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Electronic prescribing and challenges
Electronic prescribing and challenges
Electronic prescribing and challenges
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is considered cost efficient compared to the financial loss the hospital could have incurred if a medication error did occur. (Julie Ann Sakowski & and Alana Ketchel, 2013). E-prescribing is the provider’s ability to request patient prescription electronically directly to their choice pharmacy. E-prescribing is meant to enhance patient safety and aid in reducing medication error. E-prescribing and Bar Code technology work together to provide the ‘right” medication to the patient. When the drug’s bar code is scanned, it alerts the pharmacy staff if there is an error in the medication being dispensed. E-prescribing is supposed to help avoid the errors that occur when providers manually prescribe medications and also help to lower cost by offering less expensive medication. …show more content…
It was noted that E-prescribing takes longer to complete than manual written requests, noting that e-prescribing is not beneficial with time savings. There is also the upfront cost to purchase the software with no incentive to adopt. Other barriers include a limited product list, implementation challenges, as well as some providers have issues transmitting the request to pharmacies. However, E-prescribing links a patients medication history to their EHR as well as increase practice efficiency. (Joy M. Grossman, 2007). Errors may still occur with Bar Code technology such as placing the right patient right drug label on the wrong medication. This fault occurs with the pharmacy and known as labeling errors. Errors involving Bar Code technology can also occur at other stages other than dispensing such as ordering, transcribing, administering, and monitoring. (Karen C. Nanji,
Springfield General Hospital (SGH) is committed to high quality healthcare for patients, and providing tools to support physicians, nurses and pharmacists. SGH leadership approved the computerized physician order entry (CPOE) system as a solution to reduce prescription errors, and the results of the CPOE project are disappointing. The data show increased prescribing errors after implementing the CPOE; resulting in increased costs for adverse drug events, rather than the planned cost reduction (Spector, 2013). This change management plan provides the SGH board of directors and executive management team pragmatic steps to increase quality for patients by assessing the root issue of hospital
Historically, physicians and nurses documented patients’ health information using paper and pencil. This documentation created numerous errors in patients’ medical records. Patient information became lost or destroyed, medication errors occur daily because of illegible handwriting, and patients had to wait long periods to have access to their medical records. Since then technology has changed the way nurses and health care providers care for their patients. Documentation of patient care has moved to an electronic heath care system in which facilities around the world implement electronic health care systems. Electronic health records (EHR) is defined as a longitudinal electronic record of
The wrong feeding of customer’s data was due to the written errors in the scripts, a DUR that stores customer’s prescription record has generated false results. Due to these incorrect subscriptions pharmacy employees had to consult with each doctor individually to solve this issue, which would take extra time for progression. However, the customers did not expect nor even possessed such an
Electronic prescribing or known as e-prescribing is the transmission, using electronic media, of prescriptions or prescription-related information from a prescriber (physician, nurse practitioner, etc.) to a pharmacy (Fincham, 2009). The information may flow to a number of parties in addition to the pharmacy, such as a pharmacy benefit manager, health plan, or an intermediary, such as an e-prescribing network (a large centralized system to process electronic prescriptions)(Bloche, 2011). In its simplest form, e-prescribing involves two-way transmissions between the point of care and the pharmacy. E-prescribing is intended to replace writing out, faxing, or calling in prescriptions, and its many proposed benefits include safer, more efficient, and more cost-effective care (Fincham,2009). Because of potential benefits, the federal government has put in place major incentives for providers to adopt e-prescribing and to adopt electronic health records through the meaningful use incentives (Sanders & Buchanan, 2012). But in today’s world where technology is growing rapidly in the healthcare, medication errors through e-prescribing is not getting any better. Medication errors are one of the most common types of medical errors and one of the most common and preventable caus...
Over the past several years extended work shifts and overtime has increased among nurses in the hospital setting due to the shortage of nurses. Errors significantly increase and patient safety can be compromised when nurses work past a twelve hour shift or more than 40 hours a week. Hazardous conditions are created when the patient acuity is high, combined with nurse shortages, and a rapid rate of admissions and discharges. Many nurses today are not able to take regularly scheduled breaks due to the patient work load. On units where nurses are allowed to self-schedule, sixteen and twenty-four hour shifts are becoming more common, which does not allow for time to recover between shifts. Currently there are no state or federal regulations that restrict nurses from working excessive hours or mandatory overtime to cover vacancies. This practice by nurses is controversial and potentially dangerous to patients (Rogers, Hwang, Scott, Aiken, & Dinges, 2004). Burnout, job dissatisfaction, and stress could be alleviated if the proper staffing levels are in place with regards to patient care. Studies indicate that the higher the nurse-patient ratio, the worse the outcome will be. Nurse Manager’s need to be aware of the adverse reactions that can occur from nurses working overtime and limits should be established (Ford, 2013).
Unfortunately, the quality of health care in America is flawed. Information technology (IT) offers the potential to address the industry’s most pressing dilemmas: care fragmentation, medical errors, and rising costs. The leading example of this is the electronic health record (EHR). An EHR, as explained by HealthIT.gov (n.d.), is a digital version of a patient’s paper chart. It includes, but is not limited to, medical history, diagnoses, medications, and treatment plans. The EHR, then, serves as a resource that aids clinicians in decision-making by providing comprehensive patient information.
A technological system that my hospital use is the barcoded medication administration (BCMA). The BCMA is directly related to nursing practice care and patient safety, which can impact the reduction in medication error, a benefit of using this technology. According to Seibert, Maddox, Flynn, and Williams (2014), the BCMA system records, tracks, and ensures that the correct medications are delivered to the right patient. In fact, Seibert et al. further stated that the five rights are incorporated in the bar-coding system. Therefore, the nurse has to first identify the right patient then scan the bar-coded wristband, scan the medication, input the correct dosage, route and reason for giving the medication and finally the right time is usually
Young, J., Slebodnik, M., & Sands, L. (2010). Bar code technology and medication administration error. Journal of Patient Safety, 6(2), 115-120. doi:10.1097/PTS.0b013e3181de35f7
Electronic-prescribing, often referred to as e-prescribing, is a fairly new, innovative way for physicians and other medical personnel to prescribe medications and keep track of patients’ medical history. Not only has e-prescribing enabled prescribers to electronically send a prescription to the patients’ pharmacy of choice, in the short amount of time it has been available, it has significantly reduced health care costs, not only for the patient, but for the medical facilities as well. In 2003, e-prescribing was included in the Medicare Modernization Act (MMA) which jumpstarted the role of e-prescribing in healthcare. It has proven to significantly reduce the yearly number medication errors and prescription fraud, and its widespread publicity has helped build awareness of e-prescribing’s role in enhancing patient safety. Although it has not been in practice for very long, e-prescribing has already made a positive impact in the field of health care.
A stand-alone system is cheaper and easy to implement than e-prescribing system with an EHR system. E-prescribing systems store and organize patient data specific to the prescribing process such as medication history. E-prescribing software may be provided in two forms: a package which one acquires and downloads to office computer system or a program obtained via the internet which is connected to an e-prescribing application hosted by a service provider who may demand some fees for the service. In terms of the hardware to use to host the given e-prescribing system, healthcare workers may have various choices such as use of handheld devices, tablets, laptops, desktop computers besides other relevant hardware provided by the technology vendors. Most people believe that a stand-alone e-prescribing system serves as a gateway to an EHR system and allows health workers using it to be...
Medication errors made by medical staff bring about consequences of epidemic proportions. Medical staff includes everyone from providers (medical doctors, nurse practitioners and physician assistants) to pharmacists to nurses (registered and practical). Medication errors account for almost 98,000 deaths in the United States yearly (Tzeng, Yin, & Schneider, 2013). This number only reflects the United States, a small percentage in actuality when looking at the whole world. Medical personnel must take responsibility for their actions and with this responsibility comes accountability in their duties of medication administration. Nurses play a major role in medication error prevention and education and this role distinguishes them as reporters of errors.
Over the last several years, electronic medical records are becoming more prominent in health care facilities, replacing traditional written records. As many electronics are becoming more prevalent with the invention of numerous smartphones and tablet devices, it seems that making medical records available electronically would be appropriate for the evolving times. Even though they have been in use to some extent for many years, the “Health Information Technology for Economic and Clinical Health section of the American Recovery and Reinvestment Act has brought paperless documentation into the spotlight” (Eisenberg, 2010, p. 8). The systems of electronic medical records mainly consist of clinical note taking, prescription and medication documentation,
In addition, PHR allows the patient to communicate with providers and keep track of information in the doctor's office. By utilizing PHR, the patient can track exercise plans, diet plans, diagnosis lists, medication lists, allergy lists, immunization histories, blood pressure and much more. 3-E-prescribing: Electronic prescribing or e-prescribing is the computer-based electronic generation that allows the healthcare provider to communicate directly with the pharmacy. Therefore, the patient doesn’t need to physically bring a paper prescription to their pharmacy. In addition, e-prescribing helps to reduce the risks associated with traditional prescription writing such as losing prescriptions form and handwriting errors.
New measure added to the Medication Safety category for Bar Code Medication Administration. All medication and patient records are barcoded and that barcode is used to detect incorrect medications, patients, dosage, time, allergies etc.
• Handwriting interpretation errors are estimated to cause 9% of all medication errors. Although electronic prescribing (e-Rx) is finally well underway in the United States, it has for several years been the norm in many European countries. As recommended by the federal government and other national health care improvement organizations, the use of electronic prescribing applications in pediatric practice should be encouraged. The Institute of Medicine has recommended that all prescriptions be written electronically by the year 2010. It is estimated that 20% of U.