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A Prescription For Enhancing Electronic Prescribing Safety

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Publicado en:Health Affairs vol. 37, no. 11 (Nov 2018), p. 1877
Autor principal: Schiff, Gordon
Otros Autores: Mirica, Maria M, Dhavle, Ajit A, Galanter, William L, Lambert, Bruce, Wright, Adam
Publicado:
The People to People Health Foundation, Inc., Project HOPE
Materias:
World Health Organization
Ambulatory care
Patient safety
Errors
Safety
Internet
Hypertension
Codification
Primary care
Drugs
Computerized physician order entry
Prescription drugs
Reengineering
Pharmacists
Systematic review
Drug stores
Decision support systems
Communication
Privacy
Medical errors
Decision making
Information technology
Discontinued
Prescribing
Pharmacies
Clinical decision making
Critical incidents
Computerized decision support systems
Medical decision making
Social
Acceso en línea:Citation/Abstract
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Resumen:While electronic prescribing has been shown to reduce medication errors and improve prescribing safety, it is vulnerable to error-prone processes. We review six intersecting areas in which changes to electronic prescribing systems, particularly in the outpatient setting, could transform medication ordering quality and safety. We recommend incorporating medication indications into electronic prescribing, establishing a single shared online medication list, implementing the transmission of electronic cancellation orders to pharmacies (cancelRx) to ensure that drugs are safely and reliably discontinued, implementing standardized structured and codified prescription instructions, reengineering clinical decision support, and redesigning electronic prescribing to facilitate the ordering of nondrug alternatives.
ISSN:0278-2715
1544-5208
DOI:10.1377/hlthaff.2018.0725
Fuente:ABI/INFORM Global