Centre for Medical Informatics, The University of Edinburgh Usher Institute of Population Health Sciences and Informatics, Edinburgh, UK
Centre for Medical Informatics, The University of Edinburgh Usher Institute of Population Health Sciences and Informatics, Edinburgh, UK.
BMJ Open. 2021 Jan 13;11(1):e044622. doi: 10.1136/bmjopen-2020-044622.
Electronic prescribing (ePrescribing) is a key area of development and investment in the UK and across the developed world. ePrescribing is widely understood as a vehicle for tackling medication-related safety concerns, improving care quality and making more efficient use of health resources. Nevertheless, implementation of an electronic health record does not itself ensure benefits for prescribing are maximised. We examine the process of optimisation of ePrescribing systems using case studies to provide policy recommendations based on the experiences of digitally mature hospital sites.
Qualitative interviews within six digitally mature sites will be carried out. The aim is to capture successful optimisation of electronic prescribing (ePrescribing) in particular health systems and hospitals. We have identified hospital sites in the UK and in three other developed countries. We used a combination of literature reviews and advice from experts at Optimising ePrescribing in Hospitals (eP Opt) Project round-table events. Sites were purposively selected based on geographical area, innovative work in ePrescribing/electronic health (eHealth) and potential transferability of practices to the UK setting. Interviews will be recorded and transcribed and transcripts coded thematically using NVivo software. Relevant policy and governance documents will be analysed, where available. Planned site visits were suspended due to the COVID-19 pandemic.
The Usher Research Ethics Group granted approval for this study. Results will be disseminated via peer-reviewed journals in medical informatics and expert round-table events, lay member meetings and the ePrescribing Toolkit (http://www.eprescribingtoolkit.com/)-an online resource supporting National Health Service (NHS) hospitals through the ePrescribing process.
电子处方（ePrescribing）是英国和发达国家发展和投资的重点领域。电子处方被广泛认为是解决与药物相关的安全问题、提高护理质量和更有效地利用卫生资源的手段。然而，实施电子健康记录本身并不能确保最大限度地发挥处方的效益。我们使用案例研究来检查优化电子处方系统的过程，以便根据数字化成熟医院网站的经验提供政策建议。
将在六个数字化成熟的站点内进行定性访谈。目的是捕捉电子处方（ePrescribing）在特定卫生系统和医院中的成功优化。我们已经在英国和其他三个发达国家确定了医院网站。我们结合了文献综述和在优化医院电子处方（eP Opt）项目圆桌会议活动中的专家建议。根据地理位置、在电子处方/电子健康（eHealth）方面的创新工作以及将实践转移到英国环境的潜力，有针对性地选择了站点。访谈将被记录和转录，并使用 NVivo 软件对转录本进行主题编码。将分析相关政策和治理文件（如适用）。由于 COVID-19 大流行，计划的现场访问被暂停。
Usher 研究伦理小组批准了这项研究。研究结果将通过医学信息学同行评审期刊、专家圆桌会议活动、非专业成员会议和电子处方工具包（http://www.eprescribingtoolkit.com/）传播，该工具包是一个支持国民保健制度（NHS）医院通过电子处方流程的在线资源。
