Amir Muhammad, Khan Azizullah
Department of Pharmacy Services, Lady Reading Hospital-MTI, Peshawar, Pakistan.
Department of Pharmacy Practice, Faculty of Pharmacy, Jinnah University for Women, Karachi, Pakistan.
J Med Access. 2022 Sep 7;6:27550834221119689. doi: 10.1177/27550834221119689. eCollection 2022 Jan-Dec.
It is reported that at least one medication error per day occurs in hospitalized patients. Medication errors are not only harmful but also expensive. Prescription review by pharmacists is the standard to reduce prescribing error; however, due to the manual process, pharmacists lack time to conduct prescription reviews. Computerized physician order entry (CPOE) allows clinicians to directly place medication orders electronically, transmitted directly to the pharmacy. Successfully implemented CPOE systems improve the prescribing process and result in fewer medication errors. However, regardless of its significance, implementation of CPOE is a very difficult task, particularly in a public-sector hospital. Lady Reading Hospital-Medical Teaching Institution has a manual system for indenting medication system; pharmacists could only ensure the current dispensing of medication, but lack time and information to conduct a review to ensure the appropriateness of prescription. The article entails the barriers and the process of implementation of e-prescribing.
据报道，住院患者每天至少发生一次用药错误。用药错误不仅有害，而且成本高昂。药剂师进行处方审核是减少开方错误的标准做法；然而，由于是手工操作，药剂师没有时间进行处方审核。计算机化医师医嘱录入（CPOE）使临床医生能够直接以电子方式下达用药医嘱，并直接传输到药房。成功实施的CPOE系统改善了开方流程，减少了用药错误。然而，尽管其意义重大，但实施CPOE是一项非常艰巨的任务，尤其是在公立部门医院。雷丁夫人医院——医学教学机构有一个药品订购的手工系统；药剂师只能确保当前药品的配发，但没有时间和信息进行审核以确保处方的合理性。本文阐述了电子处方实施的障碍和过程。
