Improving Parenteral Medication Administration at Home pathways

This thesis examines the efficiency of Parenteral Medication Administration at Home (PMAaH) pathways in the mProve hospitals—Isala, Rijnstate, and Máxima Medisch Centrum—as part of the Medication@home project. With increasing healthcare demand and staff shortages, PMAaH pathways aim to enhance care accessibility and quality. The study analyzes the antibiotics and biologicals PMAaH pathways, identifying significant differences in processes and throughput times. Using mixed methods, the research employed process mapping through swimlane diagrams and data collection via a PowerApp tool. Findings highlight disparities in the number of professions involved, with Isala and Rijnstate having more compared to Máxima MC, impacting efficiency. Variances in throughput times, particularly in “Delivery-handover,” further indicate inefficiencies. The study suggests that reducing the number of professions involved may streamline processes. However, limitations in data reliability underscore the need for improved process mapping and stakeholder engagement to refine PMAaH pathways in future studies.