Role of e-Prescribing in the Reduction of Prescription Error Rate: A Systematic Review


Tantri Puspa Ditya, Wiku Bakti Bawono Adisasmito

 

Study Program of Hospital Administration, Faculty of Public Health,

Universitas Indonesia

 

ABSTRACT

Background: Prescription errors are a big problem in the world. The concept of medi­cation safety began to become a global concern since November 1999 after the Ins­ti­tute of Medication (IOM) reported an unexpected event of medication error in Ame­rica. Elec­­tronic Medical Record (EMR) has the potential to reduce instances of me­di­cation error and improve communication between pharmacist and prescriber. This study aimed to systematically review the role of e-prescribing in the reduction of pres­cription error rate.

Subjects and Method: This was a systematic review using articles from 3 electronic databases, namely PubMed, Google Scholar, and Medline. The keywords used in the study were e-prescribing, electronic prescription, medication error, hospital formulary, and hospital. The articles under review were taken from observational studies conduc­ted in hos­pital invol­ving EMR (electronic prescription). These articles were published from 2015 to 2019. The main outcome was the incidence of prescription error. Steps in con­ducting syste­ma­tic review followed PRISMA flow diagram rule.

Results: 6067 articles were obtained for systematic review based on pre-determined key­words. 9 articles met the inclusion criteria. 4 of 9 articles discussed EMR. 5 articles dis­cussed the use of e-prescribing with patient safety. In these articles, EMR could help reduce various errors, including difficulty in understanding the doctor’s writing. The e-prescribing through EMR did not run optimally, because it lacked support of pres­cription tools and compliance by doctors.

Conclusion: The e-prescribing can reduce the number of prescription errors and main­­tain patient safety. The e-prescribing through electronic medical record helps doc­tors to prescribe according to the formulary and provides an overview of the hospi­tal with patterns of drug use. The efforts to maintain patient safety must continue so that patient safety is maintained.

Keywords: electronic medical record, e-prescribing, medication error, patient safety

Correspondence: Tantri Puspa Ditya. Study Program of Hospital Administration, Faculty of Public Health, Universitas Indonesia. Jl. Margonda Raya, Pondok Cina, Beji, Depok-16424, West Java. Email: puspa.tantri@ymail.com. Mobile: 08569951262.

DOI: https://doi.org/10.26911/the6thicph-FP.04.38

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