Study Set Content:
The majority of the ADE were due to
inappropriate drug choice, wrong dose, and wrong frequency
To prevent these ADE’s, an () should be provided where a computer checks on allergies, dose, interactions, frequency, and inappropriate drug
automated clinical check
can reduce errors caused by illegible handwriting, inaccessible medication histories and inaccessibility of drug information.
ePrescribing
Alerting at the point of prescribing can prevent
prescribing errors
➢ ePrescribing can improve
workflow efficiency
ncreased patient compliance is expected with ePrescribing through better prescription tracking and a more efficient
refill process
The ePrescribing system will provide the physician with information on prescription fill history. In addition, the system will also provide the physician with formulary information increasing the physician’s
formulary adherenc
also functions to support generic substitution for brand name prescribing.
ePrescribing softwar
patient information is captured which includes Pharmacy benefits information, height, weight, patient diagnosis or problem, allergies, existing medication therapies and lab results
Registration
primary function of the system
New prescription entry
transmission of the ePrescription to the appropriate places.
Prescription transmission:
the pharmacy can electronically initiate a request for refill authorization which is transmitted to the physician’s office.
Refill authorization:
difficult to maintain in an ePrescribing system because the medication profile of the patient can originate from many sources; generally, the physician only maintains profile information for those prescriptions originating from their practice
Medication profile management:
ePrescribing systems support CDS functions of drug interactions, therapeutic duplication, and dose range checking
Clinical decision support:
ePrescribing support the verification of prescribed medications against the formulary of the patient’s pharmacy benefit plan – this ent
Formulary management:
are a very important safety check in the ePrescribing process because they are the last healthcare professional to review the prescription prior to the patient receiving the medication
Pharmacists
is needed to prevent the potential for errors and to quickly identify and correct errors when they are found
ePrescribing system management
Pharmacists need to step up as the safety and quality advocate for the
prescription process
is the focus for ePrescribing, not the prescriber.
patient
A set of tools that facilitate the decision-making capabilities of the prescriber at the decision point of CPOE.
CLINICAL DECISION SUPPORT SYSTEM (CDSS)
