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GRP-147 Pre-Post Study of Interruptions in a Pharmacy Department

2013· article· en· W2335495203 on OpenAlexaff
Aurélie Guérin, E. Caron, Denis Lebel, JF Bussières

Bibliographic record

VenueEuropean Journal of Hospital Pharmacy · 2013
Typearticle
Languageen
FieldMedicine
TopicPharmaceutical Practices and Patient Outcomes
Canadian institutionsCentre Hospitalier Universitaire Sainte-Justine
Fundersnot available
KeywordsPharmacyMedicinePharmacistTechnicianPharmacy technicianObservational studyHospital pharmacyMedical prescriptionFamily medicineNursingInternal medicine

Abstract

fetched live from OpenAlex

<h3>Background</h3> Interruptions are a major concern in hospital pharmacy settings, given the nature and the requirements of the work such as sustained focused attention, validating prescriptions and performing complex processes. Interruptions may jeopardise the safe delivery of pharmaceutical services. <h3>Purpose</h3> The primary objective was to compare the number of stimuli per hour received and made by pharmacists and pharmacy technicians between 2010 and 2012. The secondary objective was to evaluate the impact of five corrective measures. <h3>Materials and Methods</h3> This was a pre-post cross-sectional observational study. The study was conducted in the main dispensing area of the pharmacy department of a University Hospital Center. The area is composed of three data entry stations each assigned one pharmacist and one pharmacy technician. Stimuli received and made by pharmacists and pharmacy technicians were counted before (2010) and after (2012) the implementation of corrective measures. The effect of five corrective measures was measured with a t-test for targeted stimuli. <h3>Results</h3> Sixty-two random 30-minute observation periods in 2010 (n = 2,663 stimuli) and 31 periods in 2012 (n = 1,217 stimuli) were conducted. An average rate of 85.9 ± 22.2 stimuli per hour was calculated in 2010 vs. 78.52 ± 20.1 in 2012 (P = 0.06). We observed a statistically significant decrease in the mean rate of stimuli per hour for three types of stimulus for pharmacists (i.e. printer noise 3.7 ± 2.4 vs. 0.6 ± 1.8 p &lt; 0.001, face-to-face non-professional conversations 4.4 ± 4.2 vs. 1.2 ± 1.8 p = 0.003, Web browsing 1.3 ± 2.2 vs. 0 ± 0 p = 0.009) and for one type of stimuli for pharmacy technicians (i.e. printer noise 4.7 ± 3.2 vs. 0.75 ± 1.8 p &lt; 0.001). <h3>Conclusions</h3> Despite the corrective measures, there was no statistically significant difference between the rates of stimuli per hour observed in 2010 and 2012. Other studies are needed to identify more efficient corrective measures and to better describe the nature and the impact of stimuli, distractions and interruptions in pharmacy practise. No conflict of interest.

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How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesInsufficient payload (model declined to judge)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.041
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.001
Open science0.0000.000
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0010.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.096
GPT teacher head0.407
Teacher spread0.310 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

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Citations0
Published2013
Admission routes1
Has abstractyes

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