Abstract

BackgroundHospital ePrescribing systems are expected to improve quality of care for patients, yet the perspectives of patients themselves have seldom been explored in the context of ePrescribing deployments.ObjectiveWe sought to...

Highlights

  • The study was designed as part of a wider programme of work investigating the implementation, adoption and use of ePrescribing systems that offer varying degrees of f­unctionality in the supply, administration, recording and prescribing of medication.[31]

  • The aim of the case study was to focus on the patient perspective of medicines management and ePrescribing. The approach was both inductive and deductive, drawing on themes initially identified in the wider programme of work[31] and through expert interviews with patient organisations and explored through interviews of in-patients on a renal ward of a hospital studied in the programme.[31]

  • The renal ward had been earmarked as an early adopter ward, where both preand post-implementation data could be collected within the timeframe of the study

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Summary

INTRODUCTION

The introduction of hospital ePrescribing systems is seen as a critical step in improving quality of care for patients as a result of anticipated increased safety[1,2,3,4] as well as improved efficiency and communication between healthcare team members.[5,6,7,8,9] There are still considerable sociotechnical issues and challenges[10,11,12,13,14,15,16,17,18,19] to be overcome before these systems become commonplace across hospitals in England and the vision for a paperless National Health Service (NHS)[20] can be achieved. Concerns about the negative impact of using clinical computer systems on the quality and amount of face-to-face interactions between patients and healthcare professionals (HCPs)[21,22] underline how benefits realisation in one area may reduce quality of care in another. Technology still needs to be used appropriately in order to deliver benefits such as improved communication,[30] and there is an urgent need, to better understand what ePrescribing in hospitals means for patients and what their priorities are when it comes to medicines management.

Study design
Ethical Considerations
RESULTS
DISCUSSION AND CONCLUSIONS
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