Patient Perceptions Regarding Electronic Prescriptions: Is the Geriatric Patient Ready?

Lapane, Kate L.; Dubé, Catherine; Schneider, Karen; Quilliam, Brian J.

doi:10.1111/j.1532-5415.2007.01248.x

Cited by 34 publications

(43 citation statements)

References 10 publications

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“…The costs for pharmacies and insurers from patients not picking up medications has been recognized and defined in the industry as "leakage" of prescriptions, but this phenomenon has not been quantified in the medical literature. 28 The potential of e-prescribing for accurate measurement of primary non-adherence should create opportunities to improve medication adherence. In this study we found that 22% of e-prescriptions were never filled, with an increase to 28% never filled when we restricted the sample to newly prescribed medications.…”

Section: Discussionmentioning

confidence: 99%

Primary Medication Non-Adherence: Analysis of 195,930 Electronic Prescriptions

et al. 2010

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Section: Discussionmentioning

confidence: 99%

Primary Medication Non-Adherence: Analysis of 195,930 Electronic Prescriptions

et al. 2010

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“…Increasingly, the prescription information entered by the prescriber into the EHR will not be used solely for pharmacy dispensing of prescriptions, but also by the patients for medication lists and online medication history [40-42]. The information will also be used for clinical decision making by other physicians and for epidemiological research and evaluation.…”

Section: Discussionmentioning

confidence: 99%

Assessment of ePrescription quality: an observational study at three mail-order pharmacies

Åstrand¹,

Montelius²,

Petersson³

et al. 2009

BMC Med Inform Decis Mak

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BackgroundThe introduction of electronic transfer of prescriptions (ETP) or ePrescriptions in ambulatory health care has been suggested to have a positive impact on the prescribing and dispensing processes. Thereby, implying that ePrescribing can improve safety, quality, efficiency, and cost-effectiveness. In December 2007, 68% of all new prescriptions were transferred electronically in Sweden. The aim of the present study was to assess the quality of ePrescriptions by comparing the proportions of ePrescriptions and non-electronic prescriptions necessitating a clarification contact (correction, completion or change) with the prescriber at the time of dispensing.MethodsA direct observational study was performed at three Swedish mail-order pharmacies which were known to dispense a large proportion of ePrescriptions (38–75%). Data were gathered on all ePrescriptions dispensed at these pharmacies over a three week period in February 2006. All clarification contacts with prescribers were included in the study and were classified and assessed in comparison with all drug prescriptions dispensed at the same pharmacies over the specified period.ResultsOf the 31225 prescriptions dispensed during the study period, clarification contacts were made for 2.0% (147/7532) of new ePrescriptions and 1.2% (79/6833) of new non-electronic prescriptions. This represented a relative risk (RR) of 1.7 (95% CI 1.3–2.2) for new ePrescriptions compared to new non-electronic prescriptions. The increased RR was mainly due to 'Dosage and directions for use', which had an RR of 7.6 (95% CI 2.8–20.4) when compared to other clarification contacts. In all, 89.5% of the suggested pharmacist interventions were accepted by the prescriber, 77.7% (192/247) as suggested and an additional 11.7% (29/247) after a modification during contact with the prescriber.ConclusionThe increased proportion of prescriptions necessitating a clarification contact for new ePrescriptions compared to new non-electronic prescriptions indicates the need for an increased focus on quality aspects in ePrescribing deployment. ETP technology should be developed towards a two-way communication between the prescriber and the pharmacist with automated checks of missing, inaccurate, or ambiguous information. This would enhance safety and quality for the patient and also improve efficiency and cost-effectiveness within the health care system.

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“…This promises to be of particular benefit to older patients with several morbidities who are taking multiple drugs, but setting up ePrescribing is only half the challenge-patients may need help and encouragement to use it initially. 31 Before and after studies in a surgical ward of a London teaching hospital provide an early indication of benefit. The introduction of closed loop electronic prescribing resulted in fewer prescribing errors, fewer errors related to medication administration, and fewer prescription endorsements by a pharmacist.…”

Section: Educationmentioning

confidence: 99%