Assessing automated product selection success rates in transmissions between electronic prescribing and community pharmacy platforms
| Autor: | Luanne Sojka, Zach Wallace, James Lokken, Natalee Larson, Jennifer Panich |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
020205 medical informatics
Health Informatics Pharmacy 02 engineering and technology Audit Community Pharmacy Services Research and Applications Pharmacists Drug Prescriptions RxNorm 03 medical and health sciences Electronic Prescribing 0302 clinical medicine Electronic prescribing Surveys and Questionnaires 0202 electrical engineering electronic engineering information engineering Chi-square test Medicine Humans Medication Errors Operations management 030212 general & internal medicine Product (category theory) Baseline (configuration management) Outpatient pharmacy business.industry Health Information Interoperability Product selection business |
| Zdroj: | J Am Med Inform Assoc |
| Popis: | Objective Wrong drug product errors occurring in community pharmacies often originate at the transcription stage. Electronic prescribing and automated product selection are strategies to reduce product selection errors. However, it is unclear how often automated product selection succeeds in outpatient pharmacy platforms. Materials and Methods The intake of over 800 e-prescriptions was observed at baseline and after intervention to assess the rate of automated product selection success. A dispensing accuracy audit was performed at baseline and postintervention to determine whether enhanced automated product selection would result in greater accuracy; data for both analyses were compared by 2x2 Chi square tests. In addition, an anonymous survey was sent to a convenience sample of 60 area community pharmacy managers. Results At baseline, 79.8% of 888 e-prescriptions achieved automated product selection. After the intervention period, 84.5% of 903 e-prescriptions achieved automated product selection (P = .008). Analysis of dispensing accuracy audits detected a slight but not statistically significant improvement in accuracy rate (99.3% versus 98.9%, P = .359). Fourteen surveys were returned, revealing that other community pharmacies experience similar automated product selection failure rates. Discussion Our results suggest that manual product selection by pharmacy personnel is required for a higher than anticipated proportion of e-prescriptions received and filled by community pharmacies, which may pose risks to both medication safety and efficiency. Conclusion The question of how to increase automated product selection rates and enhance interoperability between prescriber and community pharmacy platforms warrants further investigation. |
| Databáze: | OpenAIRE |
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