Health Information management
neda borhani moghani; Marziyhe Meraji; Elaheh Houshmand; Somayeh Fazaeli; Marjan Vedjani; Zahra Ebnehosseni
Abstract
Introduction: Considering the beginning of the implementation of electronic prescribing in the country, the present study was conducted with the aim of explaining the challenges during the implementation of electronic prescribing.Research method: This study was conducted using a qualitative method through ...
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Introduction: Considering the beginning of the implementation of electronic prescribing in the country, the present study was conducted with the aim of explaining the challenges during the implementation of electronic prescribing.Research method: This study was conducted using a qualitative method through interviews with physicians working in Mashhad University of Medical Sciences in 1401. The participants were selected by purposive sampling, after conducting three in-depth interviews, interview questions were extracted. After the semi-structured interviews were conducted, they were recorded and implemented, in order to analyze them, content analysis method and MAXQDA version 10 software were used.Finding: In this study, the challenges were categorized into two main categories, including the organizational category and the infrastructure category. organizational challenges; Challenges related to insurance, referral of patients, education and information to beneficiaries, monitoring and infrastructure challenges; infrastructure, user interface and database. The main challenges of implementing electronic prescribing were related to the outage and slowness of systems and the Internet and the existence of multiple systems for insurances.Conclusion: the infrastructure challenges which are among the important obstacles in the path of the full implementation of the electronic prescribing plan should be resolved, in order to improve the implementation problems, the continuous monitoring of the prescribing systems should be considered and the results should be applied immediately, as It is recommended to reform infrastructures, integrate insurance systems, use electronic signatures and electronic version standards, and provide practical training.
Ebtesam Savari; Sima Ajami
Volume 12, Issue 2 , April 2015, , Pages 263-272
Abstract
On one hand, drug therapy is one of the most powerful tools for the treatment of diseases, and on the other hand, one of the most common medical errors is related to hand written prescription. Patient safety is endangered due to illegible of hand written prescription by physicians and thereby the potential ...
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On one hand, drug therapy is one of the most powerful tools for the treatment of diseases, and on the other hand, one of the most common medical errors is related to hand written prescription. Patient safety is endangered due to illegible of hand written prescription by physicians and thereby the potential of medical errors would increase. Implementation of electronic prescribing and electronic health records can solve multiple problems of hand written prescription and decrease expenses of medical errors. The aim of this study was to introduce electronic prescription and its impact on medical errors. The study was a narrative review, which was performed by searching in Google search engine, PubMed, ISI web of science, Scoupus, and Embas, with keywords such as Electronic Prescription، E-prescription، Medication Errors، Patient safety’, in journals (text and abstracts), books, proceeding of conference articles, and scientific documents from 2000 to 2014. This study was done in 2014. About 58 articles, books, theses, and proceedings were obtained of which 35 cases were selected based on their relation to this issue. E-prescribing technology is a powerful tool to manage patients' medication that can lead to improve the quality of drug treatment. This technology associated with Electronic Health Records and using the support of decision support systems (DSS) can reduce the medication errors and increase patient safety is medication.
