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  2. James Jose
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  3. Susan Kohler
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  4. Paula Edwards
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  5. Ansley D. Dee
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  6. Francois Sainfort
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  7. Kimberly Rask
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Correspondence to Steven D. Culler.

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Culler, S.D., Jose, J., Kohler, S. et al. Implementing a Pharmacy System: Facilitators and Barriers. J Med Syst 33, 81–90 (2009). https://doi.org/10.1007/s10916-008-9167-3

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  • DOI: https://doi.org/10.1007/s10916-008-9167-3

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