{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,4,3]],"date-time":"2022-04-03T17:23:45Z","timestamp":1649006625443},"reference-count":0,"publisher":"IOS Press","license":[{"start":{"date-parts":[[2021,12,15]],"date-time":"2021-12-15T00:00:00Z","timestamp":1639526400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,12,15]]},"abstract":"<jats:p>Missed medication doses can affect patient safety in hospitals. The use of automated dispensing cabinets (ADC) in clinical areas may reduce the occurrence of medications being unavailable at the time of need by alerting pharmacy to replenish stock. However, workarounds in ADC use can affect this capability. We studied nurses\u2019 use of an ADC in a paediatric intensive care unit with \u00a054 hours of observation, semi-structure interviews (19 nurses; 4 pharmacy\/management staff) and review of reported incidents. We found running out of medication a recurrent problem despite the ADC. Contributing factors affecting data entry in the ADC, and therefore replenishment alerts to pharmacy, included: the organisation of medication activities in the ward, nurses\u2019 information needs, patients\u2019 medication needs, and ADC design. Running out of medications was a \u2018tragedy of the commons\u2019. Effective solutions may require going beyond user training and directives for accurate data entry, to work process redesign.<\/jats:p>","DOI":"10.3233\/shti210716","type":"book-chapter","created":{"date-parts":[[2021,12,17]],"date-time":"2021-12-17T09:59:24Z","timestamp":1639735164000},"source":"Crossref","is-referenced-by-count":0,"title":["Challenges of Digital Commons: A Qualitative Study of an Automated Dispensing Cabinet in a Paediatric Intensive Care Unit"],"prefix":"10.3233","author":[{"given":"Valentina","family":"Lichtner","sequence":"first","affiliation":[{"name":"Department of Practice and Policy, UCL School of Pharmacy, United Kingdom"},{"name":"Centre for Health Systems and Safety Research, AIHI, Macquarie University, Australia"}]},{"given":"Mirela","family":"Prgomet","sequence":"additional","affiliation":[{"name":"Centre for Health Systems and Safety Research, AIHI, Macquarie University, Australia"}]},{"given":"Peter","family":"Gates","sequence":"additional","affiliation":[{"name":"Centre for Health Systems and Safety Research, AIHI, Macquarie University, Australia"}]},{"given":"Bryony Dean","family":"Franklin","sequence":"additional","affiliation":[{"name":"Department of Practice and Policy, UCL School of Pharmacy, United Kingdom"},{"name":"Centre for Medication Safety and Service Quality, Pharmacy Department, Imperial College Healthcare NHS Trust, United Kingdom"}]},{"given":"Johanna I","family":"Westbrook","sequence":"additional","affiliation":[{"name":"Centre for Health Systems and Safety Research, AIHI, Macquarie University, Australia"}]}],"member":"7437","container-title":["Studies in Health Technology and Informatics","Nurses and Midwives in the Digital Age"],"original-title":[],"link":[{"URL":"https:\/\/ebooks.iospress.nl\/pdf\/doi\/10.3233\/SHTI210716","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,12,17]],"date-time":"2021-12-17T09:59:26Z","timestamp":1639735166000},"score":1,"resource":{"primary":{"URL":"https:\/\/ebooks.iospress.nl\/doi\/10.3233\/SHTI210716"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,12,15]]},"references-count":0,"URL":"https:\/\/doi.org\/10.3233\/shti210716","relation":{},"ISSN":["0926-9630","1879-8365"],"issn-type":[{"value":"0926-9630","type":"print"},{"value":"1879-8365","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,12,15]]}}}