E-Prescribing Implementations a Journey from Manual to Digital to Increase Patient Safety
International Journal of Industrial Engineering |
© 2019 by SSRG - IJIE Journal |
Volume 6 Issue 1 |
Year of Publication : 2019 |
Authors : Dilla Anggraeni, HumirasHardi Purba |
How to Cite?
Dilla Anggraeni, HumirasHardi Purba, "E-Prescribing Implementations a Journey from Manual to Digital to Increase Patient Safety," SSRG International Journal of Industrial Engineering, vol. 6, no. 1, pp. 1-7, 2019. Crossref, https://doi.org/10.14445/23499362/IJIE-V6I1P101
Abstract:
The purpose of this study was to evaluate the implementation of electronic prescription use to improve patient safety in drug administration. In its implementation, the use of an electronic prescribing system in prescription writing has been proven to decrease the number of prescribing mistakes. Treatment errors such as the mistake of writing the name of the drug, determining the dosage, and using the right type of medication for the patient can be prevented. The cross-sectional survey design was used, data and information from a hospital that has been using electronic prescriptions collected. Evaluation is also done to the doctor to know the doctor's acceptance of the implementation of the electronic prescription system, by providing an evaluation form of the use of electronic prescriptions. The results of this study found 8 incidents that decrease significantly (40%), 5 incidents increase significantly (25%), 1 stagnant (5%), 1 incident increase insignificant (5%), and 5 no measurable incidents (25 %). Declining incident trends occur in E1 (p-value (0.33)> 0.05), E3 (p-value (0.3)> 0.05), E4 (p-value (0.056)> 0.05), E8 (p-value (0.26)> 0.05), E9 (p-value (0.12)> 0.05), E20 (p-value (0, 07)> 0.05), there is also a decrease trend on E2 (p-value (0.81)> 0.05) but this trend should still be analyzed further. A rising trend may be because the use of electronic prescriptions is not a factor that has had an effect on this incident.
Keywords:
electronic prescribing, prescription, medication error, pharmacy, patient safety
References:
[1] Donaldson, M. S., Corrigan, J. M., & Kohn, L. T. (Eds.). (2000). To err is human: building a safer health system (Vol. 6). National Academies Press.
[2] Ferner, R. E., & Aronson, J. K. (2006). Clarification of terminology in medication errors. Drug Safety, 29(11), 1011-
1022.
[3] Aronson, J. K. (2009). Medication errors: definitions and classification. British journal of clinical pharmacology, 67(6), 599-604.
[4] Cohen, M. R. (Ed.). (1999). Medication errors: causes, prevention, and risk management. Jones & Bartlett Learning.
[5] Fowler, S. B., Sohler, P., &Zarillo, D. F. (2009). Bar-code technology for medication administration: medication errors and nurse satisfaction. Medsurg Nursing, 18(2), 103.
[6] NCC MERP National Coordinating Council for Medication Error Preventing and Prevention
[7] http://www.nccmerp.org/consumer-information [accessed 5 Mei 2018]
[8] Velo, G. P., &Minuz, P. (2009). Medication errors: prescribing faults and prescription errors. British journal of clinical pharmacology, 67(6), 624-628.
[9] Kaushal, R., & Bates, D. W. (2002). Information technology and medication safety: what is the benefit?.BMJ Quality & Safety, 11(3), 261-265.
[10] Kannry, J. (2011). Effect of e‐prescribing systems on patient safety. Mount Sinai Journal of Medicine: A Journal of Translational and Personalized Medicine, 78(6), 827-833.
[11] Pennell, U., & Fishman, E. (2005). Known pitfalls and proven methods for a successful EMR implementation. EMR Consultant. Available online at www. EMR-consultant. com/emr_pitfalls. PHP.
[12] Bigler, L. (2012). E-prescribing Benefits beyond Achieving Meaningful Use. Drug Store News, 34(8), 94.
[13] Vogenberg, F. R. (2012). Changing market for pharmacy benefits: a conversation with F. Randy Vogenberg. Managed care (Langhorne, Pa.), 21(1), 34.
[14] Porterfield, A., Engelbert, K., &Coustasse, A. (2014). Electronic prescribing: improving the efficiency and accuracy of prescribing in the ambulatory care setting. Perspectives in Health Information Management, 11(Spring).
[15] Joseph, S. B., Sow, M. J., Furukawa, M. F., Posnack, S., & Daniel, J. G. (2013). E-prescribing adoption and use increased substantially following the start of a federal incentive program. Health Affairs, 32(7), 1221-1227. [16] Understanding Prescription Assistance Programs. http://www.talkaboutrx.org/paps.jsp [accessed 09 March 2018]. [17] Canada‟s health expenditure: Spending on prescribed drugs increases, total growth remains slow. (2016). Canadian Institute for Health Information. Available at: https://www.cihi.ca/en/spending-and-healthworkforce/spending/canadas-health-expenditurespending-on-prescribed-drugs [accessed 09March 2018].
[18] Hahn, A., & Lovett, A. (2014). Electronic prescribing: an examination of cost-effectiveness, clinician adoption, and limitations. Universal Journal of Clinical Medicine, 2(1), 1-24.
[19] Bell, D. S., Cretin, S., Marken, R. S., & Landman, A. B. (2004). A conceptual framework for evaluating outpatient electronic prescribing systems based on their functional capabilities. Journal of the American Medical Informatics Association, 11(1), 60-70. [20] Recommendations for the Implementation of Electronic Prescriptions in Canada. (September 2009). Available at: http://www.pharmacists.ca/cphaca/assets/File/cpha-on- [21] theissues/PPePrescriptionImplementation.pdf [accessed on April 2018]
[22] Rupp, M. T., &Warholak, T. L. (2008). Evaluation of e-prescribing in chain community pharmacy: best-practice recommendations. Journal of the American Pharmacists Association, 48(3), 371a-391a.
[23] Kaushal, R., Kern, L. M., Barrón, Y., Quaresimo, J., & Abramson, E. L. (2010). Electronic prescribing improves medication safety in community-based office practices. Journal of general internal medicine, 25(6), 530-536. [24] Surescripts, 2012 National Progress Report, Online available from http://www.surescripts.com/about-e-prescribing/progre ss-reports/national-progress
[25] Pratiwi, P. S., & Lestari, A. (2012). E-Prescribing:StudiKasusPerancangan dan ImplementasiSistemResepObatApotikKlinik. Speed-Sentra Penelitian Engineering dan Edukasi, 12(1).
[26] Bassett, J., Thal, C., & Cotton, S. (2017). ePrescribing: An Important Part of Medication. Journal of the International Society for Telemedicine and eHealth, 5, 6-1.
[27] Kusumarini, P. (2011). Penerimaandokter dan waktutunggu pada peresepanelektronikdibandingkanperesepan manual. JurnalManajemenPelayananKesehatan, 14(03).
[28] Costa, A. L., de Oliveira, M. M. B., & de Oliveira Machado, R. (2004). An information system for drug prescription and distribution in a public hospital. International journal of medical informatics, 73(4), 371-381.
[29] Salmon, J. W., & Jiang, R. (2012). E-prescribing: history, issues, and potentials. Online Journal of Public Health Informatics, 4(3).
[30] Farida, S., Krisnamurti, D. G. B., Hakim, R. W., Dwijayanti, A., &Purwaningsih, E. H. (2018). ImplementasiPeresepanElektronik. eJournalKedokteran Indonesia, 211-16.
[31] Gіder, Ö., Ocak, S., & Top, M. (2015). Evaluation of electronic prescription implications in turkey: an investigation of the perceptions of physicians. Worldviews on Evidence‐Based Nursing, 12(2), 88-97.
[32] Hincapie, A. L., Warholak, T., Altyar, A., Snead, R., &Modisett, T. (2014). Electronic prescribing problems reported to the Pharmacy and Provider ePrescribing Experience Reporting (PEER) portal. Research in Social and Administrative Pharmacy, 10(4), 647-655.
[33] Dean, B., Schachter, M., Vincent, C., & Barber, N. (2002). Prescribing errors in hospital inpatients: their incidence and clinical significance. Qual Saf Health Care, 11(4), 340-344.
[34] Donyai, P., O'grady, K., Jacklin, A., Barber, N., & Franklin, B. D. (2008). The effects of electronic prescribing on the quality of prescribing. British journal of clinical pharmacology, 65(2), 230-237.