The impact of electronic prescribing systems on clinical pharmacy practice

Authors

  • Turki Ibrahim Alzahrani Pharmacy Department, Armed Forces Hospital, Najran, Saudi Arabia
  • Jaman Saad Binsaad Department of Radiology and Applied Services, Prince Sultan Armed Forces Hospital, Riyadh, Saudi Arabia
  • Abdullah Ahmed Almasabi Pharmacy Department, Armed Forces Hospital, Najran, Saudi Arabia
  • Faeyz Musleh Alharthi Medical Administration of the Land Forces, Prince Sultan Armed Forces Hospital, Taif, Saudi Arabia
  • Abdullah Salem Alqarni Department of Physiotherapy, Armed Forces Hospital, Najran, Saudi Arabia
  • Salman Nasser Albaqami Department of Respiratory Therapy, Prince Sultan Center for Cardiac Medicine and Surgery, Riyadh, Saudi Arabia
  • Muhannad Saeed Alqahtani Department of Respiratory Therapy, Prince Sultan Center for Cardiac Medicine and Surgery, Riyadh, Saudi Arabia
  • Iman Aljabry King Abdulaziz Primary Healthcare Center, King Abdul-Aziz Medical City, Jeddah, Saudi Arabia

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20240933

Keywords:

E-prescribing, Clinical pharmacy practice, Medication errors, Patient safety, Health information technology

Abstract

This review explores the impact of electronic prescribing (e-prescribing) systems on clinical pharmacy practice, highlighting the potential benefits and challenges associated with their use. Medication errors, a significant concern within healthcare settings, have been shown to decrease with the adoption of e-prescribing, offering a promising tool to enhance patient safety and reduce adverse drug events. However, the transition from traditional handwritten prescriptions to electronic methods introduces new challenges, including the emergence of new types of errors, such as incorrect drug selection, and potential increases in mortality rates, as observed in pediatric patient. Furthermore, it discusses the limited exploration of e-prescribing in primary care and community pharmacy settings, areas that require further investigation to fully understand the benefits and burdens of e-prescribing use. By examining barriers related to person, tasks, environment, tools and technologies, and organizational factors, this review emphasizes the importance of considering various aspects that influence the efficacy and safety of e-prescribing systems. The findings suggest a critical need for incorporating human factors principles in the design and evaluation of these systems to ensure they effectively support clinical pharmacy practice and enhance patient care.

References

Donaldson MS, Corrigan JM, Kohn LT. To err is human: building a safer health system. 2000.

Bayazidi S, Zarezadeh Y, Zamanzadeh V, Parvan K. Medication error reporting rate and its barriers and facilitators among nurses. J Caring Sci. 2012;1(4):231.

Albarrak AI, Al Rashidi EA, Fatani RK, Al Ageel SI, Mohammed R. Assessment of legibility and completeness of handwritten and electronic prescriptions. Saudi Pharm J. 2014;22(6):522-7.

Nuckols TK, Smith-Spangler C, Morton SC, Steven MA, Vaspaan MP, Laura JA, et al. The effectiveness of computerized order entry at reducing preventable adverse drug events and medication errors in hospital settings: a systematic review and meta-analysis. Syst Rev. 2014;3(1):56.

Hitti E, Tamim H, Bakhti R, Zebian D, Mufarrij A. Impact of internally developed electronic prescription on prescribing errors at discharge from the emergency department. Western J Emergency Med. 2017;18(5):943.

Hernandez F, Majoul E, Montes-Palacios C, Marie A, Bertrand C, Levon D, et al. An observational study of the impact of a computerized physician order entry system on the rate of medication errors in an orthopaedic surgery unit. PloS One. 2015;10(7):e0134101.

Porterfield A, Engelbert K, Coustasse A. Electronic prescribing: improving the efficiency and accuracy of prescribing in the ambulatory care setting. Perspect Health Inform Manag. 2014;11(Spring):1g.

Magrabi F, Li SYW, Day RO, Coiera E. Errors and electronic prescribing: a controlled laboratory study to examine task complexity and interruption effects. J Am Med Inform Assoc. 2010;17(5):575-83.

Smith MD, Spiller HA, Casavant MJ, Chounthirath T, Brophy TJ, Xiang H. Out-of-hospital medication errors among young children in the United States, 2002-2012. Pediatrics. 2014;134(5):867-76.

Alsulami Z, Conroy S, Choonara I. Medication errors in the Middle East countries: A systematic review of the literature. Europ J Clin Pharmacol. 2013;69(4):995-1008.

Aveling E-L, Kayonga Y, Nega A, Dixon-Woods M. Why is patient safety so hard in low-income countries? A qualitative study of healthcare workers’ views in two African hospitals. Global Heal. 2015;11:6.

Wilson RM, Michel P, Olsen S, Gibberd RW, Vincent C, El-Assady R, et al. Patient safety in developing countries: retrospective estimation of scale and nature of harm to patients in hospital. BMJ. 2012;344:e832.

WHO. Medication errors: technical series on safer primary care. In: World Health Organization Geneva; 2016. Available at: https://www.who.int/ publications/i/item/9789241511643. Accessed on 2 January 2024.

Shehata ZHA, Sabri NA, Elmelegy AA. Descriptive analysis of medication errors reported to the Egyptian national online reporting system during six months. J Am Med Inform Assoc. 2016;23(2):366-74.

Ammenwerth E, Schnell-Inderst P, Machan C, Siebert U. The effect of electronic prescribing on medication errors and adverse drug events: a systematic review. J Am Med Inform Assoc. 2008;15(5):585-600.

Ash JS, Sittig DF, Dykstra R, Campbell E, Guappone K. The unintended consequences of computerized provider order entry: findings from a mixed methods exploration. Int J Med Inform. 2009;78:S69-76.

Ash JS, Gorman PN, Lavelle M, Payne TH, Massaro TA, Frantz GL, et al. A cross-site qualitative study of physician order entry. J Am Med Inform Assoc. 2003;10(2):188-200.

Ash JS, Berg M, Coiera E. Some unintended consequences of information technology in health care: the nature of patient care information system-related errors. J Am Med Inform Assoc. 2004;11(2):104-12.

Ash JS, Sittig DF, Dykstra RH, Guappone K, Carpenter JD, Seshadri V. Categorizing the unintended sociotechnical consequences of computerized provider order entry. Int J Med Inform. 2007;76:S21-7.

Ash JS, Sittig DF, Poon EG, Guappone K, Campbell E, Dykstra RH. The extent and importance of unintended consequences related to computerized provider order entry. J Am Med Inform Assoc. 2007;14(4):415-23.

Donyai P, O'Grady K, Jacklin A, Barber N, Franklin BD. The effects of electronic prescribing on the quality of prescribing. Brit J Clin Pharmacol. 2008;65(2):230-37.

Campbell EM, Guappone KP, Sittig DF, Dykstra RH, Ash JS. Computerized provider order entry adoption: implications for clinical workflow. J General Internal Med. 2009;24:21-6.

Campbell EM, Sittig DF, Ash JS, Guappone KP, Dykstra RH. Types of unintended consequences related to computerized provider order entry. J Am Med Inform Assoc. 2006;13(5):547-56.

Webster L, Spiro RF. Health information technology: a new world for pharmacy. J Am Pharmacists Assoc. 2010;50(2):e20-e34.

Abdel-Qader DH, Harper L, Cantrill JA, Tully MP. Pharmacists’ interventions in prescribing errors at hospital discharge: an observational study in the context of an electronic prescribing system in a UK teaching hospital. Drug Safety. 2010;33:1027-44.

Zlabek JA, Wickus JW, Mathiason MA. Early cost and safety benefits of an inpatient electronic health record. J Am Med Inform Assoc. 2011;18(2):169-72.

Smith M, Dang D, Lee J. E-prescribing: clinical implications for patients with diabetes. J Diabetes Sci Technol. 2009;3(5):1215-8.

Odukoya OK, Chui MA. E-prescribing: a focused review and new approach to addressing safety in pharmacies and primary care. Res Social Administrative Pharmacy. 2013;9(6):996-1003.

Armstrong EP, Chrischilles EA. Electronic prescribing and monitoring are needed to improve drug use. Arch Int Med. 2000;160(18):2713-4.

Hall LM, Ferguson-Paré M, Peter E, Debbie W, Jeanne B, Anne C, et al. Going blank: factors contributing to interruptions to nurses’ work and related outcomes. J Nursing Management. 2010;18(8):1040-7.

Kaushal R, Kern LM, Barrón Y, Quaresimo J, Abramson EL. Electronic prescribing improves medication safety in community-based office practices. J General Internal Med. 2010;25:530-6.

Crosson JC, Etz RS, Wu S, Straus SG, Eisenman D, Bell DS. Meaningful use of electronic prescribing in 5 exemplar primary care practices. Ann Family Med. 2011;9(5):392-7.

Wang CJ, Marken RS, Meili RC, Straus JB, Landman AB, Bell DS. Functional characteristics of commercial ambulatory electronic prescribing systems: a field study. J Am Med Inform Assoc. 2005;12(3):346-56.

Nanji KC, Rothschild JM, Salzberg C, Carol AK, Katherine Z, Jim D, et al. Errors associated with outpatient computerized prescribing systems. J Am Med Inform Assoc. 2011;18(6):767-73.

Karsh B-T, Weinger MB, Abbott PA, Wears RL. Health information technology: fallacies and sober realities. J Am Med Inform Assoc. 2010;17(6):617-23.

Khajouei R, Hasman A, Jaspers MW. Determination of the effectiveness of two methods for usability evaluation using a CPOE medication ordering system. Int J Med Inform. 2011;80(5):341-50.

Khajouei R, Jaspers MW. CPOE system design aspects and their qualitative effect on usability. Studies Heal Technol Inform. 2008;136:309.

Holden RJ, Carayon P, Gurses AP, Peter H, Ann SH, Ozok AA, et al. SEIPS 2.0: a human factors framework for studying and improving the work of healthcare professionals and patients. Ergonomics. 2013;56(11):1669-86.

Odukoya OK, Stone JA, Chui MA. Barriers and facilitators to recovering from e-prescribing errors in community pharmacies. J Am Pharmacists Assoc. 2015;55(1):52-8.

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Published

2024-04-06

How to Cite

Alzahrani, T. I., Binsaad, J. S., Almasabi, A. A., Alharthi, F. M., Alqarni, A. S., Albaqami, S. N., Alqahtani, M. S., & Aljabry, I. (2024). The impact of electronic prescribing systems on clinical pharmacy practice. International Journal Of Community Medicine And Public Health, 11(5), 2065–2070. https://doi.org/10.18203/2394-6040.ijcmph20240933

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Section

Review Articles