Evidence map›Paper›PMID 21911757›Full record

ArticleAnnals of family medicine

Meaningful use of electronic prescribing in 5 exemplar primary care practices.

Jesse C Crosson, Rebecca S Etz, Shinyi Wu, Susan G Straus, David Eisenman, Douglas S Bell

Abstract read
In one paragraph

Article in Annals of family medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
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  5. Exploring medicine classification and accessibility: a qualitative study.Journal of pharmaceutical policy and practice · 2025
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  13. Review
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  17. Quality improvement teams, super-users, and nurse champions: a recipe for meaningful use?Journal of the American Medical Informatics Association : JAMIA · 2016
    Article
  18. Article
  19. Article
  20. Towards creating the perfect electronic prescription.Journal of the American Medical Informatics Association : JAMIA · 2015
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Jesse C CrossonResearch Division, Department of Family Medicine and Community Health, UMDNJ-Robert Wood Johnson Medical School, Somerset, New Jersey 08873, USA. jesse.crosson@umdnj.edu
Rebecca S Etz
Shinyi Wu
Susan G Straus
David Eisenman
Douglas S Bell

Funding

PILOT TESTING OF ELECTRONIC PRESCRIBING STANDARDSU18HS016391 · AHRQ · RAND CORPORATION · PI BELL, DOUGLAS SCOTT · 2006 to 2006
$1.9M
AHRQ HHS 1 U18 HS016391-01AHRQ HHS U18 HS016391PHS HHS HHSA290200600017
6 · The paper itself

Abstract

purposeSuccessful use of electronic prescribing (e-prescribing) is a key requirement for demonstrating meaningful use of electronic health records to qualify for federal incentives. Currently, many physicians who implement e-prescribing fail to make substantial use of these systems, and little is known about factors contributing to successful e-prescribing use. The objective of this study was to identify successful implementation and use techniques.

methodsWe conducted a multimethod qualitative case study of 5 ambulatory primary care practices identified as exemplars of effective e-prescribing. The practices were identified by a group of e-prescribing experts. Field researchers conducted in-depth interviews and observed prescription-related workflow in these practices.

resultsIn these exemplar practices, successful use of e-prescribing required practice transformation. Practice members reported extensive efforts to redesign work processes to take advantage of e-prescribing capabilities and to create specific e-prescribing protocols to distribute prescription-related work among practice team members. These practices had substantial resources to support e-prescribing use, including local physician champions, ongoing training for practice members, and continuous on-site technical support. Practices faced considerable challenges during use of e-prescribing, however, deriving from problems coordinating new work processes with pharmacies and ineffective health information exchange that required workarounds to ensure the completeness of patient medical records.

conclusionsMore widespread implementation and effective use of e-prescribing in ambulatory care settings will require practice transformation efforts that focus on work process redesign while being attentive to effects on patient and pharmacy involvement in prescribing. Improved health information exchange is required to fully realize expected quality, safety, and efficiency gains of e-prescribing.

Indexed as

Ambulatory Care Information SystemsElectronic PrescribingDrug PrescriptionsElectronic Health RecordsHumansInterviews as TopicOffice ManagementPrimary Health CareSystems IntegrationWorkflow

Identifiers

PMID21911757
PMCPMC3185481

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.