ArticleBMJ quality & safety2013
e-Prescribing: characterisation of patient safety hazards in community pharmacies using a sociotechnical systems approach.
Article in BMJ quality & safety, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 3 of them syntheses that pooled it.
What it found
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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.
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Who cites it
15 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Causes of medication errors in community pharmacies: A meta-ethnography and systematic review.PloS one · 2026Pooled it
- Development and Validation of SafeHIT: An Instrument to Assess the Self-Reported Safe Use of Health Information Technology.Applied clinical informatics · 2023Pooled it
- Computerised clinical decision support systems and absolute improvements in care: meta-analysis of controlled clinical trials.BMJ (Clinical research ed.) · 2020Pooled it
- Trends in dispensing errors reported in Finnish community pharmacies in 2015-2020: a national retrospective register-based study.BMC primary care · 2024Article
- Characterization of Safety Events Involving Technology in Primary and Community Care.Applied clinical informatics · 2023Article
- Human factors and ergonomics methods for pharmacy research and clinical practice.Research in social & administrative pharmacy : RSAP · 2021Review
- An analysis of pharmacists' workplace patient safety perceptions across practice setting and role characteristics.Exploratory research in clinical and social pharmacy · 2021Article
- Interruptions in community pharmacies: Frequency, sources, and mitigation strategies.Research in social & administrative pharmacy : RSAP · 2019Article
- Understanding the implementation and adoption of a technological intervention to improve medication safety in primary care: a realist evaluation.BMC health services research · 2017Article
- Blame the Patient, Blame the Doctor or Blame the System? A Meta-Synthesis of Qualitative Studies of Patient Safety in Primary Care.PloS one · 2015Article
- Causes and consequences of e-prescribing errors in community pharmacies.Integrated pharmacy research & practice · 2015Review
- Using a conflict conceptual framework to describe challenges to coordinated patient care from the physicians' and pharmacists' perspective.Research in social & administrative pharmacy : RSAPArticle
- Patients' views on electronic patient information leaflets.Pharmacy practiceArticle
- Article
- Patient perceptions of e-prescribing and its impact on their relationships with providers: a qualitative analysis.Journal of the American Pharmacists Association : JAPhAArticle
Corrections and comments
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Authors and funding
2 authors.
Funding
Abstract
objectiveTo characterise the safety hazards related to e-prescribing in community pharmacies.
methodsThe sociotechnical systems framework was used to investigate the e-prescribing technology interface in community pharmacies by taking into consideration the social, technical and environmental work elements of a user's interaction with technology. This study focused specifically on aspects of the social subsystem. STUDY DESIGN AND
settingThe study employed a cross-sectional qualitative design and was conducted in seven community pharmacies in Wisconsin. Direct observations, think aloud protocols and group interviews were conducted with 14 pharmacists and 16 technicians, and audio recorded. Recordings were transcribed and subjected to thematic content analysis guided by the sociotechnical systems' theoretical framework.
resultsThree major themes that may increase the potential for medication errors with e-prescribing were identified and described. The three themes included: (1) increased cognitive burden on pharmacy staff, such as having to memorise parts of e-prescriptions or having to perform dosage calculations mentally; (2) interruptions during the e-prescription dispensing process; and (3) communication issues with prescribers, patients and among pharmacy staff. Pharmacy staff reported these consequences of e-prescribing increased the likelihood of medication errors.
conclusionsThis study is the first of its kind to identify patient safety risks related to e-prescribing in community pharmacies using a sociotechnical systems framework. The findings shed light on potential interventions that may enhance patient safety in pharmacies and facilitate improved e-prescribing use. Future studies should confirm patient safety hazards reported and identify ways to use e-prescribing effectively and safely in community pharmacies.
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