Denna rapports frågeställning är: hur lämpar sig psykiatrins data för en datalagerstruktur och inleds med en bakgrund där en litteraturstudie genomförs. Efter detta kommer en metod del och en genomförande del där intervjuer med avdelningschefer, verksamhetschefen, samt en verksamhetsutvecklare på ett svenskt universitetssjukhus psykiatriavdelning beskrivs. Genom observationer och analys av sjukhusets data samt svaren från respondenterna sammanställdes ett resultat som visar emot att detta sjukhus inte har en god grund för en datalagerstruktur, men genom omprioriteringar kan detta förbättras. Resultatet baserades på forskning gjord av Inmon (2005) och fyra av de kategorier som han anser är mest relevanta för en datalagerstruktur, samt insamlad data från universitetssjukhuset. Det framkom även att alla svenska sjukhus verkar ha problem med sina system och att hela svenska vården är i en uppgraderingsfas där det vid en sådan investering bör prioriteras att skapa fungerande datalagerstrukturer för att kunna analysera vilka resultat vården ger. Just nu fattas beslut i blindo och detta kommer inte förändras om inte förändring sker. / This report's question is: how does psychiatry's data fit into a data warehouse structure and starts with a background in which a literature study is carried out. After this, a method part and an implementation part will be described in which interviews with department heads, the operations manager, as well as an operations developer at a Swedish university hospital's psychiatry department are described. Through observations and analysis of the hospital data and the responses of the respondents, a result was compiled which shows that this hospital does not have a good basis for a data warehouse structure, but through re-prioritization this can be improved. The result was based on research done by Inmon (2005) and four of the categories that he considers to be most relevant to a data warehouse structure, as well as data collected from the university hospital. It also emerged that all Swedish hospitals seem to have problems with their systems and that the entire Swedish healthcare system is in an upgrade phase where it should be prioritized in such an investment to create functioning data warehouse structures in order to be able to analyze the results the health care gives. Right now, decisions are being made blindly and this will not change unless change is made.

In research, the transition from foster care to adult life has been pointed out as a significant and problematic period in young people´s lives. However, we know less about how this transition is handled professionally. Through qualitative interviews, this study examines social worker´s views and experiences of this transition process. The research questions focus on what needs social workers see in young people´s transition, how they describe their own work, and what strategies and tools that may promote the transition. The results are analyzed using the following theoretical concepts – discretion, emotional support, informative support,instrumental support and evaluative support. The study shows that young people need long-term relationships, certain practical skills and each type of support. Work with the transition is based on these needs. Here, social workers have an exploratory and coordination role thatconsists of many tasks. While they describe some specific strategies and tools, the results show that there are difficulties within this work. The roles of foster carers and social workers in young people´s transition to adulthood are discussed.

<p>This thesis examines the problems related to IT in the Swedish healthcare system, specifically the drug searching part of the electronic healthcare systems used in Sweden. The question formulation is divided into two questions: What parameters and functions are of greatest importance when performing a search on drugs, and how should these be presented in a graphical user interface? Thus the purpose is to answer these questions through developing a design concept, in the form of a prototype, which describes how a drug search can be carried out.</p><p>The entry point is a central quality checked drug database that is managed and owned by Swedish county councils and regions. The problem is attacked through user-centered methods where interviews of physicians and developers, in conjunction with observations, are used to give an overview of the problem area as well as to specify a requirements specification for the prototype that this thesis aims to develop. The thesis result is a requirements specification in combination with a prototype that exemplifies how drug searching can be performed, the prototype is based the requirements gathered from the interviews with the user group of physicians.</p> / <p>Den här uppsatsen behandlar problematiken kring IT i vården och mer specifikt läkemedelssökningar i vårddokumentationssystem. Frågeställningen är uppdelad i två frågor: Vilka parametrar och funktioner är av störst vikt vid en sökning på läkemedel samt, hur bör dessa presenteras i det grafiska gränssnittet? Syftet är därav att besvara dessa frågor genom ett designkoncept, i form av en prototyp, som beskriver hur en läkemedelssökning kan gå till.</p><p>Ingångspunkten är en centralt kvalitetssäkrad läkemedelsdatabas som förvaltas av en organisation som ägs av Sveriges landsting och regioner. Problemet angrips med hjälp av användarcentrerade metoder där intervjuer av läkare och utvecklare används, tillsammans med observationer, för att ge en bild av problemområdet samt för att ställa upp krav på den prototyp som denna uppsats ämnar framta. Uppsatsens resultat är en kravspecifikation i kombination med en prototyp för hur läkemedelssökning kan gå till baserat på krav extraherade ur intervjuer med en användargrupp bestående av läkare.</p>

This thesis examines the problems related to IT in the Swedish healthcare system, specifically the drug searching part of the electronic healthcare systems used in Sweden. The question formulation is divided into two questions: What parameters and functions are of greatest importance when performing a search on drugs, and how should these be presented in a graphical user interface? Thus the purpose is to answer these questions through developing a design concept, in the form of a prototype, which describes how a drug search can be carried out. The entry point is a central quality checked drug database that is managed and owned by Swedish county councils and regions. The problem is attacked through user-centered methods where interviews of physicians and developers, in conjunction with observations, are used to give an overview of the problem area as well as to specify a requirements specification for the prototype that this thesis aims to develop. The thesis result is a requirements specification in combination with a prototype that exemplifies how drug searching can be performed, the prototype is based the requirements gathered from the interviews with the user group of physicians. / Den här uppsatsen behandlar problematiken kring IT i vården och mer specifikt läkemedelssökningar i vårddokumentationssystem. Frågeställningen är uppdelad i två frågor: Vilka parametrar och funktioner är av störst vikt vid en sökning på läkemedel samt, hur bör dessa presenteras i det grafiska gränssnittet? Syftet är därav att besvara dessa frågor genom ett designkoncept, i form av en prototyp, som beskriver hur en läkemedelssökning kan gå till. Ingångspunkten är en centralt kvalitetssäkrad läkemedelsdatabas som förvaltas av en organisation som ägs av Sveriges landsting och regioner. Problemet angrips med hjälp av användarcentrerade metoder där intervjuer av läkare och utvecklare används, tillsammans med observationer, för att ge en bild av problemområdet samt för att ställa upp krav på den prototyp som denna uppsats ämnar framta. Uppsatsens resultat är en kravspecifikation i kombination med en prototyp för hur läkemedelssökning kan gå till baserat på krav extraherade ur intervjuer med en användargrupp bestående av läkare.

Background: The purpose of drug treatment is to reduce morbidity and mortality, and to improve health-related quality of life. However, there are frequent problems associated with drug treatment, especially among the elderly. The aim of this thesis was to investigate the impact of clinical pharmacy services within a multiprofessional healthcare team on quality and safety of patients’ drug therapy, and to study the frequency and nature of medication history errors on admission to hospital. Methods: A model for clinical pharmacy services within a multiprofessional healthcare team (the Lund Integrated Medicines Management model, LIMM) was introduced in three hospital wards. On admission of patients to hospital, clinical pharmacists conducted medication reconciliation (i.e. identified the most accurate list of a patient’s current medications) to identify any errors in the hospital medication list. To identify, solve and prevent any other drug-related problems, the clinical pharmacists interviewed patients and performed medication reviews and monitoring of drug therapy. Drug-related problems were discussed within the multiprofessional team and the physicians adjusted the drug therapy as appropriate. Results: On admission to hospital, drug-related problems, such as low adherence to drug therapy and concerns about treatment, were identified. Different statistical approaches to present results from ordinal data on adherence and beliefs about medicines were suggested. Approximately half of the patients were affected by errors in the medication history at admission to hospital; patients who had many prescription drugs had a higher risk for errors. Medication reconciliation and review reduced the number of inappropriate medications and reduced drug-related hospital revisits. No impact on all-cause hospital revisits was demonstrated. Conclusion: Patients admitted to hospital are at high risk for being affected by medication history errors and there is a high potential to improve their drug therapy. By reducing medication history errors and improving medication appropriateness, clinical pharmacy services within a multiprofessional healthcare team improve the quality and safety of patients’ drug therapy. The impact of routine implementation of medication reconciliation and review on healthcare visits will need further evaluation; the results from this thesis suggest that drug-related hospital revisits could be reduced. / Läkemedelsgenomgångar och läkemedelsavstämning - LIMM-modellen