Electronic Prescribing Essay

liver and kidneys. Normal adult dose of some medications can be toxic to an older patient.

When making the decision to prescribe there are a number of influence you have to consider. It is important to have an awareness of these influences and take them into consideration when issuing a prescription. It is importance to have knowledge of the DOH (2006) Medicines Matters this give guidance on the mechanisms available for prescribing and administration and supply of products. Team trends and external company’s and there representatives promoting their products have a big influence on your prescribing practice Bradley (2006) found that these influences were of concern to some nurses feeling that their colleague may ask them to prescribe for patients they haven’t seen. Thomas (2008)

According to the Food and Drug Administration (FDA 2009), the wrong route of administrating medication accounts for 1.3 million injuries each year. An article published in September issue of the Journal of Patient Safety estimates there are between 210,000 and 400,000 deaths per year associated with medical errors. This makes medical errors the third leading cause of deaths in the United States, behind that comes heart disease and cancer. To prevent medical errors always follow the Three Checks and most importantly the Rights of Medication Administration. The “Rights of Medication Administration” helps to ensure accuracy when administering medication to a patient. When administering medication the administer should ensure they have the Right Medication, Right Patient, Right Dosage, Right Route, Right Time, Right Route, Right Reason, and Right Documentation. Also remember the patient has the right to refuse, assess patient for pain, and always assess the patient for signs of effects.

rights, health, and safety of the patient.” This provision, identifying patients, medication safety are related because it is a nurse’s responsibility to protect the patient from harm and promote safety. Nurses are taught to use multiple checks before administering a drug and use two identifiers. These checks include checking the medication against the order when obtaining it, checking again when preparing the medication and the last check is done at the patient’s bedside prior to giving the medication. Also it is imperative to question any medication order that does not seem fit. The order should include a date, time, name of the medication, dosage strength, the route for

1. In the workplace there is a generic Medication Management Policy and Procedures for Adult Services (Issue 10, 2012) document. This is kept to hand in a locked cupboard, readily available to read. It requires that all Healthcare Staff are given mandatory training and refreshers are provided. Legislation which surrounds the administration of medication includes The Medicines Act 1968, The Misuse of Drugs Act 1971, The Data Protection Act 1998, The Care Standards Act 2000 and The Health and Social Care Act 2001

patients follow directions and be aware of potential interactions with other drugs. Don’t just change your dose without discussing with your doctor first. Never use another persons prescription.

Prescribing in Australia is authorised by individual state and territory legislations that deal with drugs and poisons. These legislations allow various levels of health professionals to administer/supply medications under an assortment of protocols or direct order agreements. Any prescriber must also follow processes that have been determined by their professional bodies, which is legally binding in Australia. Legally, prescribers must also maintain all confidentiality and privacy clauses. Also, the patient’s health and wellbeing should be the focus of all decision making so that no-harm should come to the patient. The knowledge and skills obtained from the required training should be used to optimise patient’s health.

Nearly half of seniors do not take their medications when or how they were prescribed. There are mistakes on dosages, methods of delivery, time of delivery, what they should be taken with, and even if they should still be taken. Compounding the issue, most seniors over the age of 65 are taking between 8 and 13 different medications. Put these numbers together and it is no wonder that problems with medication management are one of the leading reasons seniors end up in the emergency room, and is the number one reason seniors end up back in the hospital after being recently discharged. According to a study published in "Pharmacotherapy", nearly 70 percent of hospitalized seniors suffered from at least one

Throughout this report, the interoperability and communication between departments will be discussed in detail, in order to improve throughput using the current software system, Epic in this case. The goal is optimal patient outcomes using electronic prescribing. A solution will be reviewed utilizing Epic, a standard electronic health record (EHR) involving the HL7 initiatives.

The purpose of medicine is as contested of a notion as the term patient. While there are certain ends in which it is clear that medicine seeks to achieve, controversy often arises over how medicine chooses to achieve these certain goals. One such controversy is the treatment of patient-symptoms, more specifically, the role of medication in treating patients. The purpose of this essay is not to discuss the general issues of prescribing medication. Rather, the purpose is

This is important for easy administration in case of an emergency so as to prevent any harm on a patient.

Electronic health information exchange is a dynamic evolving landscape that can help all doctors, pharmacists, nurses and any health care providers and patients to properly access fast to share patient basic health medical information via electronically improving quality, safety and speed and the cost of patient care HIE is fault finding for successful health care reform allowing to happen interoperability and significant use of health IT, and Health care Information and Management System Society (HIMSS) is here to help health care and health IT is qualified to understand all of the latest developments. There are various types of health information exchange and health information exchange organizations that are currently across the United States and its nation.

Electronic-prescribing, often referred to as e-prescribing, is a fairly new, innovative way for physicians and other medical personnel to prescribe medications and keep track of patients’ medical history. Not only has e-prescribing enabled prescribers to electronically send a prescription to the patients’ pharmacy of choice, in the short amount of time it has been available, it has significantly reduced health care costs, not only for the patient, but for the medical facilities as well. In 2003, e-prescribing was included in the Medicare Modernization Act (MMA) which jumpstarted the role of e-prescribing in healthcare. It has proven to significantly reduce the yearly number medication errors and prescription fraud, and its widespread

CathyAnn, great post. You have made a great point about renal impairment and being precautious when prescribing medication to elderly with CKD. Renal impairment can happen for numerous different reasons, a few of the reasons that renal impairment can happen are diabetic nephropathy, lupus, and aging (Burchum & Rosenthal, 2016 & Rull, 2016). With aging it is normal to have a decline in renal function. For this patient particularly, it would be important to make sure that if there is any medication that the nurse practitioner would be prescribing that would need to have renal dose adjustment it would be important to do testing to see what kind of adjustments needed to be made.

I definitely enjoyed reading your paper about e-prescribing. I also thought that your paper was very well organized in its delivery of information regarding the topic. You did a good job of taking the topic, introducing its benefits and potential problem areas, as well as detail the practices and outcomes of such technology. It certainly seems to me that this will become a more prevalent technology informing medical practice in the future as hospitals take on greater numbers of people (not only due to a rising population but to a significant portion of individuals living longer thanks to modern medical practice). Though it seems your descrption of e-prescribing is largely supportive, you do mention some cons to the use of such technology, but these seem secondary to the supposed benefits of its use. That said, I was wondering if this is because you did not find the research necessary to validate claims of the risks behind e-prescription use, or because you were more supportive of the technology, overall. It does seem like there could be problems with our dependence on the technology if, say for instance, we