Alanazi Wafa K, Almutairi Saleh H, Alamri Abdullah A, Alsubaie Muneerah F, Tohary Omar M, Hussein Mai T, Alshamrani Mohammed H, Alharbi Ghalia G, Alsomali Hanaa M, Alsadran Qassem T, Alzuwayed Omar A, Sumayli Abdulaziz M, Alrasheedi Fahad S, Alamari Yosef A
Pharmaceutical Services Department, King Fahad Military Medical Complex, Dhahran, Saudi Arabia.
Hospital Material and Management Department, King Fahad Military Medical Complex, Dhahran, Saudi Arabia.
J Pharm Policy Pract. 2024 Dec 4;17(1):2431177. doi: 10.1080/20523211.2024.2431177. eCollection 2024.
The implementation of electronic prescription systems has become a crucial advancement in healthcare, intending to enhance the precision, safety, and effectiveness of the prescription process. Electronic prescription systems provide many solutions to reduce prescribing errors by allowing system modifications that streamline the prescribing process to improve communication between healthcare practitioners In this study, we aimed to explore the effect of electronic prescription system modification on minimising prescribing errors.
This retrospective quantitative study assessed the effects of electronic prescribing system modification in a tertiary military centre in Saudi Arabia, specifically focusing on decreasing prescribing errors in different hospital departments. Collected data include all prescribing errors that occurred in the inpatient setting during the study period, while exclude prescribing errors for outpatient settings as they have different e-prescribing system. A total of 29,554 patient admissions were analysed to compare the frequency of prescribing errors before and after the introduction of electronic prescriptions modification.
The findings from this study indicate a total reduction in prescribing errors after electronic prescription modifications from 1.43% to 0.51% (-value < 0.001) across all departments, which is highly significant. Furthermore, there was a significant reduction of 49.8% in the overall prescribing error rate. The overall reduction in total errors occurrences after implementing e-prescription modifications suggests a systemic improvement, even if individual departments showed mixed results.
This study emphasises the advantages of electronic prescribing system modification in improving patient safety and optimising healthcare operations. However, the variance in results across departments highlights the need for tailored modifications and continuous system optimisation. By addressing the specific needs of each department, hospitals can maximise the benefits of e-prescribing system and achieve more consistent reductions in prescribing errors in clinical practice.
电子处方系统的实施已成为医疗保健领域的一项关键进展，旨在提高处方流程的准确性、安全性和有效性。电子处方系统通过允许进行系统修改来简化处方流程，从而改善医疗从业者之间的沟通，提供了许多减少处方错误的解决方案。在本研究中，我们旨在探讨电子处方系统修改对减少处方错误的影响。
这项回顾性定量研究评估了沙特阿拉伯一家三级军事中心电子处方系统修改的效果，特别关注减少不同医院科室的处方错误。收集的数据包括研究期间住院环境中发生的所有处方错误，同时排除门诊环境中的处方错误，因为它们有不同的电子处方系统。总共分析了29554例患者入院情况，以比较引入电子处方修改前后处方错误的频率。
本研究结果表明，电子处方修改后，所有科室的处方错误率从1.43%降至0.51%（P值<0.001），总体减少幅度非常显著。此外，总体处方错误率显著降低了49.8%。实施电子处方修改后总错误发生率的总体下降表明了系统的改进，即使个别科室的结果参差不齐。
本研究强调了电子处方系统修改在提高患者安全和优化医疗操作方面的优势。然而，各科室结果的差异凸显了进行量身定制的修改和持续系统优化的必要性。通过满足每个科室的特定需求，医院可以最大限度地发挥电子处方系统的优势，并在临床实践中更持续地减少处方错误。
