Impact of computerization on dispensing time in an ambulatory-care pharmacy

Moss, Richard L.; Pounders, John N.

doi:10.1093/ajhp/42.2.309

Cited by 3 publications

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“…Computerised prescribing is widely used in the United Kingdom for repeat prescriptions in general practice [ 1 ]. There is evidence that it has improved legibility and clarity, saved time for both medical and clerical staff, and reduced the time spent clarifying prescriptions with the dispensing pharmacist [ 2 , 3 ]. Its principal use in hospital practice has been for outpatient or inpatient discharge prescriptions, although some hospitals use fully integrated computerised prescribing systems.…”

Section: Introductionmentioning

confidence: 99%

A comparison of handwritten and computer-assisted prescriptions in an intensive care unit

1998

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BackgroundWe conducted a prospective comparative study to evaluate the potential benefit of computer-assisted prescribing (CAP). We compared the accuracy, completeness and time use of CAP with that of conventional handwritten prescribing at the intensive care unit (ICU) of the John Radcliffe Hospital, Oxford, UK.ResultsTwenty-five clinicians and 2409 drug entries were evaluated for accuracy, completeness, legibility and time spent prescribing. One hundred and twenty-eight handwritten and 110 CAP charts were monitored. One hundred percent of CAP charts were complete compared to 47% of handwritten charts.Drug prescriptions were divided into three categories: intravenous fluids, intravenous infusions and intermittent drugs. Percentage of correct entries in each category were 64%, 47.5% and 90% for handwritten, compared to 48%, 32% and 90% for CAP charts, respectively.The mean time taken to prescribe was 20 s for hand written prescribing and 55 s for CAP.ConclusionsComputer-assisted prescriptions were more complete, signed and dated than handwritten prescriptions. Errors in prescribing, including failure to discontinue a drug were not reduced by CAP. Handwritten prescribing was quicker than CAP. Simple enhancements of the computer software could be introduced which might overcome these deficiencies. CAP was successfully integrated into clinical practice in the ICU.

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Section: Introductionmentioning

confidence: 99%

A comparison of handwritten and computer-assisted prescriptions in an intensive care unit

1998

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The Impact of Electronic Prescribing on the Professionalization of Community Pharmacists: A Qualitative Study of Pharmacists’ Perception

et al. 2008

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-PURPOSE.To understand how the technology of electronic prescription (e-Rx) can transform the community pharmacist's role through its effects on professionalization. We define professionalization as a pharmaceutical practice centred on clinical activities and made possible by the establishment of professional pharmaceutical services. METHODS. We asked 12 community pharmacists who had participated in an e-Rx pilot project in the Canadian province of Quebec to fill out a qualitative survey on their experience. We then analyzed the pharmacists' perceptions of this new technology using a conceptual framework based on the Davenport typology that presents an exhaustive list of mechanisms, specific to Information Technologies, and thus e-Rx, that can potentially modify information management process and then the role of pharmacists. RESULTS. The pharmacists identified five main mechanisms by which e-Rx could affect the professionalization of community pharmacists: analytical capabilities of the pharmacist and physician, dissemination of knowledge, integration of process tasks, process automation and elimination of intermediaries. These mechanisms can assist pharmacists in exercising their professional judgement by improving the quality of available information and facilitate the execution of prescriptions by improving the quality of orders. E-Rx technology can also strengthen pharmacists' credibility as medication specialists in the eyes of both patients and physicians. Thus, e-Rx can become a collaborative technology to the extent that it improves collaboration between community pharmacists and prescribing physicians. However, the potential benefits of this technology would appear to depend on its characteristics and how prescribing physicians use it. CONCLUSIONS. ERx proposes ways of working and communicating that were previously unimaginable. These new possibilities pave the way for transformations that can significantly increase the professionalization of community pharmacists. The results of this study indicate that community pharmacists have a favourable opinion of e-Rx, believing it can be an ally in their professionalization.

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Pharmacy Informatics and Technology

Gumpper¹

2019

Manual for Pharmacy Technicians

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Impact of computerization on dispensing time in an ambulatory-care pharmacy

Cited by 3 publications

References 0 publications

A comparison of handwritten and computer-assisted prescriptions in an intensive care unit

A comparison of handwritten and computer-assisted prescriptions in an intensive care unit

The Impact of Electronic Prescribing on the Professionalization of Community Pharmacists: A Qualitative Study of Pharmacists’ Perception

Pharmacy Informatics and Technology

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