Samadbeik Mahnaz, Ahmadi Maryam, Sadoughi Farahnaz, Garavand Ali
Social Determinants of Health Research Center, Lorestan University of Medical Sciences, Khorramabad, Iran.
Department of Health Information Management, School of Management and Medical Information Sciences, Iran University of Medical Sciences, Tehran, Iran.
Iran J Pharm Res. 2022 Feb 8;21(1):e123821. doi: 10.5812/ijpr.123821. eCollection 2022 Dec.
Evaluation of electronic prescribing systems (EPS) can contribute to their quality assurance, and motivate users and policy-makers to implement these systems, directly influencing the health of society. An appropriate evaluation tool plays a determining role in the identification of proper EPS. The present study aimed to develop a multifaceted evaluation tool for assessing the EPS. This study was conducted in two main steps in 2018. In the first step, we conducted a literature review to find the main features and capabilities of the prosperous EPS. In the second step, a Delphi method was used for determining the final criteria for evaluating EPS. After preparing a primary questionnaire based on the first step results, 27 expert stakeholders from related fields participated in this 3-phase Delphi study. The narrative content analysis and descriptive statistics were used for data analysis. The final evaluation tool consists of 61 questions in 10 main dimensions, including practical capabilities of the process/user and patient safety, data storage and transfer, prescription control and renewal, technical functions, user interfaces, security and privacy, reporting, portability, hardware and infrastructure, and system failure/recovery. The evaluation tool developed in this study can be used for the critical appraisal of features of EPS. It is recommended that this multifaceted evaluation tool be employed to help buyers compare different systems and assist EPS software vendors in prioritizing their activities regarding the system development. By using this tool, healthcare organizations can also choose a system that improves many aspects of health care.
电子处方系统（EPS）评估有助于其质量保证，并激励用户和政策制定者实施这些系统，直接影响社会健康。合适的评估工具在识别合适的电子处方系统中起着决定性作用。本研究旨在开发一种多维度评估工具来评估电子处方系统。本研究于2018年分两个主要步骤进行。第一步，我们进行了文献综述，以找出成功的电子处方系统的主要特征和功能。第二步，采用德尔菲法确定电子处方系统评估的最终标准。在根据第一步结果编制初步问卷后，来自相关领域的27名专家利益相关者参与了这项分三个阶段的德尔菲研究。采用叙述性内容分析和描述性统计进行数据分析。最终评估工具由10个主要维度的61个问题组成，包括流程/用户的实践能力和患者安全、数据存储与传输、处方控制与续签、技术功能、用户界面、安全与隐私、报告、可移植性、硬件与基础设施以及系统故障/恢复。本研究开发的评估工具可用于对电子处方系统的特征进行批判性评估。建议采用这种多维度评估工具来帮助买家比较不同系统，并协助电子处方系统软件供应商确定其系统开发活动的优先级。通过使用该工具，医疗保健组织也可以选择一个能改善医疗保健诸多方面的系统。
