Opportunities and challenges related to technology in supporting optimal pharmacy practice models in hospitals and health systems

Siska, Mark H.; Tribble, Dennis A.

doi:10.2146/ajhp110059

Cited by 41 publications

(33 citation statements)

References 24 publications

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“…Pharmacy informatics and health IT are components of the PPMI. 38 The variability in adoption of technologies that enable the PPMI suggests that some types of hospitals have more technologyrelated resources to support the change called for by the PPMI. While our statistical analysis procedures focused on determining if there was a difference among hospital types and sizes, they did not explicitly identify where differences exist.…”

Section: Ppmi Statementsmentioning

confidence: 99%

ASHP national survey on informatics: Assessment of the adoption and use of pharmacy informatics in U.S. hospitals—2013

Fox

Pedersen

Gumpper

2015

American Journal of Health-System Pharmacy

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Section: Ppmi Statementsmentioning

confidence: 99%

ASHP national survey on informatics: Assessment of the adoption and use of pharmacy informatics in U.S. hospitals—2013

Fox

Pedersen

Gumpper

2015

American Journal of Health-System Pharmacy

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“…10 There is clear evidence that the usability of HIT is an important factor for meaningful use by all healthcare professionals affected by its adoption. 11 Compared with hospitals, the usability of e-prescribing systems is rarely studied in retail pharmacies, the recipients of e-prescriptions.…”

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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“…Hennessy 19 provided a useful overview of problems of medication use within health care at large that are potentially amenable to improvement. There are a number of key barriers to improving medication use in hospitals and health systems.…”

Section: Major Barriers To Improving Medication Use In Hospitals and mentioning

confidence: 99%

Needs and opportunities for achieving optimal outcomes from the use of medicines in hospitals and health systems

Brennan

Donnelly

Somani³

2011

American Journal of Health-System Pharmacy

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Opportunities and challenges related to technology in supporting optimal pharmacy practice models in hospitals and health systems

Cited by 41 publications

References 24 publications

ASHP national survey on informatics: Assessment of the adoption and use of pharmacy informatics in U.S. hospitals—2013

ASHP national survey on informatics: Assessment of the adoption and use of pharmacy informatics in U.S. hospitals—2013

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

Needs and opportunities for achieving optimal outcomes from the use of medicines in hospitals and health systems

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