Evaluation of e-prescribing in chain community pharmacy: Best-practice recommendations

Rupp, Michael T.; Warholak, Terri

doi:10.1331/japha.2008.07031

Cited by 65 publications

(87 citation statements)

References 2 publications

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“…Unfortunately, the study results are not consistent, probably reflecting the true nature of variability in the practice setting. Several non-oncology studies have also found that eprescribing has had a negative effect on workflow in terms of time and workload 27,29,30,31 , but other studies report a positive effect with respect to time and workload [32][33][34][35] , productivity 32 , and communications 33,36 . One study reports both positive and negative effects on various aspects of time and workload 37 .…”

Section: Discussionmentioning

confidence: 99%

Computerized Prescriber Order Entry in the Outpatient Oncology Setting: From Evidence to Meaningful Use

et al. 2014

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ConclusionsDespite the paucity of oncology-specific research, cpoe should be used in outpatient chemotherapy delivery to reduce chemotherapy-related medication errors. Adoption by clinicians will be enhanced by cpoe processes that complement current practice and workflow processes. KEY WORDSComputerized prescriber order entry, outpatients, systematic review BACKGROUNDChemotherapy is an important type of treatment in the fight against many cancers. The very nature of chemotherapy's toxicity profile also creates potential for harm-and possibly death-if chemotherapy is not ordered, prepared, dispensed, and administered cautiously by members of the health care team.Medication errors can occur anywhere during the medication process from ordering to administration, and errors can compromise patient safety 1,2 . A Canadian study 3 estimated that 7.5% of patients admitted to acute care hospitals in Canada in 2000 experienced at least 1 adverse event. Drug-related adverse events were the second most common type of event, accounting for approximately 24% of all adverse events.Medication errors in oncology can be particularly serious, given the narrow therapeutic window and the high toxicities of antineoplastic drugs 4,5 . In a study conducted by Leape et al. 6 of adverse drug events, 39% of errors occurred in the physician order phase, with drug dosing accounting for 28% of all errors. Specific to chemotherapy, Gandhi et al. 7 revealed that the most common source of error was within the order phase and that, compared with non-chemotherapy medication errors, chemotherapy ABSTRACT Background

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Section: Discussionmentioning

confidence: 99%

Computerized Prescriber Order Entry in the Outpatient Oncology Setting: From Evidence to Meaningful Use

et al. 2014

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“…A larger study with more community or hospital pharmacies may give more reliable results. The use of electronic prescriptions, bar codes to assist in the identification of patients and their medications, the implementation of an accurate system providing novel scientific evidence, as well as careful selection of medication, are some of the suggestions strongly recommended nowadays to physicians [30][31][32][33][34][35][36]. Moreover, pharmacists have a key role in identifying and preventing potential DDIs in prescriptions dispensed to patients [37].…”

Section: Discussionmentioning

confidence: 99%

Potential drug–drug interactions in prescriptions dispensed in community pharmacies in Greece

et al. 2010

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Our results indicate that patients in Greece are at risk of ADRs caused by medications due to potential DDIs. An appropriate surveillance system for monitoring such interactions should be implemented and physicians should be more aware of potentially harmful DDIs. Pharmacists can contribute to the detection and prevention of drug-related injuries, especially of clinically meaningful DDIs that pose a potential risk to patient safety.

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“…One study reported that pharmacists perceived key weaknesses in how e-prescribing had been implemented in their organizations. 12 Another study found that e-prescribing presented certain threats to safe dispensing of medications. 13 These two studies examined e-prescribing technology when it was in its infancy and their evaluation was based on national chain pharmacies (such as Walgreens and CVS) and excluded independent pharmacies.…”

Section: Introductionmentioning

confidence: 99%

Retail pharmacy staff perceptions of design strengths and weaknesses of electronic prescribing

Odukoya¹,

Chui²

2012

J Am Med Inform Assoc

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Objective This paper explored pharmacy staff perceptions of the strengths and weaknesses of electronic prescribing (e-prescribing) design in retail pharmacies using the sociotechnical systems framework. This study examined how adoption of e-prescribing technology is affecting clinical practice and patient care. Materials and methods Direct observations and think aloud protocols were used to collect data from seven retail pharmacies. Results Pharmacists and pharmacy technicians reported strengths of e-prescribing design that facilitated pharmacy work which included: legibility, ease of archiving, quick access to prescriptions and consistency in the format of electronic prescriptions (e-prescriptions). Design weaknesses and potential hazards to patient care associated with e-prescribing systems were due to differences between pharmacy and prescriber computer systems which resulted in the selection of wrong patient or drug (name, directions, dose, strength, formulation, package sizes). There were unique strengths and weaknesses in the design of e-prescriptions peculiar to the three pharmacy computer systems examined in this study. Discussion Findings from this study can help inform policy on creating e-prescribing design standards for pharmacy. e-Prescribing system developers can use the results of this study to identify and apply the most usable features of the three main pharmacy computer systems to design systems that support dispensing efficiency and safety. Conclusions This is the first study to highlight design flaws with e-prescribing in retail pharmacies. The sociotechnical systems framework was useful in providing an indepth understanding of the pharmacist and pharmacy technician's interface with e-prescribing technology. This information can be used by policy makers to create e-prescribing standards for pharmacies.

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Evaluation of e-prescribing in chain community pharmacy: Best-practice recommendations

Cited by 65 publications

References 2 publications

Computerized Prescriber Order Entry in the Outpatient Oncology Setting: From Evidence to Meaningful Use

Computerized Prescriber Order Entry in the Outpatient Oncology Setting: From Evidence to Meaningful Use

Potential drug–drug interactions in prescriptions dispensed in community pharmacies in Greece

Retail pharmacy staff perceptions of design strengths and weaknesses of electronic prescribing

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