eprintid: 10204407
rev_number: 7
eprint_status: archive
userid: 699
dir: disk0/10/20/44/07
datestamp: 2025-02-07 09:44:20
lastmod: 2025-02-07 09:44:20
status_changed: 2025-02-07 09:44:20
type: article
metadata_visibility: show
sword_depositor: 699
creators_name: Dalby, Melanie
creators_name: Alazab, Ali
creators_name: Chaudhry, Navila Talib
title: Qualitative analysis to explore the barriers and facilitators around the implementation of automated dispensing cabinets at a large NHS Trust in England
ispublished: pub
divisions: UCL
divisions: B02
divisions: C08
divisions: D10
divisions: G11
keywords: Automated dispensing cabinets; 
Technology; 
Medication supply
note: Copyright © 2025 The Authors. Published by Elsevier Inc. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
abstract: Background:
Automated dispensing cabinets (ADCs) as a tool to store and manage medication are becoming more widely used in healthcare settings. Although there is literature surrounding their effectiveness at reducing medication error and time for nursing and pharmacy staff, there is little information on how to implement ADCs on a large scale in a busy working clinical environment. The purpose of this study was to qualitatively determine the enablers and barriers to the implementation of ADCs in a hospital setting.
//
Methods:
Participants were selected through purposeful sampling and invited to attend online focus groups and interviews via Microsoft Teams. These were recorded and transcribed. Two facilitators independently reviewed the transcriptions, coded and developed themes using Nvivo.
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Results:
There were 18 participants that took part in four focus groups and three interviews. These participants were from the pharmacy department, nursing, estates and the external porter company used for medication and supply. Nine themes and 31 sub-themes were identified from the data. The nine themes were; overall thoughts, strategy of implementation, stakeholder engagement, training, workflow changes, environment, evaluation, challenges and solutions to challenges.
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Conclusion:
This study has provided new insight into the required elements for implementing a large scale piece of new technology into a hospital setting. The data complemented other studies such as the challenges with staff training and the importance of ongoing optimisation of the ADCs post implementation. Key recommendations for others looking to implement ADCs include utilising videos and written materials for training early on and including nursing staff in the core project implementation team as well introducing mock cabinets for staff to practice on.
date: 2025-03
date_type: published
publisher: Elsevier BV
official_url: https://doi.org/10.1016/j.rcsop.2025.100562
oa_status: green
full_text_type: pub
language: eng
primo: open
primo_central: open_green
verified: verified_manual
elements_id: 2358785
doi: 10.1016/j.rcsop.2025.100562
lyricists_name: Chaudhry, Navila
lyricists_id: NTCHA11
actors_name: Chaudhry, Navila
actors_name: Harris, Jean
actors_id: NTCHA11
actors_id: JAHAR68
actors_role: owner
actors_role: impersonator
full_text_status: public
publication: Exploratory Research in Clinical and Social Pharmacy
volume: 17
article_number: 100562
issn: 2667-2766
citation:        Dalby, Melanie;    Alazab, Ali;    Chaudhry, Navila Talib;      (2025)    Qualitative analysis to explore the barriers and facilitators around the implementation of automated dispensing cabinets at a large NHS Trust in England.                   Exploratory Research in Clinical and Social Pharmacy , 17     , Article 100562.  10.1016/j.rcsop.2025.100562 <https://doi.org/10.1016/j.rcsop.2025.100562>.       Green open access   
 
document_url: https://discovery.ucl.ac.uk/id/eprint/10204407/1/1-s2.0-S2667276625000034-main.pdf