Cresswell Kathrin, Slee Ann, Sheikh Aziz
Usher Institute of Population Health Sciences and Informatics, The University of Edinburgh.
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J Innov Health Inform. 2017 Jun 30;24(2):905. doi: 10.14236/jhi.v24i2.905.
There is currently limited guidance for hospitals to implement ePrescribing systems. We have developed an ePrescribing Toolkit designed to support ongoing implementation, adoption and optimisation of efforts.
To investigate the perceived usefulness, reported use and areas for further development of the Toolkit by ePrescribing implementers in English hospitals.
Questionnaire-based survey of hospitals that have or are interested in implementing ePrescribing systems.
We received responses from a total of 78 individuals representing 49 English NHS Trusts (out of 82 different Trusts who were emailed the survey, 60% response rate). The overwhelming majority of respondents (92%) were familiar with the ePrescribing Toolkit and 66% reported using it to guide their ongoing implementation efforts. The majority of ePrescribing Toolkit users (85%) viewed it as a helpful resource. Implementers particularly valued the case studies describing lessons learnt from hospitals that had already implemented ePrescribing systems. Suggestions for improvement included more information in relation to the progress of hospitals implementing systems, the names of key contacts in these sites, a list of available systems and the contact details of ePrescribing vendors. Respondents also highlighted the need for more information on optimisation and specialist prescribing.
Interactive elements and learning lessons from early adopter sites that had accumulated experiences of implementing systems was viewed as the most helpful aspect of the ePrescribing Toolkit. The Toolkit now needs to be further developed to facilitate the continuing implementation/optimisation of ePrescribing and other health information technology across the NHS.
目前医院实施电子处方系统的指导有限。我们开发了一个电子处方工具包,旨在支持持续的实施、采用和优化工作。
调查英国医院电子处方实施者对该工具包的感知有用性、报告的使用情况以及进一步开发的领域。
对已实施或有意实施电子处方系统的医院进行基于问卷的调查。
我们共收到来自代表49个英国国民健康服务信托基金的78个人的回复(在通过电子邮件收到调查问卷的82个不同信托基金中,回复率为60%)。绝大多数受访者(92%)熟悉电子处方工具包,66%的人报告使用它来指导他们正在进行的实施工作。大多数电子处方工具包用户(85%)认为它是一个有用的资源。实施者特别重视描述从已经实施电子处方系统的医院吸取的经验教训的案例研究。改进建议包括提供更多关于医院实施系统进展的信息、这些医院关键联系人的姓名、可用系统列表以及电子处方供应商的联系方式。受访者还强调需要更多关于优化和专科处方的信息。
交互式元素以及从积累了系统实施经验的早期采用者站点吸取的经验教训被视为电子处方工具包最有用的方面。现在需要进一步开发该工具包,以促进国民健康服务体系中电子处方和其他健康信息技术的持续实施/优化。