Development and Design of Web Application for Handling Medication Errors Information in Hospital: Concept and Problem Solving using Health-related Informatics

Main Article Content

Pan Attasopon
Perayot Pamonsinlapatham

Abstract

Objective: To identify problems on recording, analyzing, and summarizing medication errors, and develop a web application for these tasks. Methods: Development of web application was based on health informatics concept (Searching Analytics Management Presentation: SAMP). The study explored the problems of existing medication error reporting systems by interviews with practicing pharmacists. Subsequently, the findings were summarized using the fishbone chart. The researchers analyzed the finding to establish the process of web application development and relationship between each part of the system in order to summarize steps of the system. Data flow was displayed using a flow diagram tool. The researchers developed web application using PHP, HTML, CSS language with JavaScript and Ajax. MySQL database was employed in the study. The developed web application was evaluated by 3 informatics experts, and tested in 13 pharmacists whose work related to the report of medication errors. Results: Review by experts revealed that the web application passed 41 test-codes and some suggestions for improvement were suggested. After revising the web application according to suggestion, testing in hospital pharmacists found that subjects were highly satisfied in 4 domains including 1) the use of the system, 2) efficiency, 3) effectiveness, and user satisfaction. Conclusions: Improving information system by web applications developed according to the concept of SAMP for resolving the problems in working system achieved its objectives. The users were satisfied with the app. Method for improving information systems in this study could be applied for improving other systems in the future.

Article Details

Section
Research Articles

References

National Strategy B.E.2563-2580. Royal Gazette No. 35, Part 82A (Oct 13, 2018).

Theera-Ampornpunt N. Hospital information system [online]. 2018 [cited Jul 3, 2021]. Available from: www.slideshare.net/nawanan/hospital-information-system-his-march-13-2018.

Stamatian F, Baba CO, Timofe MP. Barriers in the implementation of health information systems: a scoping review. Transylvanian Rev Adm Sci 2013; 9: 156-73.

National Coordinating Council for Medication Error Reporting and Prevention. What is a medication error? [online]. 2021 [cited Jul 3, 2021]. Available from: www.nccmerp.org/about-medication-errors.

Healthcare Accreditation Institute. Patient safety goals: SIMPLE Thailand 2018. Nonthaburi: Health care Accreditation Institute; 2018.

Joint Commission International. Joint commission international accreditation standards for hospitals. 7th ed. Illinois: Joint Commission Resources; 2020.

Anantachoti P, Ausanakornkun J, Ratanawijitrasin S, Kanchanaphibool I, Areeyasophon T, Taychakho onavudh S, et al. Use and evaluation indicator in pharmacy hospital project. Bangkok: Pharmaceu tical System Research and Intelligence Center; 2007.

Pharmaceutical System Research and Intelligence Center. Indicator for pharmacy hospital draft. Bangkok: Pharmaceutical System Research and Intelligence Center; 2007.

Ho D. Notepad++ v8.1.2 [online]. 2021 [cited Jul 3, 2021]. Available from: notepad-plus-plus.org/news/v 795-released/.

Seidler KO, Vogelgesang K. New XAMPP release 7.3.28, 7.4.19, 8.0.6 [online]. 2021 [cited Jul 3, 2021]. Available from: www.apachefriends.org/blog/ new_xampp_20210511.html.

mHIMSS App Usability Work Group. Selecting a mobile app: evaluating the usability of medical applications [online]. 2012 [cited Jan 24, 2021]. Available from: s3.amazonaws.com/rdcms-himss/fil es/production/public/HIMSSguidetoappusabilityv1mHIMSS.pdf.

Marien S, Legrand D, Ramdoyal R, Nsenga J, Ospina G, Ramon V, et al. A web application to involve patients in the medication reconciliation process: a user-centered usability and usefulness study. J Am Med Inform Assoc. 2018; 25: 1488-500.

Sumaida D. Pharmacy inventory control ordering web application. J Clin Oncol. 2012; 30: 330.

Cain J, Fox BI. Web 2.0 and pharmacy education. Am J Pharm Educ. 2009; 73: 120.

Rudman WJ, Bailey JH, Hope C, Garrett P, Brown CA. The impact of a web-based reporting system on the collection of medication error occurrence data. In: Henriksen K, Battles JB, Marks ES, Lewin DI, editors. Advances in patient safety: From research to implementation (volume 3: Implemen tation issues). Maryland: Agency for Healthcare Research and Quality (US); 2005. p. 195-205.

Atherton T. Description and outcomes of the DoctorQuality incident reporting system used at Baylor Medical Center at Grapevine. Proc (Bayl Univ Med Cent). 2002; 15: 209-11.

Burk M, Moore V, Glassman P, Good CB, Emmendorfer T, Leadholm TC, et al. Medication-use evaluation with a web application. Am J Health Syst Pharm. 2013; 70: 2226-34.

Lew P, Olsina L, Zhang L. Quality, quality in use, actual usability and user experience as key drivers for web application evaluation. In: Boualem B, Casati F, Kappel G, Rossi G, editors. Web Engineering 10th International Conference; 2010 Jul 5-9; Vienna, Austria.Berlin: Springer; 2010. p. 218–32