Transmitting and processing electronic prescriptions: experiences of physician practices and pharmacies
Transmitting and processing electronic prescriptions: experiences of physician practices and pharmacies
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DOI：
10.1136/amiajnl-2011-000515
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发表时间：
2012-05-01
影响因子：
6.4
通讯作者：
Cohen, Genna R.
中科院分区：
文献类型：
--
作者：
Grossman, Joy M.;Cross, Dori A.;Cohen, Genna R.
目的电子处方的一个核心特征是医生和药房之间的处方数据的电子交换，这可以潜在地提高处方过程的效率并减少用药错误。实现这一功能的障碍是存在的，但人们对这些障碍并不十分了解。本研究的目的是探讨最近的医生实践和药房的经验与电子传输的新处方和更新，并确定促进和障碍，有效的电子传输和药房电子处方processing.Design定性分析114电话采访的代表从97个组织之间进行2010年2月至9月，包括24个医生的做法，48个社区药房，和三个邮购药房积极发送或接收电子处方通过Surescripts.Results实践和药房普遍满意的电子传输新的处方，但报告说，电子更新过程中使用不一致，导致双方效率低下的变通办法。实践通信与邮购药房不太可能是电子比社区药房，因为基本的传输网络和计算机系统的限制。虽然电子处方减少手动处方输入，药房工作人员经常要完成或编辑某些字段，特别是药物名称和病人instructions.Conclusions电子传输的新处方已经成熟。可能需要改变技术标准和系统设计，并进行更有针对性的医生和药房培训，以解决电子续订、邮购药房连接和药房处理电子处方的障碍。
Objective 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.