The impact of electronic prescribing systems on clinical pharmacy practice

Turki Ibrahim Alzahrani, Jaman Saad Binsaad, Abdullah Ahmed Almasabi, Faeyz Musleh Alharthi, Abdullah Salem Alqarni, Salman Nasser Albaqami, Muhannad Saeed Alqahtani, I. Aljabry
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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.
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电子处方系统对临床药学实践的影响
这篇综述探讨了电子处方(e-prescribing)系统对临床药学实践的影响,强调了与使用电子处方相关的潜在益处和挑战。用药失误是医疗机构中的一个重大问题,采用电子处方后,用药失误有所减少,这为提高患者安全和减少药物不良事件提供了一个前景广阔的工具。然而,从传统的手写处方到电子处方的转变也带来了新的挑战,包括新类型错误的出现,如药物选择错误,以及在儿科患者中观察到的潜在死亡率上升。此外,报告还讨论了在初级保健和社区药房环境中对电子处方的有限探索,这些领域需要进一步调查,以充分了解使用电子处方的益处和负担。通过研究与个人、任务、环境、工具和技术以及组织因素有关的障碍,本综述强调了考虑影响电子处方系统有效性和安全性的各个方面的重要性。研究结果表明,在设计和评估这些系统时亟需纳入人为因素原则,以确保它们能有效支持临床药学实践并加强对患者的护理。
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