Agile service development based on research New drug reference tool for nursing

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1 Agile service development based on research New drug reference tool for nursing WIS Personalized Medication Safety in the Mobile Digital Future Elli Leppä Development Pharmacist (PhD)

2 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 Elli Leppä 2

3 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 Elli Leppä 3

4 PIC nurse project In-depth knowledge of nurses pharmaceutical information needs and daily situations Service design concepts and methods Iterative design of web service Several piloting phases Elli Leppä 4

5 PIC nurse project Moni-Lääke project 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 Elli Leppä 5

6 PIC nurse project Survey 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 Elli Leppä 6

7 PIC nurse project What are the problems in finding drug information? How should information be presented? Is there variation in different fields of nursing work? Elli Leppä 7

8 I search for drug information often sometimes only in special cases other Elli Leppä 8

9 How many times do you search for drug information per week? > 5 Elli Leppä 9

10 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 Elli Leppä 10

11 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 Elli Leppä 11

12 I would prefer a printed book a telephone service a web service a smart phone app a mobile device (e.g. tablet) Elli Leppä 12

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16 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? Elli Leppä 16

17 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 Elli Leppä 17

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27 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 Elli Leppä 27

28 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% YYes kyllä Kaikki (KA:1.2, Hajonta:0.4) (Vastauksia:50) No ei

29 13. How have you used Hoitotyön Pharmaca Fennica? tabletop computer pöytäkone 83% Ylaptop kannettava 34% tablet device tabletti 6% smart älypuhelin phone 13% 0% 20% 40% 60% 80% 100% Kaikki (KA:1.63, Hajonta:0.95) (Vastauksia:53)

30 Thank you! Elli Leppä Kehitysproviisori, FT Puh. (09) Lääketietokeskus Oy PL 206 (Porkkalankatu 1) HELSINKI Elli Leppä 30