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. 2023 Feb 22;11(2):41. doi: 10.3390/pharmacy11020041
Updating Responsibility The System Familiarity Involvement
Nurse 1:
“I think that the task of reviewing the patient’s medicine lays on the doctor. The doctor should also be the one who removes what needs to be removed.”
Pharmacist 1:
“…The concept of both sectors being able to see each other’s work is a genius thought, but this is dependent on the user—the patient. If the user does not act as intended on the platform, then it is a challenge..”
Doctor 3:
“The thing with SMR is that the concept works well, and it is really handy that it is available on every device. The problem with SMR is the integration with the health platform. This is horrible.”
Patient 2:
“I know SMR because back in the day, I participated in a survey about it and what features it should have; Now I use it, and I think it works pretty well.”
Doctor 2:
“It may be linked to age and tech flair, but I think a lot of patients will benefit from more involvement… I think it could create dialogue and also be easier for doctors to clean up old medicine or update the SMR.”
Nurse 2:
“It is a requirement that the patients get a medical note. We can’t even print this note because the doctors technically have not approved it in SMR. This affects us and makes it difficult for us to do our jobs.”
Pharmacy technician 1:
“I think that a part of the issue is that the responsibility is complex in some matters. I mean, you need to consider, when a patient gets prescribed medicine, it is usually not just one person, but several medical professions who are a part of this process…”
Nurse 1:
“I think the system works well, and I just think there are too many clicks. There are a lot of working processes if I have to edit a prescription of insulin…”
Nurse 3:
“Not a lot of those who use SMR actually have an overview over their medicine. It is rare that I experience people using it—including the younger patients.”
Pharmacy technician 1:
“An approach to this could be to make it more patient-oriented. Because this needs to be optimized for them as well, right?... They play a big role in making SMR run smoothly…”
Doctor 1:
“I think it is great that I am able to see an overview of the prescribed medicine and have a dialogue about what works and what don’t.. before, all the paperwork was impossible to structuralize…”
Doctor 2:
“There has been a battle between doctors and hospitals—cause who’s responsibility is it?...”
Pharmacist 1:
“…SMR is so user and culturally dependent… I also talked with doctors who, as an unwritten rule, don’t want to edit on other doctors work.”
Doctor 1:
“It is so different… I have patients who know exactly how much and what they take—and also their household… Others struggle to form an understanding of”
Pharmacist 2:
“Why not make the dialog with the patients more open, to sort out their medicine and also reduce the medicinal waste…”