J Am Med Inform Assoc - Transmitting and processing electronic prescriptions: experiences of physician practices and pharmacies.

Tópicos

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Resumo

JECTIVE: A core feature of e-prescribing is the electronic exchange of prescription data between physician practices and pharmacies, which can potentially improve the efficiency of the prescribing process and reduce medication errors. Barriers to implementing this feature exist, but they are not well understood. This study's objectives were to explore recent physician practice and pharmacy experiences with electronic transmission of new prescriptions and renewals, and identify facilitators of and barriers to effective electronic transmission and pharmacy e-prescription processing.DESIGN: Qualitative analysis of 114 telephone interviews conducted with representatives from 97 organizations between February and September 2010, including 24 physician practices, 48 community pharmacies, and three mail-order pharmacies actively transmitting or receiving e-prescriptions via Surescripts.RESULTS: Practices and pharmacies generally were satisfied with electronic transmission of new prescriptions but reported that the electronic renewal process was used inconsistently, resulting in inefficient workarounds for both parties. Practice communications with mail-order pharmacies were less likely to be electronic than with community pharmacies because of underlying transmission network and computer system limitations. While e-prescribing reduced manual prescription entry, pharmacy staff frequently had to complete or edit certain fields, particularly drug name and patient instructions.CONCLUSIONS: Electronic transmission of new prescriptions has matured. Changes in technical standards and system design and more targeted physician and pharmacy training may be needed to address barriers to e-renewals, mail-order pharmacy connectivity, and pharmacy processing of e-prescriptions.

Resumo Limpo

jectiv core featur eprescrib electron exchang prescript data physician practic pharmaci can potenti improv effici prescrib process reduc medic error barrier implement featur exist well understood studi object explor recent physician practic pharmaci experi electron transmiss new prescript renew identifi facilit barrier effect electron transmiss pharmaci eprescript processingdesign qualit analysi telephon interview conduct repres organ februari septemb includ physician practic communiti pharmaci three mailord pharmaci activ transmit receiv eprescript via surescriptsresult practic pharmaci general satisfi electron transmiss new prescript report electron renew process use inconsist result ineffici workaround parti practic communic mailord pharmaci less like electron communiti pharmaci under transmiss network comput system limit eprescrib reduc manual prescript entri pharmaci staff frequent complet edit certain field particular drug name patient instructionsconclus electron transmiss new prescript matur chang technic standard system design target physician pharmaci train may need address barrier erenew mailord pharmaci connect pharmaci process eprescript

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