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电子处方系统需求:范围综述。

Electronic prescription system requirements: a scoping review.

机构信息

Student Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran.

Department of Health Economic and Management Sciences, School of Health, Mashhad University of Medical Sciences, Daneshgah 18, Mashhad, Khorasan Razavi, Iran.

出版信息

BMC Med Inform Decis Mak. 2022 Sep 3;22(1):231. doi: 10.1186/s12911-022-01948-w.

Abstract

BACKGROUND

An electronic prescription system is a mechanism that has long been implemented in many countries around the world. In the present study, we reviewed the requirements, standards, and features of an electronic prescription system for its correct and accurate execution.

METHODS

This scoping review was conducted according to the PRISMA-SCR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews). A comprehensive literature search was performed with the related keywords in Web of Science, PubMed, Scopus, and ProQuest with no time limit. The selection of papers was based on inclusion criteria. After removing duplicates, reviewing titles, abstracts, and full-text, 13 articles were included in the analysis.

RESULTS

Electronic prescription system requirements extracted from the studies: Patient data, Patient selection or identification and data access, Drug Selection, Security, Privacy and administration, Transparency and accountability, Interoperability and communication, Monitoring, report, reminder, and renewals, Feedback at the prescriber level, Infrastructure: Computer equipment, Awareness of physicians and System support, Patient education and information, Usability, Standards, History of Medications / Current Medications, Data transfer and storage, Alerts and other messages to prescribers, and filtering of user-selectable alerts for possible prescription problems and Decision support.

CONCLUSIONS

The results of this study showed that the electronic prescription systems have several functional and technical capabilities that can provide significant benefits to all system's stakeholders, including service providers, drug distributors, patients, and insurance organizations if used correctly.

摘要

背景

电子处方系统是一种在世界许多国家长期实施的机制。在本研究中,我们回顾了电子处方系统的要求、标准和功能,以确保其正确和准确的执行。

方法

本范围综述按照 PRISMA-SCR(系统评价和荟萃分析扩展的首选报告项目用于范围综述)进行。通过在 Web of Science、PubMed、Scopus 和 ProQuest 中使用相关关键字进行全面的文献检索,没有时间限制。根据纳入标准选择论文。在去除重复项、审查标题、摘要和全文后,有 13 篇文章被纳入分析。

结果

从研究中提取的电子处方系统要求:患者数据、患者选择或识别和数据访问、药物选择、安全性、隐私和管理、互操作性和通信、监测、报告、提醒和更新、反馈在处方者层面、基础设施:计算机设备、医生意识和系统支持、患者教育和信息、可用性、标准、药物史/当前药物、数据传输和存储、向处方者发送警报和其他消息,以及为可能的处方问题和决策支持过滤用户可选的警报。

结论

这项研究的结果表明,电子处方系统具有若干功能和技术能力,如果正确使用,可为所有系统利益相关者(包括服务提供者、药品分销商、患者和保险组织)提供重大利益。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1787/9440517/1e9782b56a0a/12911_2022_1948_Fig1_HTML.jpg

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