Int J Med Inform - Beyond the basics: refills by electronic prescribing.

Tópicos

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Resumo

TRODUCTION: E-prescribing is part of a new generation of electronic solutions for the medical industry that may have great potential for improving work flow and communication between medical practices and pharmacies. In the US, it has been introduced with minimal monitoring of errors and general usability. This paper examines refill functionality in e-prescribing software.METHODS: A mixed method study including focus groups and surveys was conducted. Qualitative data were collected in on-site focus groups or individual interviews with clinicians and medical office staff at 64 physician office practices. Focus group participants described their experiences with the refill functionality of e-prescribing software, provided suggestions for improving it, and suggested improvements in office procedures and software functionality.RESULTS: Overall, approximately 50% reduction in time spent each day on refills was reported. Overall reports of refill functionality were positive; but clinicians and staff identified numerous difficulties and glitches associated managing prescription refills. These glitches diminished over time. Benefits included time saved as well as patient convenience. Potential for refilling without thought because of the ease of use was noted. Clinicians and staff appreciated the ability to track whether patients are filling and refilling prescriptions.DISCUSSION: E-prescribing software for managing medication refills has not yet reached its full potential. To reduce work flow barriers and medication errors, software companies need to develop error reporting systems and response teams to deal effectively with problems experienced by users. Examining usability issues on both the medical office and pharmacy ends is required to identify the behavioral and cultural changes that accompany technological innovation and ease the transition to full use of e-prescribing software.

Resumo Limpo

troduct eprescrib part new generat electron solut medic industri may great potenti improv work flow communic medic practic pharmaci us introduc minim monitor error general usabl paper examin refil function eprescrib softwaremethod mix method studi includ focus group survey conduct qualit data collect onsit focus group individu interview clinician medic offic staff physician offic practic focus group particip describ experi refil function eprescrib softwar provid suggest improv suggest improv offic procedur softwar functionalityresult overal approxim reduct time spent day refil report overal report refil function posit clinician staff identifi numer difficulti glitch associ manag prescript refil glitch diminish time benefit includ time save well patient conveni potenti refil without thought eas use note clinician staff appreci abil track whether patient fill refil prescriptionsdiscuss eprescrib softwar manag medic refil yet reach full potenti reduc work flow barrier medic error softwar compani need develop error report system respons team deal effect problem experienc user examin usabl issu medic offic pharmaci end requir identifi behavior cultur chang accompani technolog innov eas transit full use eprescrib softwar

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