Pous Maria Font, Camporese Marco, Nobili Alessandro, Frau Serena, Del Zotti Francesco, Conforti Anita, Zimol Roberta, Giustetto Gudio, Zermiani Giulia, Lombardo Giuseppe, Mezzalira Luigi
Pharmaceutical Department, Verona Local Health Authority, Verona, Italy.
Inform Prim Care. 2010;18(2):109-16. doi: 10.14236/jhi.v18i2.760.
Many different brands of primary care electronic patient record (EPR) software are available to general practitioners (GPs). Their ability to support GPs in improving prescribing varies greatly.
To assess, using a ten-item tool, the quality of drug information provided by EPR software to support the appropriateness of prescriptions and to propose a list of quality standards for this type of application.
The eight EPR programmes most used in general practice in Italy were assessed by a multidisciplinary team using the ten-item tool. The tool evaluated information on single drugs and drug safety and information on prescription rules in force.
Out of eight EPR programmes assessed, none scored more than 55% of the maximum possible score. Two achieved scores higher than 50%, one scored 48%, four ranged from 32% to 39% and one obtained 22%. Information on drug safety, such as the ability to detect interactions, to monitor laboratory parameters or to get updated information on drug safety was particularly limited. None of the eight EPR programmes contained drug information for patients, but two of them contained drug advertising.
This project highlighted the poor quality of drug information provided by these EPR programmes. The ten-item tool seems suitable for assessing their quality. Based on this analysis, we have proposed a set of ten quality standards for prescribing software.
全科医生（GPs）可使用许多不同品牌的基层医疗电子病历（EPR）软件。它们在支持全科医生改善处方开具方面的能力差异很大。
使用一个包含十个项目的工具，评估EPR软件提供的药物信息质量，以支持处方的合理性，并为此类应用提出一份质量标准清单。
一个多学科团队使用该包含十个项目的工具，对意大利全科医疗中最常用的八个EPR程序进行了评估。该工具评估了单一药物和药物安全性信息以及现行处方规则信息。
在评估的八个EPR程序中，没有一个得分超过最高分的55%。两个程序得分高于50%，一个得分为48%，四个在32%至39%之间，一个得分为22%。关于药物安全性的信息，如检测相互作用、监测实验室参数或获取药物安全性最新信息的能力特别有限。八个EPR程序中没有一个包含患者用药信息，但其中两个包含药品广告。
该项目凸显了这些EPR程序提供的药物信息质量较差。这个包含十个项目的工具似乎适合评估它们的质量。基于此分析，我们提出了一套针对处方软件的十个质量标准。
