Samadbeik Mahnaz, Ahmadi Maryam, Hosseini Asanjan Seyed Masoud
Department of Health Information Management, Institute of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, IR Iran ; Department of Health Information Technology, Lorestan University of Medical Sciences, Khoramabad, IR Iran.
Department of Health Information Management, Institute of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, IR Iran.
Iran Red Crescent Med J. 2013 Oct;15(10):e8436. doi: 10.5812/ircmj.8436. Epub 2013 Oct 5.
The tendency to use advanced technology in healthcare and the governmental policies have put forward electronic prescription. Electronic prescription is considered as the main solution to overcome the major drawbacks of the paper-based medication prescription, such as transcription errors. This study aims to provide practical information concerning electronic prescription system to a variety of stakeholders.
In this review study, PubMed, ISI Web of Science, Scopus, EMBASE databases, Iranian National Library Of Medicine (INLM) portal, Google Scholar, Google and Yahoo were searched for relevant English publications concerning the problems of paper-based prescription, and concept, features, levels, benefits, stakeholders and standards of electronic prescription system.
There are many problems with the paper prescription system which, according to studies have jeopardized patients' safety and negatively affected the outcomes of medication therapy. All of these problems are remedied through the implementation of e-prescriptions.
The sophistication of electronic prescription and integration with EHR will become a reality, if all its stakeholders collaborate in developing fast and secure electronic prescription systems. It is plausible that the required infrastructure should be provided for implementation of the national integrated electronic prescription systems in countries without the system. Given the barriers to the implementation and use, policymakers should consider multiple strategies and offer incentives to encourage e-prescription initiatives. This will result in widespread adoption of the system.
医疗保健领域使用先进技术的趋势以及政府政策催生了电子处方。电子处方被视为克服纸质药物处方主要缺点（如转录错误）的主要解决方案。本研究旨在为各类利益相关者提供有关电子处方系统的实用信息。
在这项综述研究中，检索了PubMed、科学网（ISI Web of Science）、Scopus、EMBASE数据库、伊朗国家医学图书馆（INLM）门户、谷歌学术、谷歌和雅虎，以查找有关纸质处方问题以及电子处方系统的概念、特征、层级、益处、利益相关者和标准的相关英文出版物。
纸质处方系统存在诸多问题，研究表明这些问题危及患者安全并对药物治疗结果产生负面影响。通过实施电子处方可解决所有这些问题。
如果所有利益相关者共同合作开发快速且安全的电子处方系统，电子处方的完善及其与电子健康记录（EHR）的整合将成为现实。对于没有该系统的国家而言，为实施国家综合电子处方系统提供所需基础设施是可行的。鉴于实施和使用过程中的障碍，政策制定者应考虑多种策略并提供激励措施以鼓励电子处方举措。这将促使该系统得到广泛采用。
