Haffey Faye, Brady Richard R W, Maxwell Simon
Department of Neonatal Medicine, Flinders Medical Centre, Adelaide, South Australia, Australia.
Br J Clin Pharmacol. 2014 Jan;77(1):31-8. doi: 10.1111/bcp.12112.
Junior doctors write the majority of hospital prescriptions but many indicate they feel underprepared to assume this responsibility and around 10% of prescriptions contain errors. Medical smartphone apps are now widely used in clinical practice and present an opportunity to provide support to inexperienced prescribers. This study assesses the contemporary range of smartphone apps with prescribing or related content. Six smartphone app stores were searched for apps aimed at the healthcare professional with drug, pharmacology or prescribing content. Three hundred and six apps were identified. 34% appeared to be for use within the clinical environment in order to aid prescribing, 14% out with the clinical setting and 51% of apps were deemed appropriate for both clinical and non-clinical use. Apps with drug reference material, such as textbooks, manuals or medical apps with drug information were the commonest apps found (51%), followed by apps offering drug or infusion rate dose calculation (26%). 68% of apps charged for download, with a mean price of £14.25 per app and a range of £0.62-101.90. A diverse range of pharmacology-themed apps are available and there is further potential for the development of contemporary apps to improve prescribing performance. Personalized app stores may help universities/healthcare organizations offer high quality apps to students to aid in pharmacology education. Users of prescribing apps must be aware of the lack of information regarding the medical expertise of app developers. This will enable them to make informed choices about the use of such apps in their clinical practice.
初级医生开具了医院里的大部分处方，但许多人表示，他们觉得自己没有做好承担这项责任的准备，而且大约10%的处方存在错误。医疗智能手机应用程序现在在临床实践中被广泛使用，为缺乏经验的开处方者提供支持提供了一个机会。本研究评估了当前具有处方或相关内容的智能手机应用程序的范围。研究人员在六个智能手机应用商店中搜索了针对医疗保健专业人员、包含药物、药理学或处方内容的应用程序。共识别出306个应用程序。34%的应用程序似乎适用于临床环境以辅助开处方，14%适用于临床环境之外，51%的应用程序被认为适用于临床和非临床使用。包含药物参考资料的应用程序，如教科书、手册或带有药物信息的医疗应用程序是最常见的应用程序（51%），其次是提供药物或输液速率剂量计算的应用程序（26%）。68%的应用程序需要付费下载，每个应用程序的平均价格为14.25英镑，价格范围为0.62英镑至101.90英镑。有各种各样的药理学主题应用程序可供使用，当代应用程序在改善处方性能方面还有进一步的发展潜力。个性化应用商店可能有助于大学/医疗保健组织向学生提供高质量的应用程序，以辅助药理学教育。处方应用程序的用户必须意识到缺乏关于应用程序开发者医学专业知识的信息。这将使他们能够在临床实践中对使用此类应用程序做出明智的选择。
