HOSPITAL ELECTRONIC PRESCRIBING: A SYSTEMATIC REVIEW OF ITS IMPACT ON MEDICATION ERRORS AND PHARMACEUTICAL SERVICES

Joko Sudarsono; Satibi Satibi; Lutfan Lazuardi; Anna Wahyuni Widayanti

doi:10.46903/gjms/23.4.2076

HOSPITAL ELECTRONIC PRESCRIBING: A SYSTEMATIC REVIEW OF ITS IMPACT ON MEDICATION ERRORS AND PHARMACEUTICAL SERVICES

Joko Sudarsono, Satibi Satibi, Lutfan Lazuardi, Anna Wahyuni Widayanti

Abstract

E-prescribing is a strategy healthcare providers use to improve pharmacy services and reduce medication errors. This systematic review aimed to evaluate the impact of an electronic prescribing strategy on improving pharmacy services and reducing medication errors in hospitals. A comprehensive search was conducted in December 2023 to identify e-prescribing in hospitals. A literature search in the MEDLINE, Science Direct, and Cochrane electronic databases identified 962 articles. Ten articles met the eligibility criteria for inclusion in this review.
The findings of this review highlight the potential of automated detection systems in identifying potentially dangerous wrong-drug errors. These errors, often difficult to detect using traditional reporting and surveillance methods, can be more readily identified through automated tools.
Additionally, the hybrid decision support algorithm can assist clinical pharmacists in prioritizing prescribing checks, reducing the risk of medication errors, and improving overall pharmacy efficiency. This leads to several benefits, including faster prescribing reception, improved drug compliance, enhanced rectification of wrong prescribing, reduced healthcare costs, improved service quality, and decreased malpractice claims. Implementing electronic prescribing systems for healthcare providers could improve communication between prescribers and pharmacists, leading to more efficient and effective medication management.

Keywords

E-Prescribing; Hospital; Medication errors; Pharmacy services.

Full Text:

PDF

References

Tariq RA, Vashisht R, Sinha A, Scherbak Y. Medication dispensing errors and prevention. In: 2023.

Abramson E. Causes and consequences of e-prescribing errors in community pharmacies. Integr Pharm Res Pract. 2015;4:31-47. https://doi.org/10.2147/iprp.s64927

Artawan IP, Martini IAO. Hospital e-prescribing implementation in reducing medication error. Int J Business Econ Manag. 2020;3(1):67-74. https://www.neliti.com/publications/329571

Kenawy AS, Kett V. The impact of electronic prescription on reducing medication errors in an Egyptian outpatient clinic. Int J Med Inform. 2019;127:80-7. https://doi.org/10.1016/j.ijmedinf.2019.04.005

Sin CMH, Young MW, Lo CCH, Ma PK, Chiu WK. The impact of computerised physician order entry on prescribing in general paediatric units in Hong Kong. Int J Pharm Pract. 2021;29(2):164-9. https://doi.org/10.1093/ijpp/riaa018

Cuvelier E, Robert L, Musy E. The clinical pharmacist’s role in enhancing the relevance of a clinical decision support system. Int J Med Inform. 2021;155:104568. https://doi.org/10.1016/j.ijmedinf.2021.104568

Schiff G, Mirica MM, Dhavle AA, Galanter WL, Lambert B, Wright A. A prescription for enhancing electronic prescribing safety. Health Aff. 2018;37(11):1877-83. https://doi.org/10.1377/hlthaff.2018.0725

McLeod M, Karampatakis GD, Heyligen L, McGinley A, Franklin BD. The impact of implementing a hospital electronic prescribing and administration system on clinical pharmacists’ activities: a mixed methods study. BMC Health Serv Res. 2019;19(1):1-12. https://doi.org/10.1186/s12913-019-3986-4

Motulsky A, Lamothe L, Sicotte C. Impacts of second-generation electronic prescriptions on the medication management process in primary care: a systematic review. Int J Med Inform. 2013;82(6):473-91. https://doi.org/10.1016/j.ijmedinf.2013.01.012

Yang JH, Liao YF, Lin WB, Wu W. Prescribing errors in electronic prescriptions for outpatients intercepted by pharmacists and the impact of prescribing workload on error rate in a Chinese tertiary-care women and children’s hospital. BMC Health Serv Res. 2019;19(1):1-11. https://doi.org/10.1186/s12913-019-4843-1

Taylor P, Hussain JA, Gadoud A. How to appraise a systematic review. Br J Hosp Med. 2013;74(6):331-4. https://doi.org/10.12968/hmed.2013.74.6.331

Urtasun M, Takata M, Davenport MC. Effect of electronic prescriptions on the safety of hospitalized pediatric patients. Arch Argent Pediatr. 2022;120(2):111-7. https://doi.org/10.5546/AAP.2022.118

Lambert BL, Galanter W, Liu KL. Automated detection of wrong-drug prescribing errors. BMJ Qual Saf. 2019;28(11):908-15. https://doi.org/10.1136/bmjqs-2019-009420

Corny J, Rajkumar A, Martin O. A machine learning-based clinical decision support system to identify prescriptions with a high risk of medication error. J Am Med Inform Assoc. 2020;27(11):1688-94. https://doi.org/10.1093/jamia/ocaa154

Rosa MB, Nascimento MMG, Cirilio PB. Electronic prescription: frequency and severity of medication errors. Rev Assoc Med Bras. 2019;65(11):1349-55. https://doi.org/10.1590/1806-9282.65.11.1349

Marcilly R, Colliaux J, Robert L. Improving the usability and usefulness of computerized decision support systems for medication review by clinical pharmacists: a convergent, parallel evaluation. Res Soc Adm Pharm. 2023;19(1):144-54. https://doi.org/10.1016/j.sapharm.2022.08.012

Jia Y, Lawton T, White S, Habli I. Developing a safety case for electronic prescribing. Stud Health Technol Inform. 2019;264:629-33. https://doi.org/10.3233/SHTI190299

Alshahrani F, Marriott JF, Cox AR. A qualitative study of prescribing errors among multi-professional prescribers within an e-prescribing system. Int J Clin Pharm. 2021;43(4):884-92. https://doi.org/10.1007/s11096-020-01192-0

Teferi GH, Wonde TE, Tadele MM. Perception of physicians towards electronic prescription system and associated factors at resource limited setting: cross-sectional study. PLoS One. 2022;17(3):e0262759. https://doi.org/10.1371/journal.pone.0262759

Lichtner V, Baysari M, Gates P, Dalla-Pozza L, Westbrook JI. Medication safety incidents in paediatric oncology after electronic medication management system implementation. Eur J Cancer Care (Engl). 2019;28(6):e13152. https://doi.org/10.1111/ecc.13152

Rouayroux N, Calmels V, Bachelet B, Sallerin B, Divol E. Medication prescribing errors: a pre- and post-computerized physician order entry retrospective study. Int J Clin Pharm. 2019;41(1):228-36. https://doi.org/10.1007/s11096-018-0747-0

Cunningham TR, Geller ES, Clarke SW. Impact of electronic prescribing in a hospital setting: a process-focused evaluation. Int J Med Inform. 2008;77(8):546-54. https://doi.org/10.1016/j.ijmedinf.2007.10.008

Davies J, Pucher PH, Ibrahim H, Stubbs B. Impact of the introduction of electronic prescribing on staff perceptions of patient safety and organizational culture. J Surg Res. 2017;212:222-8. https://doi.org/10.1016/j.jss.2017.02.001

DOI: https://doi.org/10.46903/gjms/23.4.2076