ArticleJournal of the American Medical Informatics Association : JAMIA
Unrealized potential and residual consequences of electronic prescribing on pharmacy workflow in the outpatient pharmacy.
Article in Journal of the American Medical Informatics Association : JAMIA. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.
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Who cites it
19 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- A systematic review of the types and causes of prescribing errors generated from using computerized provider order entry systems in primary and secondary care.Journal of the American Medical Informatics Association : JAMIA · 2017Pooled it
- Usability Flaws in Medication Alerting Systems: Impact on Usage and Work System.Yearbook of medical informatics · 2015Pooled it
- CancelRx case study: implications for clinic and community pharmacy work systems.BMC health services research · 2023Article
- Impact of CancelRx on discontinuation of controlled substance prescriptions: an interrupted time series analysis.BMC medical informatics and decision making · 2022Article
- Development of a Perioperative Medication-Related Clinical Decision Support Tool to Prevent Medication Errors: An Analysis of User Feedback.Applied clinical informatics · 2021Article
- Electronic prescription as a driver for digitalization in Finnish pharmacies.BMC health services research · 2021Article
- Global PRoMiSe (Perioperative Recommendations for Medication Safety): protocol for a mixed-methods study.BMJ open · 2020Article
- Unavailable prescriptions at Danish community pharmacies: A descriptive study.International journal of clinical pharmacy · 2019Article
- Clinician Perspectives on Electronic Health Records, Communication, and Patient Safety Across Diverse Medical Oncology Practices.Journal of oncology practice · 2019Article
- Toward Timely Data for Cancer Research: Assessment and Reengineering of the Cancer Reporting Process.JMIR cancer · 2018Article
- The Challenges of Electronic Health Records and Diabetes Electronic Prescribing: Implications for Safety Net Care for Diverse Populations.Journal of diabetes research · 2017Review
- A Survey of the Literature on Unintended Consequences Associated with Health Information Technology: 2014-2015.Yearbook of medical informatics · 2016Review
- Understanding Unintended Consequences and Health Information Technology:. Contribution from the IMIA Organizational and Social Issues Working Group.Yearbook of medical informatics · 2016Review
- Automatic Errors: A Case Series on the Errors Inherent in Electronic Prescribing.Journal of general internal medicine · 2016Article
- Evaluating the implementation of RxNorm in ambulatory electronic prescriptions.Journal of the American Medical Informatics Association : JAMIA · 2016Article
- Analysis of National Drug Code Identifiers in Ambulatory E-Prescribing.Journal of managed care & specialty pharmacy · 2015Article
- Causes and consequences of e-prescribing errors in community pharmacies.Integrated pharmacy research & practice · 2015Review
- Evaluation of a user guidance reminder to improve the quality of electronic prescription messages.Applied clinical informatics · 2014Article
- Design challenges for electronic medication administration record systems in residential aged care facilities: a formative evaluation.Applied clinical informatics · 2014Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
introductionElectronic prescribing systems have often been promoted as a tool for reducing medication errors and adverse drug events. Recent evidence has revealed that adoption of electronic prescribing systems can lead to unintended consequences such as the introduction of new errors. The purpose of this study is to identify and characterize the unrealized potential and residual consequences of electronic prescribing on pharmacy workflow in an outpatient pharmacy.
methodsA multidisciplinary team conducted direct observations of workflow in an independent pharmacy and semi-structured interviews with pharmacy staff members about their perceptions of the unrealized potential and residual consequences of electronic prescribing systems. We used qualitative methods to iteratively analyze text data using a grounded theory approach, and derive a list of major themes and subthemes related to the unrealized potential and residual consequences of electronic prescribing.
resultsWe identified the following five themes: Communication, workflow disruption, cost, technology, and opportunity for new errors. These contained 26 unique subthemes representing different facets of our observations and the pharmacy staff's perceptions of the unrealized potential and residual consequences of electronic prescribing. DISCUSSION: We offer targeted solutions to improve electronic prescribing systems by addressing the unrealized potential and residual consequences that we identified. These recommendations may be applied not only to improve staff perceptions of electronic prescribing systems but also to improve the design and/or selection of these systems in order to optimize communication and workflow within pharmacies while minimizing both cost and the potential for the introduction of new errors.
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Registered trials
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.