Effect of computerized prescriber order entry on pharmacy: Experience of one health system

McMullen, Carmit K.; Macey, Tara A.; Pope, Jill; Gugerty, Brian; Slot, Marti; Lundeen, Peter; Ash, Joan S.; Carlson, Neil

doi:10.2146/ajhp140106

Cited by 16 publications

(24 citation statements)

References 21 publications

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“…Several of the new or changed tasks associated with EMMS introduction described by pharmacists in this study are consistent with those reported in previous research . The requirement to be more vigilant to ensure that all components of a medication order are correct and the requirement to train doctors on how to use the EMMS were both new tasks reported in a US study .…”

Section: Discussionsupporting

confidence: 86%

“…The consequences were reported to be duplicated data entry, navigating across multiple systems, more paperwork for outpatient pharmacists and not enough computers to perform their work. Some of the benefits reported in other studies, such as faster verification, also appear to have not been achieved as a result of the workflow misalignment. Reorganisation of work was perceived by pharmacists to be a negative thing.…”

Section: Discussionmentioning

confidence: 80%

“…A small number of qualitative studies have explored pharmacists’ perceptions of EMMS. In a US multimethod study, pharmacists were surveyed before and after EMMS implementation, and were observed and interviewed following EMMS implementation to determine their satisfaction with the system and its effect on workflow . Although pharmacists’ evaluations of the computerised provider order entry system improved after implementation, they expressed some concern about specific aspects of the system, such as reliability and effects on patient care .…”

Section: Introductionmentioning

confidence: 99%

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Effects of an electronic medication management system on pharmacists’ work in a paediatric hospital

Baysari

Hardie

Barclay

et al. 2019

Pharmacy Practice and Res

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Background Many studies have explored the effect of electronic medication management systems (EMMS) on doctors’ and nurses’ work, but few have focused specifically on pharmacists’ work. Aim This study examined how implementation of a commercial EMMS affected the work of pharmacists in an Australian paediatric hospital. In particular, the study investigated whether any pharmacy tasks changed or were eliminated, or whether new tasks emerged following EMMS introduction. Methods Two rounds of semistructured interviews with pharmacists, one 4 months and the other 1 year after EMMS implementation, were conducted. In total, 17 pharmacists were interviewed, comprising inpatient, outpatient and oncology pharmacists, as well as pharmacy managers. Results EMMS implementation eliminated a small number of tasks, changed some tasks and created many new work tasks for pharmacists. These new tasks included helping doctors and nurses to use the EMMS, duplicated data entry and the review of additional information. Pharmacists held the view that their workload had increased and that additional pharmacists were necessary to cope with the new work requirements associated with the EMMS. Some problems were perceived to be the result of implementation of a US‐designed EMMS that did not fully support Australian pharmacy workflows. Conclusion Implementation of an EMMS in a paediatric hospital affected pharmacists’ work in a variety of ways, predominately by introducing new tasks. Anticipating how workflows will change with EMMS implementation is challenging. Undertaking regular reviews of workflow and planning for an increased burden on pharmacy staff is likely to improve the transition from paper to electronic medication management.

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Section: Discussionsupporting

confidence: 86%

Section: Discussionmentioning

confidence: 80%

Section: Introductionmentioning

confidence: 99%

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Effects of an electronic medication management system on pharmacists’ work in a paediatric hospital

Baysari

Hardie

Barclay

et al. 2019

Pharmacy Practice and Res

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show abstract

“…Previous studies have shown that while implementing CPOE can improve the safety and efficiency of order processing, it can create new challenges and resource demands that place increased burden on pharmacists, such as increasing new types of errors and problems caused by CPOE systems. [26][27][28][29] While CPOE systems can increase efficiency in many areas, such systems should be monitored by management so any new problems that arise can be addressed.…”

Section: A Particular Facet Of the Results Is That While Time Spent Onmentioning

confidence: 99%

Impact of Computerized Provider Order Entry Systems on hospital staff pharmacist workflow productivity: A three site comparative analysis based on level of CPOE implementation

Lewing

Hatfield

Sansgiry

2017

JHA

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Objective: Computerized Provider Order Entry (CPOE) is a system that enables physicians to send medication orders electronically rather than physically writing out the order. CPOE can reduce handwriting and transcription related medication errors and has been a major implementation goal for health systems. The objective of this study was to quantify and examine differences seen in the workflow of pharmacists at hospitals, with different levels of CPOE implementation. Methods: An observational, prospective time and motion study was conducted among three hospitals within the same health system: one classified as a non-CPOE system, one as short-term CPOE, and one as long-term CPOE. Pharmacists were observed in one-hour blocks, in which a data instrument was used to record 38 different tasks, which were grouped into four activities: clinical, distributive, administrative, and miscellaneous. The distributive category was further divided into three sub-categories. The average time associated with performing activities across the three hospitals was compared by descriptive and comparative analyses using ANOVAs and the post-hoc Tukey's range test. Results: A total of 252 hours were collected and 235 met the inclusion criteria. The significant differences in time spent on task categories among hospitals were as follows: Non-CPOE vs. short-term CPOE vs. long-term CPOE (mean ± SD in min/h) clinical tasks: (6.55 ± 6.40) vs. Conclusions: The presence of a CPOE system could affect pharmacists' workflow and time allotment on different types of pharmacy activities. Further, the time spent on certain activities was associated with the amount of time the CPOE system was implemented.

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“…Indeed, nurses' views on CPOE implementation are different to those of physicians [11] [12]. Conversely, pharmacists seem more satisfied with CPOE implementation [29] than physicians [30].…”

Section: Cpoe Was Never Perceived As Superior To Pboe Qualitative Anmentioning

confidence: 99%

Physician satisfaction with transition from CPOE to paper-based prescription

Griffon

Schuers

Joulakian

et al. 2017

International Journal of Medical Informatics

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Highlights Users reported poor satisfaction with the computerized provider order entry system.  Reliability and user interface design are highly important in health information technology.  The switch from computerized provider order entry towards paper based order entry was well accepted.  Even in an emergency setting, the switch is possible with no perceptible impact on patient safety.  Issues identified by a satisfaction survey eased the redeployment of computerized provider order entry. AbstractIntroduction: In January 2015, Rouen University Hospital's information system experienced serious

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Effect of computerized prescriber order entry on pharmacy: Experience of one health system

Cited by 16 publications

References 21 publications

Effects of an electronic medication management system on pharmacists’ work in a paediatric hospital

Effects of an electronic medication management system on pharmacists’ work in a paediatric hospital

Impact of Computerized Provider Order Entry Systems on hospital staff pharmacist workflow productivity: A three site comparative analysis based on level of CPOE implementation

Physician satisfaction with transition from CPOE to paper-based prescription

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