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سیستم نسخه‌نویسی الکترونیک: مفاهیم و استانداردها

نوع مقاله : مقاله مروری نقلی

نویسندگان

1 دانشجوی دکترای تخصصی، مدیریت اطلاعات بهداشتی، دانشکده‌ی مدیریت و اطلاع‌رسانی پزشکی، دانشگاه علوم پزشکی تهران، تهران و مربی، فناوری اطلاعات سلامت، دانشگاه علوم پزشکی لرستان، خرم‌آباد، ایران

2 دانشیار، مدیریت اطلاعات بهداشتی، دانشکده‌ی مدیریت و اطلاع‌رسانی پزشکی، دانشگاه علوم پزشکی تهران، تهران، ایران

چکیده

نسخه‌نویسی دارویی یکی از فرایندهای مهم و حیاتی در هر کشور است و بقای هیچ جامعه‌ی مدرنی بدون فرایندهای نسخه‌نویسی دارویی قانونمند ممکن نیست. لزوم استفاده از نوآوری‌های فنی برای ارایه‌ی مراقبت بهداشتی با کیفیت و فشار دولت‌ها برای حرکت به سمت یک جامعه‌ی اطلاعاتی در مراقبت بهداشتی موجب گردیده است که استفاده از فن‌آوری‌های جدید و سیستم‌های الکترونیکی در نسخه‌نویسی به عنوان راه‌حل نهایی برای غلبه بر مشکلات مهم و فراوان فرایند نسخه‌نویسی کاغذی مانند افزایش سریع هزینه‌های دارو و خطاهای مهم نسخه‌نویسی مطرح گردد. از این رو، مقاله‌ی حاضر با هدف فراهم نمودن اطلاعات کاربردی در زمینه‌ی سیستم نسخه‌نویسی الکترونیک برای ذی‌نفعان تهیه شده است. این مقاله نوعی مطالعه‌ی مروری- نقلی (Narrative review) است، که از طریق جستجوی کلمات کلیدی مرتبط با نسخه‌نویسی الکترونیک در موتورهای جستجوی Yahoo و Google، پایگاه‌ها و بانک‌های اطلاعاتی PubMed، ISI Web of Science، Scopus، EMBASE و کتابخانه‌ی ملی دیجیتال پزشکی ایران با اعمال معیار ورودی زبان انگلیسی و بدون محدودیت زمان انجام شد و مقالات و راهنماهای مرتبط با مشکلات نسخه‌نویسی کاغذی، مفهوم، ویژگی‌ها، سطوح، مزایا، ذی‌نفعان و استانداردهای سیستم نسخه‌نویسی الکترونیک انتخاب و مورد بررسی قرار گرفت. سیستم‌های نسخه‌نویسی الکترونیک فرصتی را برای بهبود فرایند نسخه‌نویسی، کاهش عوارض ناخواسته‌ی دارویی و صرفه‌جویی هزینه‌های مراقبت بهداشتی فراهم می‌کند. تقویت و حمایت سیستم نسخه‌نویسی الکترونیک ایمن و سریع، نیاز به همکاری کلیه‌ی ذی‌نفعان این سیستم دارد، تا دستیابی به بالاترین سطح تکاملی سیستم نسخه‌نویسی الکترونیک و ادغام با پرونده‌ی الکترونیک سلامت به یک واقعیت تبدیل گردد. بنابراین لازم است، زیرساخت لازم برای پیاده‌سازی سیستم نسخه‌نویسی الکترونیک یکپارچه‌ی ملی و ایمن در کشورهای فاقد این سیستم فراهم گردد و سیاستگذاران نیز از استراتژی‌ها و مشوق‌های مناسبی برای غلبه بر موانع پیاده‌سازی و به کارگیری این سیستم استفاده نمایند. واژه‌های کلیدی: نسخه‌نویسی الکترونیک؛ نسخه‌نویسی دارویی؛ استانداردها

کلیدواژه‌ها

عنوان مقاله [English]

Electronic Prescription System: Concepts and Standards

نویسندگان [English]

  • Mahnaz Samadbeik 1
  • Maryam Ahmadi 2

1 PhD Student, Health Information Management, School of Health Management and Information Sciences, Tehran University of Medical Sciences, Tehran AND Instructor, Health Information Technology, Lorestan University of Medical Sciences, Khoramabad, Iran

2 Associate Professor, Health Information Management, School of Health Management and Information Sciences, Tehran University of Medical Sciences, Tehran, Iran

چکیده [English]

Introduction: The medication prescription is one of the vital and important processes in each healthcare system and no modern society could live without regulated medicine prescription. Electronic prescribing has emerged as a viable and definitive solution to counter shortcomings of the current paper-based prescribing processes. This study aimed to present an overview of electronic prescription and familiarizes the key real and potential stakeholders with practical concepts and global experiences in the field of e-prescribing. In this review study, PubMed, ISI Web of Science, Scopus, EMBASE databases, Iranian National Library of Medicine (INLM) portal, and Google and Yahoo search engines were searched for relevant English publications concerning the problems of paper-based prescription, and concept, features, levels, benefits, stakeholders and standards of electronic prescription system. Electronic prescribing systems provide the potential to dramatically improve the outcome of prescribing processes, reduce adverse drug events, and save healthcare costs. Strengthening and supporting electronic prescription system requires the collaboration between all the system stakeholders and establishment of infrastructure for underlying healthcare information. Therefore, it is necessary to allocate a high priority to design and implement a national, unified and safe electronic prescription system by health care systems. Keywords: Electronic Prescriptions; Drug Prescriptions; Standards

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مدیریت اطلاعات سلامت
دوره 10، شماره 2 - شماره پیاپی 2
تیر 1392
فایل ها
هم رسانی
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