Physicians' Experiences Using Commercial E-Prescribing Systems

Grossman, Joy M.; Gerland, Anneliese; Reed, Marie; Fahlman, Cheryl

doi:10.1377/hlthaff.26.3.w393

Cited by 84 publications

(63 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…8,9 These challenges have slowed adoption while leading some early adopters to either abandon e-prescribing or delegate its use to support staff, thereby neutralizing its potential to infl uence prescribing decisions. 8,10 Nonetheless, some e-prescribers have successfully transformed their practices to make use of the technology, and lessons from these successes can inform wider adoption of e-prescribing.…”

Section: Introductionmentioning

confidence: 99%

Meaningful Use of Electronic Prescribing in 5 Exemplar Primary Care Practices

Crosson¹,

Etz²,

Wu³

et al. 2011

The Annals of Family Medicine

View full text Add to dashboard Cite

PURPOSE Successful use of electronic prescribing (e-prescribing) is a key requirement for demonstrating meaningful use of electronic health records to qualify for federal incentives. Currently, many physicians who implement e-prescribing fail to make substantial use of these systems, and little is known about factors contributing to successful e-prescribing use. The objective of this study was to identify successful implementation and use techniques. METHODSWe conducted a multimethod qualitative case study of 5 ambulatory primary care practices identifi ed as exemplars of effective e-prescribing. The practices were identifi ed by a group of e-prescribing experts. Field researchers conducted in-depth interviews and observed prescription-related workfl ow in these practices. RESULTSIn these exemplar practices, successful use of e-prescribing required practice transformation. Practice members reported extensive efforts to redesign work processes to take advantage of e-prescribing capabilities and to create specifi c e-prescribing protocols to distribute prescription-related work among practice team members. These practices had substantial resources to support e-prescribing use, including local physician champions, ongoing training for practice members, and continuous on-site technical support. Practices faced considerable challenges during use of e-prescribing, however, deriving from problems coordinating new work processes with pharmacies and ineffective health information exchange that required workarounds to ensure the completeness of patient medical records. CONCLUSIONSMore widespread implementation and effective use of e-prescribing in ambulatory care settings will require practice transformation efforts that focus on work process redesign while being attentive to effects on patient and pharmacy involvement in prescribing. Improved health information exchange is required to fully realize expected quality, safety, and effi ciency gains of e-prescribing.

show abstract

Section: Introductionmentioning

confidence: 99%

Meaningful Use of Electronic Prescribing in 5 Exemplar Primary Care Practices

Crosson¹,

Etz²,

Wu³

et al. 2011

The Annals of Family Medicine

View full text Add to dashboard Cite

show abstract

“…2, 17 Our results suggest that physicians who use either an integrated or a stand-alone system do realize this benefit in terms of fewer phone calls and greater ease of prescribing. Our results also suggest that the use of e-prescribing generally results in a perception of greater efficiency.…”

Section: Discussionmentioning

confidence: 72%

Differences Between Integrated And Stand-Alone E-Prescribing Systems Have Implications For Future Use

DesRoches¹,

Agarwal

Angst

et al. 2010

Health Affairs

View full text Add to dashboard Cite

Understanding the benefits of electronic prescribing systems has important implications for quality and efficiency in medical care. We surveyed physicians about their use of e-prescribing in outpatient practices. We found that physicians who use e-prescribing systems integrated into an electronic health record have different characteristics, usage patterns, perceived benefits, and levels of satisfaction than physicians who use stand-alone systems. For example, although only 56 percent of the physicians we surveyed said that they checked a patient's drug history most or all of the time when writing a prescription, those with integrated systems were significantly more likely to report doing so than their counterparts with stand-alone systems. Our findings have implications for the American Recovery and Reinvestment Act's requirements for e-prescribing and the future use of this technology. Because many stand-alone systems cannot meet meaningful-use requirements, there is likely to be a shift toward integrated systems. P atient safety and quality of care are dominant themes in debates about health reform. Policy makers and providers are paying increasing attention to adverse drug events and the importance of interventions to improve the safety and quality of prescribing. The use of health information technology (IT) broadly, and of electronic prescribing specifically, has the potential to decrease prescribing errors and adverse drug events.

show abstract

“…43 The study focused on larger medical practices (12 of the 21 practices had more than 50 doctors; none had fewer than 5), which meant that many of the practices had IT staff and support. Many of the problems encountered involved not the basic function of writing a prescription, but other functions that are designed to improve patient safety (e.g., medication histories, clinical decision support) and formulary compliance.…”

Section: Costs To Small Entitiesmentioning

confidence: 99%

Electronic prescriptions for controlled substances

2010

Optometry - Journal of the American Optometric Association

View full text Add to dashboard Cite

Physicians' Experiences Using Commercial E-Prescribing Systems

Cited by 84 publications

References 6 publications

Meaningful Use of Electronic Prescribing in 5 Exemplar Primary Care Practices

Meaningful Use of Electronic Prescribing in 5 Exemplar Primary Care Practices

Differences Between Integrated And Stand-Alone E-Prescribing Systems Have Implications For Future Use

Electronic prescriptions for controlled substances

Contact Info

Product

Resources

About