Abstract
Paper-based prescriptions have been used for several decades by many healthcare practitioners. The literature suggests that several challenges are associated with handwritten prescriptions that might impact patients’ safety and medication errors. Electronic prescribing (e-prescribing) has been developed to phase out handwritten and computer-generated prescriptions that are printed on paper or faxed directly to a dispensing pharmacy. This research aimed to examine pharmacists’ thoughts about the e-prescribing impact on their practice. We also evaluated the adoption rate of e-prescribing by assessing the proportion of electronic prescriptions (e-Rx) received in community pharmacies across the Canadian provinces. This research was conducted as a secondary analysis of the 2016 National Survey of Community-Based Pharmacists: Use of Digital Health Technology in Practice by Nielson. The survey was conducted in collaboration between Canada Health Infoway and the Canadian Pharmacy Association. The target population of the survey was Canadian pharmacists who were in community practice. The provinces included in this research were Ontario, Quebec, Saskatchewan, Alberta, and British Columbia (n = 450). The findings of this study suggest that community pharmacists in Canada were willing to embrace e-prescribing to support their practice. Most of pharmacists thought that e-prescribing was a useful tool to reduce medication errors and improve efficiency in pharmacies. However, the largest proportion of prescriptions issued by prescribers continue to be in paper form, whether handwritten or computer-generated. Further research is needed to investigate the barriers to the adoption of e-prescribing systems among primary care practitioners in Canada.
Highlights
Electronic prescribing systems (e-prescribing) have been identified as a way of enhancing patient safety and improving clinical care
Little is known about the adoption rate of e-prescribing among prescribers after efforts were made to introduce the technology in primary care practices in Canada
Out of 450 pharmacists included in this research, 66% reported that e-prescribing would reduce medication errors and 62.4% thought that the technology was important for enhancing the quality of care
Summary
Electronic prescribing systems (e-prescribing) have been identified as a way of enhancing patient safety and improving clinical care. E-prescribing has been developed to phase out handwritten and computer-generated prescriptions that are printed on paper or faxed directly to the dispensing pharmacy. The perception of community pharmacists of the impact of eprescribing on medication errors and productivity has not been studied before. The most traditional way of conveying prescription information to a pharmacy is through a handwritten paper prescription documents that is given directly to the patient. Prescribers that use electronic medical record (EMR) systems in their practice can generate these prescriptions electronically. These EMR-generated prescriptions are either printed and handed to the patient or faxed directly to the patient’s pharmacy of choice. Based on the CPhA 2016 survey, verbal prescriptions were estimated to on average represent 7.4% of the total prescriptions received in community pharmacies
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