• Challenges and Best Practices in Ethical Review of Human and Organizational Factors Studies in Health Technology: a Synthesis of Testimonies 

      Peute, Linda W.; Lichtner, Valentina; Baysari, Melissa T.; Hägglund, Maria; Homco, Juell; Jansen-Kosterink, Stephanie; Jauregui, Ignacio; Kaipio, Johanna; Kuziemsky, Craig E.; Lehnbom, Elin; Leite, Francisca; Lesselroth, Blake; Luna, Daniel; Otero, Carlos; Pedersen, Rune; Pelayo, Sylvia; Santos, Raquel; Silva, Nuno-André; Tyllinen, Mari; Van Velsen, Lex; Zheng, Wu Yi; Jaspers, Monique; Marcilly, Romaric (Journal article; Tidsskriftartikkel; Peer reviewed, 2020-04-17)
      <i>Objective</i>: Human and Organizational Factors (HOF) studies in health technology involve human beings and thus require Institutional Review Board (IRB) approval. Yet HOF studies have specific constraints and methods that may not fit standard regulations and IRB practices. Gaining IRB approval may pose difficulties for HOF researchers. This paper aims to provide a first overview of HOF study ...
    • Communication about medication management during patient-physician consultations in primary care: a participant observation study 

      Adelsjö, Igor; Nilsson, Lina; Hellström, Amanda; Ekstedt, Mirjam; Lehnbom, Elin (Journal article; Tidsskriftartikkel; Peer reviewed, 2022-11-03)
      Objective - To explore communication about medication management during annual consultations in primary care. Design: passive participant observations of primary care consultations.<p> <p>Setting - Two primary care centres in southern Sweden.<p> <p>Participants - Consultations between 18 patients (over the age of 60 years) with chronic diseases and 10 general practitioners (GPs) were observed, ...
    • Considering pharmacy workflow in the context of Australian community pharmacy: a pilot time and motion study 

      Cavaye, D; Lehnbom, Elin; Laba, T-L; El-Boustani, E; Joshi, R; Webster, R (Journal article; Tidsskriftartikkel; Peer reviewed, 2018-01-04)
      <p><i>Background</i>: Given time pressures on primary care physicians, utilising pharmacists for chronic disease management is of great interest. However, limited data are available on the current workflow in community pharmacies to guide these discussions.</p> <p><i>Objective</i>: This study aimed to test the feasibility of collecting workflow data from Australian community pharmacies using ...
    • A cross-country time and motion study to measure the impact of electronic medication management systems on the work of hospital pharmacists in Australia and England 

      Westbrook, Johanna; Li, Ling; Shah, Sonal; Lehnbom, Elin; Prgomet, Mirela; Schofield, Behnaz; Cresswell, Kathrin; Slee, Ann; Coleman, Jamie J; McCloughan, Lucy; Sheikh, Aziz (Journal article; Tidsskriftartikkel; Peer reviewed, 2019-06-18)
      <i>Background</i>: Qualitative studies have provided important insights into how hospital pharmacists’ work changes when electronic medication management (EMM) systems are introduced. Quantitative studies of work practice change are rare. Despite the use of EMM systems internationally, there are no cross-country comparative studies of their impact on health professionals’ work. We aimed to quantify ...
    • Elevating Safe Use of Over-The-Counter Medications in Older Adults: A Narrative Review of Pharmacy Involved Interventions and Recommendations for Improvement 

      Lehnbom, Elin; Berbakov, Maria E.; Hoffins, Emily L.; Moon, Jukrin; Welch, Lauren; Chui, Michelle A. (Journal article; Tidsskriftartikkel; Peer reviewed, 2023-06-20)
      Over-the-counter (OTC) medications are products that have been made easily accessible to allow patients to treat common ailments without a prescription and the cost of a doctor’s visit. These medications are generally considered safe; however, there is still a potential for these medications to lead to adverse health outcomes. Older adults (ages 50+) are especially susceptible to these adverse health ...
    • ‘Illuminating determinants of implementation of non-dispensing pharmacist services in home care: a qualitative interview study’ 

      Bø, Karl-Erik; Halvorsen, Kjell H.; Risør, Torsten; Lehnbom, Elin (Journal article; Tidsskriftartikkel; Peer reviewed, 2023-01-13)
      Objectives - Medication errors are leading causes of hospitalization and death in western countries and WHO encourages health care providers to implement non-dispensing pharmacist services in primary care to improve medication work. However, these services struggle to provide any impact on clinical outcomes. We wanted to explore health care professionals’ views on medication work to illuminate ...
    • Integrating the clinical pharmacist into the emergency department interdisciplinary team: A study protocol for a multicentre trial applying a non-randomised stepped-wedge study design 

      Vesela, Renata; Elenjord, Renate; Lehnbom, Elin; Ofstad, Eirik Hugaas; Johnsgård, Tine; Zahl-Holmstad, Birgitte; Risør, Torsten; Wisløff, Torbjørn; Røslie, Lars; Filseth, Ole Magnus; Valle, Per Christian; Svendsen, Kristian; Frøyshov, Hanne Mathilde; Garcia, Beate Hennie (Journal article; Tidsskriftartikkel; Peer reviewed, 2021-11-25)
      Introduction: The ‘emergency department (ED) pharmacist’ is an integrated part of the ED interdisciplinary team in many countries, which have shown to improve medication safety and reduce costs related to hospitalisations. In Norway, few EDs are equipped with ED pharmacists, and research describing effects on patients has not been conducted. The aim of this study is to investigate the impact ...
    • Integrating the clinical pharmacist into the emergency department interdisciplinary team: a study protocol for a multicentre trial applying a non-randomised stepped-wedge study design 

      Vesala, Renata; Elenjord, Renate; Lehnbom, Elin; Ofstad, Eirik Hugaas; Johnsgård, Tine; Zahl-Holmstad, Birgitte; Risør, Torstein; Wisløff, Torbjørn; Røslie, Lars; Filseth, Ole Magnus; Valle, Per Christian; Svendsen, Kristian; Frøyshov, Hanne Mathilde; Garcia, Beate Hennie (Journal article; Tidsskriftartikkel; Peer reviewed, 2021-11-25)
      Introduction - The ‘emergency department (ED) pharmacist’ is an integrated part of the ED interdisciplinary team in many countries, which have shown to improve medication safety and reduce costs related to hospitalisations. In Norway, few EDs are equipped with ED pharmacists, and research describing effects on patients has not been conducted. The aim of this study is to investigate the impact of ...
    • Mandatory medication indications in electronic systems – the prescriber perspective 

      Baysari, Melissa; Del Gigante, Jessica; Moran, Maria; Lehnbom, Elin; Day, Richard (Journal article; Tidsskriftartikkel; Peer reviewed, 2019)
      As hospitals transition from paper to electronic medication charts, an opportunity exists to ‘nudge’ prescribers to document medication indications by making this data-entry field mandatory. The aim of this study was to explore hospital doctors’ perceptions of mandatory documentation of indications in an electronic medication management (EMM) system. Ten junior doctors took part in brief semi-structured ...
    • Medication Errors and Safety Culture in a Norwegian Hospital 

      Waaseth, Marit; Ademi, Adelina; Fredheim, Mette; Antonsen, Margaret Aarag; Brox, Nina M Bjæring; Lehnbom, Elin (Journal article; Tidsskriftartikkel; Peer reviewed, 2019)
      Medication errors are associated with adverse health outcomes and may prolong hospital stays and increase societal costs. Safety initiatives to reduce adverse health outcomes should be based on reliable information of current shortcomings. The aim of this study was to identify barriers to medication error reporting in a hospital and to describe heath personnel’s views of the safety culture. Seven ...
    • Medication management in municipality based health care: a time and motion study of nurses 

      Holmqvist, Malin; Ekstedt, Mirjam; Walter, Scott R; Lehnbom, Elin (Journal article; Tidsskriftartikkel; Peer reviewed, 2018-07-01)
      The objective of this observational time and motion study was to increase our understanding of how nurses in home healthcare currently distribute their work time with a focus on the medication management process. The research was conducted in four municipalities in the southern part of Sweden. Participants were nurses working in home healthcare. The study measured proportion of time, comparison ...
    • Patient perceptions and experiences with medication-related activities in the emergency department: a qualitative study 

      Zahl-Holmstad, Birgitte; Garcia, Beate Hennie; Johnsgård, Tine; Ofstad, Eirik Hugaas; Lehnbom, Elin; Svendsen, Kristian; Risør, Torsten; Vesela, Renata; Elenjord, Renate (Journal article; Tidsskriftartikkel; Peer reviewed, 2023-05-22)
      Background - Emergency department (ED) pharmacists reduce medication errors and improve quality of medication use. Patient perceptions and experiences with ED pharmacists have not been studied. The aim of this study was to explore patients’ perceptions of and experiences with medication-related activities in the ED, with and without an ED pharmacist present.<p> <p>Methods - We conducted 24 ...
    • Pharmacist's time spent: Space for Pharmacy-based Interventions and Consultation TimE (SPICE)-an observational time and motion study 

      Karia, Ajay; Norman, Richard; Robinson, Suzanne; Lehnbom, Elin; Laba, Tracey-Lea; Durakovic, Iva; Balane, Christine; Joshi, Rohina; Webster, Ruth (Journal article; Tidsskriftartikkel; Peer reviewed, 2022-03-02)
      Objective To describe the pharmacists’ workflow, including tasks and time spent, to better understand their work capacity.<p> <p>Design Cross-sectional, observational, time and motion study. <p>Setting Community pharmacies in Western Australia and New South Wales, Australia. <p>Participants Currently registered and practising pharmacists were approached using snowball sampling and selected ...
    • Pharmacists’ expectations and perceptions of electronic medication management: lessons from Australia 

      Lehnbom, Elin; Baysari, MT; Westbrook, JI (Journal article; Tidsskriftartikkel; Peer reviewed, 2019)
      <p><i>Background - </i>Implementing electronic medication management systems (eMMS) is likely to influence established work practices. <p><i>Objective - </i>To explore Australian hospital pharmacists’ expectations of, or experiences with, eMMS. <p><i>Methods - </i>Semi-structured individual phone interviews with pharmacists from six Australian States and Territories were conducted in 2014. ...
    • Time distribution for pharmacists conducting a randomized controlled trial — An observational time and motion study. 

      Havnes, Kjerstin; Lehnbom, Elin; Walter, Scott R.; Garcia, Beate; Halvorsen, Kjell H. (Journal article; Tidsskriftartikkel; Peer reviewed, 2021-04-30)
      Introduction - An expected future increase in older adults will demand changes in health care delivery, making development, implementation and evaluation of new health care models essential. The rationale for political decision-making concerning the implementation and application of interventions in health care should include cost estimations, specifically those involving clinical interventions. To ...
    • What do Australian consumers, pharmacists and prescribers think about documenting indications on prescriptions and dispensed medicines labels?: A qualitative study 

      Garada, Mona; McLachlan, Andrew J; Schiff, Gordon D; Lehnbom, Elin (Journal article; Tidsskriftartikkel; Peer reviewed, 2017-11-15)
      Background: Documenting the indication on prescriptions and dispensed medicines labels is not standard practice in Australia. However, previous studies that have focused on the content and design of dispensed medicines labels, have suggested including the indication as a safety measure. The aim of this study was to investigate the perspectives of Australian consumers, pharmacists and prescribers ...