Computerized physician order entry system combined with on‐ward pharmacist: analysis of pharmacists' interventions

Bedouch, Pierrick; Tessier, André; Baudrant, Magalie; Labarère, José; Foroni, L.; Calop, J.; Bosson, Jean‐Luc; Allenet, Benoît

doi:10.1111/j.1365-2753.2011.01704.x

Cited by 55 publications

(72 citation statements)

References 43 publications

(43 reference statements)

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“…Physician acceptance of pharmacist advice was investigated prospectively in a French teaching hospital,8 looking specifically at the factors most predictive of acceptance. In this study, 86.6% of assessable interventions were accepted.…”

Section: Resultsmentioning

confidence: 99%

“…This method gave the interviewee less scope to express their opinion or feeling on the subject, and may have directed them to select an option which could remove accountability. The third quantitative study examined a comparatively larger number of pharmacist interventions (n = 448) and looked at the factors most predictive of their acceptance, such as the modality of communication used 8. In this study, onward integration of clinical pharmacists occurred at the same time as CPOE implementation.…”

Section: Resultsmentioning

confidence: 99%

“…It is the role of the pharmacist to ‘validate’ medication orders to reduce the risk of error and to optimise the pharmaceutical management of the patient. When a pharmacist disagrees with an order, or aspects of an order, or where clarification is needed, a communication is made with the physician and an ‘intervention’ is made; defined as ‘any action(s) initiated by a pharmacist directly resulting in a change of the patient's management or therapy’ 8. Interventions are traditionally communicated in one of three ways when using a paper-based medication process: direct face-to-face discussion; telephone conversation/messages; or with written advice/review notes.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

The impact of computerised physician order entry with integrated clinical decision support on pharmacist–physician communication in the hospital setting: a systematic review of the literature

Thomas

Coleman

2012

Eur J Hosp Pharm

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Objective To document the issues and impact that computerised physician order entry (CPOE) with clinical decision support (CDS) can have on pharmacist–physician communication in the hospital setting. Hypothesis Novel processes introduced by CPOE systems with integrated CDS bring the potential to change face-to-face communication between the pharmacist and physician, and therefore affect their clinical interactions. The authors believe that virtual communications between healthcare providers and the content of CDS alerts may lead to a shift in traditional pharmacist–physician communications worthy of further study. Methodology MEDLINE, EMBASE and PubMed (1947–November 2011) were searched using subject headings and relevant free text terms. The language and date of publication were not defined. The studies were assessed for their quality, and the content of the articles was analysed in full and categorised to allow for a structured narrative review. Results A total of 48 papers were identified, of which 24 were excluded based on the title and abstract. Of the 24 papers reviewed in full text, seven were selected for inclusion. Several topics emerged from the review: computer entry: ‘a false communication’; interpersonal communication; the impact of pharmacist messages in an electronic format; physician accessibility to pharmacist alerts; and the effect of decision support on communication. Conclusions Few studies have examined the impact of CPOE and CDS technologies on pharmacist–physician communication in the hospital setting. Furthermore, there has been no research to date that looks specifically at how CDS affects what is communicated by pharmacists as alerts. Research into this area could provide a valuable insight into how communication channels in existing systems can be enhanced so that inter-professional interactions are optimised to benefit patient care.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The impact of computerised physician order entry with integrated clinical decision support on pharmacist–physician communication in the hospital setting: a systematic review of the literature

Thomas

Coleman

2012

Eur J Hosp Pharm

View full text Add to dashboard Cite

show abstract

“…Patient safety is a critical point in health services and quality of healthcare (12). This approach is based on Hippocratic Oath that the main principle is "no harm".…”

Section: Discussionmentioning

confidence: 99%

“…In hospital information management system, computerized physician order entry is an application in which physicians write prescriptions online (12). Electronic prescribing is the direct computer-to-computer interaction of prescription information from physician offices to pharmacies in the system (7,8,15).…”

Section: Discussionmentioning

confidence: 99%