TITLE

Addition of electronic prescription transmission to computerized prescriber order entry: Effect on dispensing errors in community pharmacies

AUTHOR(S)
Moniz, Thomas T.; Seger, Andrew C.; Keohane, Carol A.; Seger, Diane Lew; Bates, David W.; Rothschild, Jeffrey M.
PUB. DATE
January 2011
SOURCE
American Journal of Health-System Pharmacy;1/15/2011, Vol. 68 Issue 2, p158
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Purpose. The addition of electronic prescription transmission to computerized prescriber order entry (CPOE) and its effect on dispensing errors in community pharmacies were evaluated. Methods. A controlled, before-and-after trial to measure the effect of electronic prescribing on dispensing errors in two control clinics and one e-prescribing clinic already using CPOE was conducted between January and November 2006. Prescriptions documented within the CPOE system were reconciled with dispensed prescription information from participating pharmacy chains via a national pharmacy information exchange network. Dispensing errors were defined as discrepancies between the prescriber's written orders and the dispensed prescription information. Prescriptions filled at nonparticipating pharmacies were not analyzed. Results. A total of 11,447 prescriptions were written in the control clinics, and 29,575 were written in the e-prescribing clinic. During the intervention period, 2,179 (22%) of 9,905 intervention clinic prescriptions were electronically transmitted, including 621 (28%) available for analysis. There was no significant difference in the dispensing-error rates between the baseline and intervention periods for the control clinics. Similarly, the dispensing-error rates did not differ significantly for the e-prescribing clinic between the baseline and intervention periods for prescriptions that were not electronically transmitted. The e-prescribing clinic's dispensing-error rate for electronically transmitted prescriptions during the intervention was significantly lower than its baseline dispensing-error rate (p = 0.03). Conclusion. Electronic transmission of prescription data from physicians' offices to a pharmacy nearly halved the risk of dispensing errors compared with generating the prescription with outpatient CPOE and printing it and giving it to the patient.
ACCESSION #
57416111

 

Related Articles

  • Implementation of a Standardized Discharge Time-out Process to Reduce Prescribing Errors at Discharge. Beardsley, James R.; Schomberg, Regina H.; Heatherly, Steven J.; Williams, Beth S. // Hospital Pharmacy;Jan2013, Vol. 48 Issue 1, p39 

    Background: To reduce prescribing errors occurring on discharge from the hospital, a standardized discharge time-out process was implemented on a general medicine service at Wake Forest Baptist Medical Center. In the time-out process, the multidisciplinary care team reviewed the patient's...

  • Decision support at the point of prescribing to increase formulary adherence. HELMONS, PIETER J.; COATES, CARRIE R.; KOSTERINK, JOS G. W.; DANIELS, CHARLES E. // American Journal of Health-System Pharmacy;3/1/2015, Vol. 72 Issue 5, p408 

    Purpose. Study results demonstrating the effectiveness of order-entry clinical decision support (CDS) alerts as a tool for enforcing therapeutic interchange are presented. Methods. A retrospective observational study was conducted at an academic medical center to evaluate formulary nonadherence...

  • Evaluation of a modified prescription form to address prescribing errors. Kennedy, Amanda G.; Littenberg, Benjamin; Callas, Peter W.; Carney, Jan K. // American Journal of Health-System Pharmacy;1/15/2011, Vol. 68 Issue 2, p151 

    Purpose. The impact of a modified paper prescription form on the occurrence of prescribing errors was evaluated. Methods. Rural primary care providers practicing in the United States who wrote paper prescriptions in English were eligible for study participation. The prescribers agreed to use...

  • Simple prescribing errors and allergy documentation in medical hospital admissions in Australia and New Zealand. Barton, Lorna; Futtermenger, Judith; Gaddi, Yash; Kang, Angela; Rivers, Jon; Spriggs, David; F Jenkins, Paul; H Thompson, Campbell; S Thomas, Josephine // Clinical Medicine;Apr2012, Vol. 12 Issue 2, p119 

    The article reports a study which was conducted to quantify and compare the prevalence of simple prescribing errors made by clinicians in the first 24 hours of a general medical patient’s hospital admission. Drug charts of 200 patients from three hospitals in Australia and 1 in New...

  • A controlled before and after study to evaluate a patient and health professional partnership model towards effective medication reconciliation. Lingaratnam, Senthil; Aranda, Sanchia; Pearce, Tracy; Kirsa, Sue // Journal of Oncology Pharmacy Practice;Mar2013, Vol. 19 Issue 1, p48 

    Preventable medication errors impact substantially on the Australian healthcare system. Where ‘poor communication of medical information at transition points is responsible for as many as 50% of all medication errors’, a leading contributor for this type of medication error is lack...

  • In case you haven't heard...  // Primary Care Weekly;3/10/97, Vol. 3 Issue 10, p8 

    Details the advice from a physician for his patients to present all prescription and over-the-counter medicines in their possession to a physician to avoid the danger of taking multiple drugs that are incompatible.

  • Effectiveness of Music Therapy vs Foot Reflexology on Pain among Postoperative Patients in Selected Hospitals at Mangalore. Baby, Reena; Babu, D. // International Journal of Nursing Education;Jan-Jun2014, Vol. 6 Issue 1, p226 

    No abstract available.

  • Subepithelial Connective Tissue Graft for Treatment of Gingival Recessions With and Without Enamel Matrix Derivative: A Multicenter, Randomized Controlled Clinical Trial. Rasperini, Giulio; Roccuzzo, Mario; Francetti, Luca; Acunzo, Raffaele; Consonni, Dario; Silvestri, Maurizio // International Journal of Periodontics & Restorative Dentistry;Mar2011, Vol. 31 Issue 2, p132 

    The aim of this multicenter, randomized controlled trial was to compare the clinical outcomes of a connective tissue graft (CTG) alone or in combination with enamel matrix derivative (CTG + EMD) in the treatment of Miller Class I and II gingival recessions. The 56 selected defects were evaluated...

  • Improving Electronic Oral Chemotherapy Prescription: Can We Build a Safer System? Weingart, Saul N.; Mattsson, Thea; Zhu, Junya; Shulman, Lawrence N.; Hassett, Michael // Journal of Oncology Practice;Nov2012, Vol. 8 Issue 6, pe168 

    Introduction: To prevent oral chemotherapy prescription errors, we enhanced a prescription-writing module in an ambulatory electronic medical record. We sought to describe the enhancement, examine its performance to date, and identify opportunities for improvement. Methods: Enhancements to the...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics