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Evaluation of e-prescribing in chain community pharmacy: best-practice recommendations.
J Am Pharm Assoc (2003). 2008 May-Jun; 48(3):364-70.JA

Abstract

OBJECTIVES

To measure the attitudes and beliefs of community-based pharmacists and technicians toward electronic prescribing (e-prescribing) and the processing of e-prescriptions and to generate best-practice recommendations for changes to improve e-prescribing in the community setting.

DESIGN

Descriptive, nonexperimental, cross-sectional study.

SETTING

422 chain community pharmacies in six states that met a minimum dispensing volume of five e-prescriptions per day. Data were collected between April and July 2006.

PARTICIPANTS

Pharmacists, technicians, and student interns.

INTERVENTION

Receiving, processing, and dispensing of e-prescriptions assessed via self-administered survey and follow-up interviews of key pharmacy operations and information technology management in each participating chain pharmacy organization.

MAIN OUTCOME MEASURES

Attitudes, beliefs, and satisfaction of pharmacy personnel regarding e-prescribing, compared with conventional prescribing, and recommendations for improving e-prescribing in the community practice setting.

RESULTS

1,094 surveys were returned from pharmacy personnel practicing in 276 chain community pharmacies. Pharmacy personnel preferred e-prescriptions over conventional prescriptions on each of seven desired outcomes of care. Pharmacists were found to view e-prescribing more positively than technicians (P < 0.05) for its net effect on three key outcomes: patient safety, effectiveness of care, and efficiency of care. A total of 2,235 written comments were received on the returned surveys. Of these, 57% (1,277) mentioned negative features of e-prescribing, while 43% (958) noted positive features. Improved clarity and/or legibility of prescriptions was the most frequently cited advantage of e-prescribing, followed closely by improved speed or efficiency of processing. Prescribing errors were the most commonly cited negative feature of e-prescribing, particularly those stating a wrong drug or wrong directions.

CONCLUSION

Pharmacy personnel were generally satisfied with the current status of e-prescribing, but they also perceive key weaknesses in how it has been implemented in physicians' practices and their own organizations. A total of 11 best-practice recommendations are offered to improve e-prescribing in the chain community pharmacy setting.

Authors+Show Affiliations

College of Pharmacy, Midwestern University, Glendale, Ariz 85308, USA. mtrupp@midwestern.eduNo affiliation info available

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

18595821

Citation

Rupp, Michael T., and Terri L. Warholak. "Evaluation of E-prescribing in Chain Community Pharmacy: Best-practice Recommendations." Journal of the American Pharmacists Association : JAPhA, vol. 48, no. 3, 2008, pp. 364-70.
Rupp MT, Warholak TL. Evaluation of e-prescribing in chain community pharmacy: best-practice recommendations. J Am Pharm Assoc (2003). 2008;48(3):364-70.
Rupp, M. T., & Warholak, T. L. (2008). Evaluation of e-prescribing in chain community pharmacy: best-practice recommendations. Journal of the American Pharmacists Association : JAPhA, 48(3), 364-70. https://doi.org/10.1331/JAPhA.2008.07031
Rupp MT, Warholak TL. Evaluation of E-prescribing in Chain Community Pharmacy: Best-practice Recommendations. J Am Pharm Assoc (2003). 2008 May-Jun;48(3):364-70. PubMed PMID: 18595821.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Evaluation of e-prescribing in chain community pharmacy: best-practice recommendations. AU - Rupp,Michael T, AU - Warholak,Terri L, PY - 2008/7/4/pubmed PY - 2008/9/18/medline PY - 2008/7/4/entrez SP - 364 EP - 70 JF - Journal of the American Pharmacists Association : JAPhA JO - J Am Pharm Assoc (2003) VL - 48 IS - 3 N2 - OBJECTIVES: To measure the attitudes and beliefs of community-based pharmacists and technicians toward electronic prescribing (e-prescribing) and the processing of e-prescriptions and to generate best-practice recommendations for changes to improve e-prescribing in the community setting. DESIGN: Descriptive, nonexperimental, cross-sectional study. SETTING: 422 chain community pharmacies in six states that met a minimum dispensing volume of five e-prescriptions per day. Data were collected between April and July 2006. PARTICIPANTS: Pharmacists, technicians, and student interns. INTERVENTION: Receiving, processing, and dispensing of e-prescriptions assessed via self-administered survey and follow-up interviews of key pharmacy operations and information technology management in each participating chain pharmacy organization. MAIN OUTCOME MEASURES: Attitudes, beliefs, and satisfaction of pharmacy personnel regarding e-prescribing, compared with conventional prescribing, and recommendations for improving e-prescribing in the community practice setting. RESULTS: 1,094 surveys were returned from pharmacy personnel practicing in 276 chain community pharmacies. Pharmacy personnel preferred e-prescriptions over conventional prescriptions on each of seven desired outcomes of care. Pharmacists were found to view e-prescribing more positively than technicians (P < 0.05) for its net effect on three key outcomes: patient safety, effectiveness of care, and efficiency of care. A total of 2,235 written comments were received on the returned surveys. Of these, 57% (1,277) mentioned negative features of e-prescribing, while 43% (958) noted positive features. Improved clarity and/or legibility of prescriptions was the most frequently cited advantage of e-prescribing, followed closely by improved speed or efficiency of processing. Prescribing errors were the most commonly cited negative feature of e-prescribing, particularly those stating a wrong drug or wrong directions. CONCLUSION: Pharmacy personnel were generally satisfied with the current status of e-prescribing, but they also perceive key weaknesses in how it has been implemented in physicians' practices and their own organizations. A total of 11 best-practice recommendations are offered to improve e-prescribing in the chain community pharmacy setting. SN - 1544-3450 UR - https://www.unboundmedicine.com/medline/citation/18595821/Evaluation_of_e_prescribing_in_chain_community_pharmacy:_best_practice_recommendations_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1544-3191(15)31206-1 DB - PRIME DP - Unbound Medicine ER -