Table 4 Medication communication challenges in hospitals: the results from text mining and manual analysis (N=223)
Medication communication challenges | ||
|---|---|---|
Text mining | Manual analysis | |
Text topic filtering | Text clustering | Inductive content analysis |
1) Ambiguity around whether the patient has been given all of their medication (docs=57) | 1) Challenges concerning patient home medication reconciliation (f=56) | 1) Non-communicable software (docs=54) |
2) Discrepancies between the written notes and orally given prescriptions (docs=54) | 2) Lack of clarity on medical prescriptions given outside the ward rounds (f=44) | 2) Location or style of prescription documentation varies, or there are discrepancies in two different locations concerning the same prescription (docs=45) |
3) Challenges related to the use of diverse/new software (docs=50) | 3) Communication challenges related to the care transition and non-communicable software (f=33) | 3) Prescriptions that are given outside the ward rounds are not informed orally (docs=37) |
4) Non-communicable software during the transition between units (docs=46) | 4) Challenges associated with documented medication changes and checking these in digital systems (f=28) | 4) Conditions or work environment are not optimal for communication (e.g., noise, rush) (docs=37) |
5) Failure to notice prescriptions documented outside the ward rounds (docs=36) | 5) Challenges associated with medication dispensing and digital information (f=27) | 5) Lack of given information from the patient or family, or the patient did not have an updated medication list with him/her (docs=37) |
6) Challenges in updating patient medication lists (docs=24) | 6) Challenges associated with incomplete documentation of oral prescriptions (f=19) | 6) Prescriptions are not programmed into the medication list (docs=29) |
- The mining program did not generate its own topic for conditions. However, conditions-related words and phrases (e.g., rush, be in time) appeared in three topics of the six | 7) Noise and interruptions during the medication administration that affect the ability to determine the dose (f=12) | 7) Oral prescriptions are not documented, or they are unclear (docs=28) |
8) Lack of clarity regarding the person responsible for checking home medication and updating the medication list at arrival or during discharge, or the prescriptions or information taken of previous medications are not complete (docs=26) | ||