ArticlePloS one2013
The use and functionality of electronic prescribing systems in english acute NHS trusts: a cross-sectional survey.
Article in PloS one, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Variation in approaches to antimicrobial use surveillance in high-income secondary care settings: a systematic review.The Journal of antimicrobial chemotherapy · 2021Pooled it
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- Secondary uses of electronic prescribing and pharmacy data in UK hospital care: a national survey.BMJ open quality · 2024Article
- An e-Delphi study to obtain expert consensus on the level of risk associated with preventable e-prescribing events.British journal of clinical pharmacology · 2022Article
- Learning from patient safety incidents involving acutely sick adults in hospital assessment units in England and Wales: a mixed methods analysis for quality improvement.Journal of the Royal Society of Medicine · 2021Article
- Safe and effective prescribing with dyslexia.BMC medical education · 2019Article
- The Patient-Held Active Record of Medication Status (PHARMS) study: a mixed-methods feasibility analysis.The British journal of general practice : the journal of the Royal College of General Practitioners · 2019Article
- Qualitative study exploring the phenomenon of multiple electronic prescribing systems within single hospital organisations.BMC health services research · 2018Article
- Hospital electronic prescribing system implementation impact on discharge information communication and prescribing errors: a before and after study.European journal of clinical pharmacology · 2017Article
- The impact of a hospital electronic prescribing and medication administration system on medication administration safety: an observational study.BMC health services research · 2017Observational
- Inpatient prescribing systems used in NHS Acute Trusts across England: a managerial perspective.European journal of hospital pharmacy : science and practice · 2017Article
- Using a simple point-prevalence survey to define appropriate antibiotic prescribing in hospitalised children across the UK.BMJ open · 2016Article
- Pharmacist-Physician Communications in a Highly Computerised Hospital: Sign-Off and Action of Electronic Review Messages.PloS one · 2016Article
- The Role of Hospital Inpatients in Supporting Medication Safety: A Qualitative Study.PloS one · 2016Observational
- Omitted doses as an unintended consequence of a hospital restricted antibacterial system: a retrospective observational study.The Journal of antimicrobial chemotherapy · 2015Observational
- Article
- Article
- Redesigning the 'choice architecture' of hospital prescription charts: a mixed methods study incorporating in situ simulation testing.BMJ open · 2014Article
- Evaluation of medium-term consequences of implementing commercial computerized physician order entry and clinical decision support prescribing systems in two 'early adopter' hospitals.Journal of the American Medical Informatics Association : JAMIA · 2014Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo describe current use of electronic prescribing (EP) in English acute NHS hospital trusts, and the use of multiple EP systems within the same hospital.
designDescriptive cross-sectional postal survey.
settingAcute NHS hospital trusts in England.
participantsThe survey was sent to chief pharmacists in all acute English NHS hospital trusts in 2011. Where trusts comprised multiple hospitals, respondents were asked to complete the questionnaire for their main acute hospital.
main outcome measuresPrevalence of EP use in acute NHS hospitals; number of different EP systems in each hospital; stages of the patient pathway in which EP used; extent of deployment across the hospital; comprehensiveness regarding the drugs prescribed; decision support functionalities used.
resultsWe received responses from 101 trusts (61%). Seventy (69%) respondent hospitals had at least one form of EP in use. More than half (39;56%) of hospitals with EP had more than one system in use, representing 60 different systems. The most common were systems used only for discharge prescribing, used in 48 (48% of respondent hospitals). Specialist chemotherapy EP systems were second most common (34; 34%). Sixteen specialist inpatient systems were used across 15 hospitals, most commonly in adult critical care. Only 13 (13%) respondents used inpatient electronic prescribing across all adult medical and surgical wards. Overall, 24 (40%) systems were developed 'in-house'. Decision support functionality varied widely.
conclusionsIt is UK government policy to encourage the adoption of EP in hospitals. Our work shows that EP is prevalent in English hospitals, although often in limited clinical areas and for limited types of prescribing. The diversity of systems in use, often within the same hospital, may create challenges for staff training and patient safety.
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