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"Limit work to here and now": A focus group study on how emergency physicians view their work in relation to patients' drug treatment
Karolinska Institutet.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research.
Karolinska Institutet.
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2008 (English)In: International Journal of Qualitative Studies on Helath and Well-being, ISSN 1748-2623, Vol. 3, no 3, 155-164 p.Article in journal (Refereed) Published
Abstract [en]

Patients come to the emergency department (ED) with complex medication and some patients present symptoms of adverse drug effects. Drug treatment is a complex process for physicians to handle. The aim of this study was to explore how a group of ED physicians view their work in relation to patients’ drug treatment. Three semi-structured focus group discussions with 12 physicians in an ED in Sweden were conducted and analysed thematically. The core theme was ‘‘limit work to here and now’’. Three descriptive themes were identified in relation to the main theme; (1) focussing to cope with work; (2) decision making on limited patient-specific information; and (3) actively seeking learning moments. The findings show that the physicians actively seek learning moments in work. Signing their own notes in the computerized medical record is a way of getting feedback on the treatment they have initiated and it was seen as a large part of their clinical education. If we want to support the physicians with new technology for safer drug treatment, such as a computerized drug prescribing support system, the support system should be adapted to the different learning styles and needs.

Place, publisher, year, edition, pages
2008. Vol. 3, no 3, 155-164 p.
Keyword [en]
Emergency care, focus group discussions, learning moments, drug treatment, computerized physician order entry system
National Category
Medical and Health Sciences
URN: urn:nbn:se:uu:diva-138831DOI: 10.1080/17482620701788644OAI: oai:DiVA.org:uu-138831DiVA: diva2:380036
Available from: 2010-12-20 Created: 2010-12-20 Last updated: 2011-01-11Bibliographically approved

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Rosenqvist, UrbanHolmström, Inger
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