Nursing home patients often have multiple diagnoses and a high prevalence of polypharmacy and are at risk of experiencing adverse drug events. The study aims to explore the dynamic interactions of stakeholders and work system elements in the medication administration process in a nursing home ward. Data were collected using observations and interviews. A deductive content analysis led to a SEIPS-based process map and an accompanying work system analysis. The study increases knowledge of the complexity of the medication administration process by portraying the dynamic interactions between the major stakeholders in the work system, and the temporal flow of the activities involved. Secondly, it identifies facilitators and barriers in the work system linked to the medication administration process. Most barriers and facilitators are associated with the work system elements - tools & technology, organisation and tasks - and occur early in the medication administration process.

中文翻译：

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挪威养老院病房中药物管理过程的工作系统分析。

疗养院患者通常具有多种诊断和很高的多药治疗率，并且有发生药物不良事件的风险。该研究旨在探讨疗养院病房药物管理过程中利益相关者与工作系统要素之间的动态互动。使用观察和访谈收集数据。演绎性内容分析导致了基于SEIPS的流程图和相应的工作系统分析。该研究通过描绘工作系统中主要利益相关者之间的动态相互作用以及所涉及活动的时间流，从而增加了药物管理过程复杂性的知识。其次，它确定了与药物管理过程相关的工作系统中的促进因素和障碍。