Inbound Prescription System: A Case Study

Organization barrier: due to astronomical cost associated with the implementation of the CPOE system, resistance might stem form top management team. Successfully CPOE implementation required a long term financial commitment, and return of on invested might not be visible in the near future. Additionally, organization barriers are complex, and it will require redesigning the entire workflow process of the entire healthcare organization. Hence, the success of the proposed change might lies with the acknowledgements of these barriers.

The system design varies across software vendors and influence prescriber’s use. Some physicians reported using the formulary information is easy, while others refused to take the time to utilize the tool. Yet, other physicians reported formulary information was rarely displayed for renewals because of systems design. In some settings the software provides formulary after the medication was selected, whereas, other providers reported the software did not provide a formulary list. Physicians reported even if a medication

This transformation was met with resistance from several physicians and staff members who were not willing to change the method for entering and receiving orders. Computerized Physician Order Entry (CPOE) systems are remarkably effective at reducing the rate of serious medication errors. A study led by David Bates, M.D., Chief of General Medicine at Boston’s Brigham and Women’s Hospital, demonstrated that CPOE reduced error rates by 55% — from 10.7 to 4.9 per 1000 patient days. Rates of serious medication errors fell by 88% in a subsequent study by the same group (Preventing Medication Errors in Hospitals (n.d.).

Prescriptions area unit currently sent directly the pharmacy minimizing errors and mechanically checking for attainable complications with different medications or allergies (Ortiz &Clancy, 2003). the flexibility to quickly and simply share medical info has considerably improved health supply and attenuate prices. EMR 's conjointly offer a medico with reminders and proposals for patient care that assists with the treatment and bar of chronic sicknesses. redoubled use of health care info systems provides a a lot of complete and correct image of a patients history. information isn 't duplicated, and errors area unit quickly found and corrected. Electronic information provides a method for analysis that has improved care and assisted within the analysis for cures and coverings. Technology has conjointly modified the means folks communicate. a briefing will currently be created on-line, and knowledge will currently be shared through email. Before these advancements medical records, prescription info, and appointments were unbroken via a paper record.

As the EHR Team Lead, the CEO has the responsibility to make final decisions regarding the new system implementation plan. Once approved, the project is ready for implementation and the EHR Implementation Manager is responsible for keeping the project moving and keeping it on schedule. In implementations, there is a vendor counterpart to this position that works with the Implementation Manager on the project (NLC, 2014). The Implementation Manager plays a major role in the project by interacting with IT vendors, scheduling events pertinent to the implementation including “live” dates, and delegating tasks to other members of the team. The Information Technology Lead is responsible for the operation of software and hardware such as workstations, wireless tablets, printers, and scanners. The IT Lead also serves as a resource for questions about hardware or software. Other team members also play vital roles contributing to the goals established by the team. The Physician Champion’s main role is to act as a liaison between physicians in the hospital group and the implementation team. Contributing clinical expertise and keeping other physicians up to date on progress, the Physician Champion maintains “buy-in” to the project. The Nurse Lead plays a central role in the project as a representative

Chapter five discusses computerized provider order entry (CPOE). CPOE systems allow health care organizations access to tools that enhance the efficiency and delivery of patient care. While CPOE technology has proved beneficial, it is not deprived of challenges. The article that I selected to review, “Hospitals’ Computerized Systems Proven to Prevent Medication Errors, but More is Needed to Protect Patients from Harm or Death” (TheLeapfrogGroup, 2016) discusses how medication errors still occur despite the implementation of this technology.

The resource interviewed is a stockholder from E-Health Partners. Motivated to implement the new healthcare technology, this group of physicians and executives within the health care world, acquired the electronic health record platform developed by the Quality Improvement Professional Research Organization (QIPRO) in 2009. Perhaps, E Health Partners (EHRez) is the fastest growing healthcare technology company in Puerto Rico, providing complete electronic health record solutions for providers. Actually, the IT department provides continuous customer support that includes service, backup, upgrades, configuration, and training, on site and remotely.

In the United States, Nearly 1 of each 131 out- patient mortalities and 1 of 853 inpatient mortality consequence after medication mistakes. Baxter International stated 39% of mistakes start among prescribers, 23% happen while copying or mixing by pharmacists, and 38% transpire while the administration through nurses (Caesar, & Hutchinson, 2006). According to the Institute of Medicine approximations that at about a fourth of every medication-related inquiry remain avoidable, and endorses electronic prescribing (e-prescribing) through a computerized provider order entry(CPOE) system by way of single method to decrease prescription mistakes. The questions developed as For adult inpatients (P), would the use of (I) physician order entry within an Electronic Health Record, (C) as compared to solely paper documentation, (O) result in a medication error rate reduction similar to that found in the literature (T) during the length of stay the hospital?

Computerized Physician Order Entry (CPOE) is the process of entering medication orders and other physician’s instructions electronically using a computer-based system to ensure standardized, legible and complete orders. Its implementation has been recommended to improve patient safety and outcomes primarily by reducing medication errors that usually arise from faulty prescriptions (Al-Dorzi, Hasan M., Tamim, Hani M., Cherfan, Antoine, Hassan, Mohamad A., Taher, S. and Arabi, Y.). Hospitals are continuing to

Transmitting prescriptions by digital mediums has organized and facilitated the operation of clinical procedures, and improved the commitment and satisfaction of patients. In addition, linking physician and pharmacy systems has minimized paperwork and the associated mistakes that may occur from relying on handwritten notes. This change has produced time and cost savings for all parties involved. (Bigler L.,

o solve some of the above-listed issues healthcare systems worldwide have developed easier ways to avoid medication errors and near miss issues such as the electronic medication record (EMAR), CPOE, bar-code medication administration on a portable cart, and automatic medication dispensers. While all these methods of medication administration systems seem to be a safer and easier way to administer medication, it can also be a long process, therefore, resulting in noncompliance behavior that is exhibited by some

Conclusion: In Conclusion, although the benefit of pharmacist initiated refill request is a valuable tool for pharmacist to be involved in patient care and encourage adherence, it is important to perfect the process and prevent errors that can be detrimental to the patients

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

My group’s focus is on e-prescribing, therefore I decided to search strengths and weaknesses of e-prescribing. I found a reviewed article addressing this by going onto the U of M libraries website and using the Ovid Medline database. From the Ovid Medline database, I typed in the keyword “e-prescribing” and selected electronic prescribing. I refined my search by adding the keyword “strengths” to the search. I selected this article because it includes a study on different pharmacists and their experiences with e-prescribing. The study was conducted for two months on seven different pharmacies in Wisconsin that met the

By developing a process map for the prescription process for the HMO pharmacy, in which I will specify the key problems that the HMO’s pharmacy may be experiencing. Also, I will use the the supplier, input, process steps, output and customer (SIPOC) model to analyze the HMO pharmacy’s business process. Using this model it can be assumed that the HMO pharmacy can experience mistakes from all levels of the business process (Hoerl & Snee, 2012).