Electronic prescribing problems reported to the Pharmacy and Provider ePrescribing Experience Reporting (PEER) portal

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

“…Many prescriptions are transmitted electronically with no prescribers' license information, phone number or allergy information, and additional time is needed for the pharmacy staff to gather such data. 66 Updating the database according to emerging data, protecting data, confidentiality maintenance and routine trouble shooting can be a key concern in the implementation of e-prescribing systems. 67 If any application of HIT (such as an e-prescribing system) is poorly designed or implemented, it can become very risky to patient safety by introducing a new source of medication errors.…”

“…Wrong dosing directions usually occur due to incorrect auto-populated information, and wrong quantity errors are created due to the incorrect calculation of medication quantities by prescribers or when prescribers are unaware of the available package size. 70 According to Hincapie et al, 66 the most frequent type of e-prescribing errors is e-prescriptions with conflicting information, wrong quantity, dose and drug selection issues, and direction issues. Directions issues are mostly referred to as the discrepancy between directions and drug route, mismatch between strengths and the directions, and disagreement between the package size and the directions.…”

“…21 Duplicate e-prescriptions, which is a common problem for pharmacists, usually occur when prescribers send the same prescription via different transmission methods (e-prescription, fax, and phone) to confirm delivery. 66 The main concerns of community pharmacists are reported as patient safety issues owing to unintended adverse consequences and omissions of information caused by the use of e-prescribing systems. 10 Many pharmacists and pharmacy staff believe that e-prescribing decreases pharmacies' workloads while simultaneously doubling their work responsibilities and imposing an excessive burden.…”

“…66 System design features such as poor drop-down menus, screen design and inaccurate patient medication lists can cause patient safety issues. 80 One of the main concerns of using e-prescribing software is handling day-to-day glitches and cumbersome elements of the software that may lead to user frustration.…”

Classification of antecedents towards safety use of health information technology: A systematic review

“…ii) Inadequate information flow through the systems between nurses and the pharmacy, or incomplete pharmacy database for e-prescribing interfered the healthcare practitioners' workflow, and created more or new work such as making phone calls to obtain the required information [12,57]. iii) More time spent by the healthcare practitioners to gather the missing information sometimes led to treatment delays as well errors [76,77]. iv) Insufficient prescription information caused medication errors such as drug interactions or unnecessary drug therapy [78,79].…”