Barriers and facilitators to implementing electronic prescription: a systematic review of user groups' perceptions

Gagnon, Marie Pierre; Nsangou, Édith Romy; Payne-Gagnon, Julie; Grenier, Sonya; Sicotte, Claude

doi:10.1136/amiajnl-2013-002203

Cited by 91 publications

(148 citation statements)

References 57 publications

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“…Organizational contributing factors include the failure to match patients' medical information, history and demographic data across health care institutions, the lack of collaboration between prescribers and pharmacies, lack of information technology support training, inadequate organizational readiness, and poor strategic planning for e-prescribing implementation. 84 E-prescribing errors can also be the result of the mismatched interface between the technological and organizational foundations (such as EHR systems) of the prescriber versus the pharmacy. 66 Organizational technology incompatibility between the e-prescribing systems used in pharmacies and prescribers, especially in case of drug and patient names, can result in errors and misinterpretation.…”

Section: Categorization Of Factors Contributing To E-prescribing Errorsmentioning

confidence: 99%

A review of the literature and proposed classification on e-prescribing: Functions, assimilation stages, benefits, concerns, and risks

Zadeh

Tremblay

2016

Research in Social and Administrative Pharmacy

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Section: Categorization Of Factors Contributing To E-prescribing Errorsmentioning

confidence: 99%

A review of the literature and proposed classification on e-prescribing: Functions, assimilation stages, benefits, concerns, and risks

Zadeh

Tremblay

2016

Research in Social and Administrative Pharmacy

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“…14 Studies on barriers and facilitators to implementation of electronic prescription have been done amongst physicians, pharmacists, staff of physicians as well as IT staff. 15 This study was done amongst the prescribing doctors of a rural tertiary care institution with more than 50% of participants taking care of high patient load. Incentivizing electronic prescribers, data on reduction in prescription errors and its impact on health outcomes, online real time verifications by pharmacists, formulary adherence, reduction in adverse drug reactions and timely drug-drug interaction alerts have paved to the slow but successful adoption of e-prescribing in the developed nations.…”

Section: Discussionmentioning

confidence: 99%

Perceptions of Prescribers towards Electronic Prescription: A Pre-Implementation Evaluation

Palappallil¹,

Pinheiro²

2018

JYP

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Objective: Electronic (e) prescribing is computerised prescribing. The Government of Kerala has started the e-health initiative. The objective of this study was to obtain the perceptions of prescribing doctors on e-prescription before its implementation. Method: This was a questionnaire based cross sectional study conducted for a period of six months in a Government tertiary care teaching hospital of Kerala. The prescribing doctors of the institution formed the sample population. The response to the structured questionnaire was measured on Likert scale. Data were analysed using SPSS 16. Domain scores of perceived usefulness, ease of use and fitness to the Institution were calculated by averaging the response. Chi square test was done to find the association of score of each domain with independent variables. Results: Two hundred and fifty seven prescribing doctors of age range 22-60 years participated of which 49% were females and 51% males. Response rate was 73% (257/350). Although 70.5% have heard of e-prescriptions only 14% participants had hands on exposure. The mean perceived usefulness, perceived ease of use and fitness were 3.5±0.47, 3.35± 0.49 and 2.95 ± 0.44. Conclusion: Dislike for paper prescriptions was the single most important factor associated with perceived usefulness, perceived ease of use and perceived fitness of e-prescription in the institution. Information technology training and infrastructure development should go hand in hand with implementation of e-prescribing. Key words: Electronic prescribing, Electronic prescription, Medication error, Health Information Technology. Key Messages: For successful implementation of electronic prescriptions, training and technologically developed settings is a must. Educating the prescribers on preventable medication errors associated with paper prescriptions can lead to the acceptance of e-prescribing. This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.

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“…User exposure to these determinants generates reactions, which Venkatesh and Davis30 referred to as self-reported use. These identified reactions tend to be attributed to the user intention to use and actual use of the said technology 5 , 31 – 35…”

Section: Models Of Technology Acceptance and Usementioning

confidence: 99%

Towards understanding healthcare professionals’ adoption and use of technologies in clinical practice: using Q-methodology and models of technology acceptance

Ladan¹,

Wharrad

Windle

2018

BMJ Health Care Inform

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This paper describes a pilot study to explore these factors that influence information and technology adoption and use by health professionals in the clinical area in Sub-Saharan Africa. We report on the use of Q-methodology and the models of technology acceptance used in combination for the first time. The methodology used for this study aims to explore the subjectivity of healthcare professionals and present their shared views (factors) on their adoption and use of e-health within clinical practice.

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Barriers and facilitators to implementing electronic prescription: a systematic review of user groups' perceptions

Cited by 91 publications

References 57 publications

A review of the literature and proposed classification on e-prescribing: Functions, assimilation stages, benefits, concerns, and risks

A review of the literature and proposed classification on e-prescribing: Functions, assimilation stages, benefits, concerns, and risks

Perceptions of Prescribers towards Electronic Prescription: A Pre-Implementation Evaluation

Towards understanding healthcare professionals’ adoption and use of technologies in clinical practice: using Q-methodology and models of technology acceptance

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