Int J Clin Pharm. 2013 Dec;35(6):1030-5. doi: 10.1007/s11096-013-9853-1.
Prescribing errors in primary care are problematic. The electronic prescription service (EPS) is an English electronic system linking prescribing, dispensing and reimbursement, designed to rectify some of the problems associated with paper-based prescribing.
To document the numbers and types of interventions made by community pharmacists and their staff using EPS release 2 (EPSR2), compare these with those made for other prescription types, and comment on potential effects of EPSR2 on pharmacy practice.
We invited staff in 15 community pharmacies to record problems encountered arising from failures in prescribing, dispensing or supply systems for prescribed medication, for a 2 week period.
Eight pharmacies participated, of which five used EPSR2. These pharmacies reported 69 problems with 68 prescriptions (median 7.5 problems per pharmacy, range 2-22). A total of 33 problems were clinical in nature and 6 were organisational or logistical in origin. Thirty unsigned prescriptions were reported, all non-EPSR2. Of the 69 problems, eight were primarily related to EPSR2 functionality.
EPSR2 should reduce the number of unsigned prescriptions in circulation. However, prescribers should avoid the use of Latin abbreviations that cannot be interpreted directly by patients, and consider the compatibility of regularly prescribed items with the NHS dictionary of medicines and devices.
初级保健中的处方错误是一个问题。电子处方服务（EPS）是一个将处方、配药和报销联系起来的英文电子系统，旨在纠正与基于纸张的处方相关的一些问题。
记录社区药剂师及其工作人员使用 EPS 第 2 版（EPSR2）进行的干预次数和类型，将这些干预与其他处方类型进行比较，并对 EPSR2 对药房实践的潜在影响进行评论。
我们邀请了 15 家社区药店的工作人员记录在规定药物的处方、配药或供应系统出现故障时遇到的问题，为期两周。
有 8 家药店参与了这项研究，其中 5 家使用了 EPSR2。这些药店报告了 69 个与 68 个处方相关的问题（每家药店中位数为 7.5 个问题，范围为 2-22）。共有 33 个问题是临床性质的，6 个是组织或后勤性质的。共报告了 30 张未签名的处方，均非 EPSR2。在 69 个问题中，有 8 个主要与 EPSR2 的功能有关。
EPSR2 应减少流通中的未签名处方数量。然而，开处方者应避免使用不能直接被患者理解的拉丁语缩写，并考虑经常开具的药物与国民保健制度药品和设备词典的兼容性。
