scholarly journals The Barriers in Implementing Electronic Prescribing in The Health Care: a Systematic Review

2018 ◽  
Vol 3 (2) ◽  
pp. 72-82
Author(s):  
Leawaty Leawaty ◽  
Adik Wibowo
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Health Care Quality ◽  
Care Quality ◽  
Electronic Prescribing ◽  
Implementation Barriers ◽  
Electronic Prescription ◽  
Free Trial ◽  
Medication Costs ◽  
Practice Efficiency

Medication error remain extremely common, and the health care system can do much more to prevent it. Electronic prescribing is increasingly being viewed by health care stakeholders as an important step toward improved medication safety, better management of medication costs, increased practice efficiency, and improved health care quality. However, the adoption of e-prescribing has been difficult to attain owing to numerous barriers throughout the industry. Even with all the benefits of e-prescribing, many providers and pharmacists remained hesitant about completely adopting an e-prescribing system. The main purpose of this study was to explore and to assess the barriers of electronic prescribing implementation. The methodology for this study followed the basic principles of a systematic review with PRISMA methode retrieved from online database PubMed using a keyword “barriers” OR “obstacles” AND “electronic prescribing” OR “electronic prescription” AND “implementation”. Finally 6 documents were selected by full text inclucion and assessed for eligibility. The result of the study are  inefficiency, the low uptake of the physicians, the cost of implementing the electronic prescription, system errors and the privacy and legacy. The conclusion from the studies should that electronic prescribing implementation barriers those we divided into 2 groups : the user factors and the system factors of the electronic prescription. Vendors or the consultants to facilitate more adequately the adoption of e-prescribing by giving the physicians the free trial and provide evaluation and improvement according to the physicians' needs for the features in the e-prescription.

scholarly journals Primary health care quality in Iran: a systematic review and meta-analysis

2019 ◽  
Vol 21 (1) ◽  
pp. 71-77
Author(s):  
Hasan Abolghasem Gorji ◽  
Sanaz Royani ◽  
Mohammad Mohseni ◽  
Saber Azami-Aghdash ◽  
Ahmad Moosavi ◽  
...  
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Primary Health Care ◽  
Health Care Quality ◽  
Meta Analysis ◽  
Care Quality ◽  
Primary Health

scholarly journals The Behavior of Acceptance of the Electronic Prescription System

2018 ◽  
Vol 5 (3) ◽  
pp. 3681-3688
Author(s):  
Rapitos Sidiq ◽  
Noni Zakiah ◽  
Vonna Aulianshah ◽  
Amelia Sari ◽  
Rasidah . ◽  
...  
Keyword(s):  
Health Care Quality ◽  
Data Retrieval ◽  
Clinical Decision ◽  
Care Quality ◽  
Electronic Prescribing ◽  
Electronic Prescription ◽  
Data Validity ◽  
Two Stages ◽  
Physician Order Entry

Computerized Physician Order Entry (CPOE) is one of the health information systems that support the recording of medication from physicians based on computer technology. This system is used as Clinical Decision Support (CDS). The utilization of CPOE can decrease the rate of medication error so that its existence becomes one of health care quality indicator. In Indonesia, the application of this system is still rare, due to several constraints, ranging from the connectivity of the systems between units / between departments within a hospital. Regionalal General Hospital (RSUD) of Dr. Zainoel Abidin Banda Aceh is one of the hospitals that once applied this system, but in the course of this system could not run properly. This study was aimed to determine the acceptance behavior of electronic prescription information system. Informant   of the research were doctors at specialist polyclinics counted 32 people. Data were collected on August 25th 2016 until September 9th, 2016. The data retrieval was done by two stages of questionnaire and detailed interview. Data were analyzed by content analysis and coding and data validity by triangulation. The results showed that the informant   welcome the application of electronic prescribing system, however, there was still much have to be improved especially in terms of support of all levels of management, so that users would feel the new system really help simplify the service and improve the quality of service to the patients.

scholarly journals Patient Portal Functionalities and Uptake: Systematic Review Protocol

10.2196/14975 ◽  
2020 ◽  
Vol 9 (7) ◽  
pp. e14975 ◽  
Author(s):  
Abrar Alturkistani ◽  
Geva Greenfield ◽  
Felix Greaves ◽  
Shirin Aliabadi ◽  
Rosemary H Jenkins ◽  
...  
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Health Care System ◽  
Health Care Quality ◽  
Care Quality ◽  
Risk Of Bias ◽  
Adult Patients ◽  
Patient Portal ◽  
Patient Portals ◽  
Quality Outcomes

Background Patient portals are digital health tools adopted by health care organizations. The portals are generally connected to the electronic health record of the health care organization and offer patients functionalities such as access to the medical record, ability to order repeat prescriptions, make appointments, or message the health care provider. Patient portals may be beneficial for both patients and the health care system. Patient portals can widely differ from one context to another due to the differences in the portal functionalities and capabilities and it is anticipated that outcomes associated with the functionalities also differ. Current systematic reviews report outcomes associated with patient portal uptake but do not explicitly specify the patient portal functionalities. Objective The aim of this systematic review is to synthesize the evidence on health and health care quality outcomes associated with patient portal use among adult (18 years or older) patients. The review research questions are as follows: What kind of health outcomes do tethered patient portals and patient portal functionalities contribute to in adult patients (18 years or older)? and What kind of health care quality outcomes, including health care utilization outcomes, do tethered patient portals and patient portal functionalities contribute to in adult patients (18 years or older)? Methods The systematic review will be conducted by searching the MEDLINE, EMBASE, and Scopus databases for relevant literature. The review inclusion criteria will be studies about adult patients (18 years or older), studies only about tethered patient portals, and studies with or without a comparator. We will report patient portal–associated health and health care quality outcomes based on the patient portal functionalities. All quantitative primary study types will be included. Risk of bias of included studies will be assessed using the Cochrane Collaboration’s tool for assessing risk of bias in randomized trials and the National Heart, Lung, and Blood Institute’s quality assessment tools. Data will be synthesized using narrative synthesis and will be reported according to the patient portal functionalities, country, disease, and health care system model. Results Searches will be conducted in September 2019, and the review is anticipated to be completed by the end of June 2020. Conclusions This systematic review will provide an overview of health and health care quality outcomes associated with patient portal use among adult patients, providing detailed information about the functionalities of the portals and their associations with the outcomes. The review could potentially help patient portal evaluation studies by providing insights into outcomes associated with the different functionalities of patient portals. Trial Registration International Prospective Register of Systematic Reviews (PROSPERO) CRD42019141131; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=141131 International Registered Report Identifier (IRRID) PRR1-10.2196/14975

scholarly journals Patient Portal Functionalities and Uptake: Systematic Review Protocol (Preprint)

2019 ◽  
Author(s):  
Abrar Alturkistani ◽  
Geva Greenfield ◽  
Felix Greaves ◽  
Shirin Aliabadi ◽  
Rosemary H Jenkins ◽  
...  
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Health Care System ◽  
Health Care Quality ◽  
Care Quality ◽  
Risk Of Bias ◽  
Adult Patients ◽  
Patient Portal ◽  
Patient Portals ◽  
Quality Outcomes

BACKGROUND Patient portals are digital health tools adopted by health care organizations. The portals are generally connected to the electronic health record of the health care organization and offer patients functionalities such as access to the medical record, ability to order repeat prescriptions, make appointments, or message the health care provider. Patient portals may be beneficial for both patients and the health care system. Patient portals can widely differ from one context to another due to the differences in the portal functionalities and capabilities and it is anticipated that outcomes associated with the functionalities also differ. Current systematic reviews report outcomes associated with patient portal uptake but do not explicitly specify the patient portal functionalities. OBJECTIVE The aim of this systematic review is to synthesize the evidence on health and health care quality outcomes associated with patient portal use among adult (18 years or older) patients. The review research questions are as follows: What kind of health outcomes do tethered patient portals and patient portal functionalities contribute to in adult patients (18 years or older)? and What kind of health care quality outcomes, including health care utilization outcomes, do tethered patient portals and patient portal functionalities contribute to in adult patients (18 years or older)? METHODS The systematic review will be conducted by searching the MEDLINE, EMBASE, and Scopus databases for relevant literature. The review inclusion criteria will be studies about adult patients (18 years or older), studies only about tethered patient portals, and studies with or without a comparator. We will report patient portal–associated health and health care quality outcomes based on the patient portal functionalities. All quantitative primary study types will be included. Risk of bias of included studies will be assessed using the Cochrane Collaboration’s tool for assessing risk of bias in randomized trials and the National Heart, Lung, and Blood Institute’s quality assessment tools. Data will be synthesized using narrative synthesis and will be reported according to the patient portal functionalities, country, disease, and health care system model. RESULTS Searches will be conducted in September 2019, and the review is anticipated to be completed by the end of June 2020. CONCLUSIONS This systematic review will provide an overview of health and health care quality outcomes associated with patient portal use among adult patients, providing detailed information about the functionalities of the portals and their associations with the outcomes. The review could potentially help patient portal evaluation studies by providing insights into outcomes associated with the different functionalities of patient portals. CLINICALTRIAL International Prospective Register of Systematic Reviews (PROSPERO) CRD42019141131; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=141131 INTERNATIONAL REGISTERED REPORT PRR1-10.2196/14975

scholarly journals The effectiveness of EMR implementation regarding reducing documentation errors and waiting time for patients in outpatient clinics: a systematic review

F1000Research ◽  
2021 ◽  
Vol 10 ◽  
pp. 514
Author(s):  
Salem Albagmi
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Waiting Time ◽  
Medical Records ◽  
Health Care Quality ◽  
Outpatient Setting ◽  
Care Quality ◽  
Outpatient Clinics ◽  
Pubmed Central ◽  
Medication Dose

Background: Electronic medical records (EMRs) refer to the digital copies of paper notes prepared in the physician’s office, outpatient clinics and other departments in health care institutes. EMRs are considered to be significant and preferable to paper records because they allow providers to keep accurate track of patient data and monitoring over time, thus reducing errors, and enhance overall health care quality. The aim of this systematic review was to highlight the significance of EMRs and the effectiveness of implementation regarding reducing documentation errors and waiting time for patients in outpatient clinics. Methods: PubMed, Central, Ovid, Scopus, Science Direct, Elsevier, Cochrane , WHO website and the McMaster University Health Evidence website from 2005-2020 were searched to identify studies that investigated the association between the EMR implementation and documentation error and waiting time for patients. A reviewer screened identified citations and extracted data according to the PRISMA guidelines and data was synthesized in a narrative manner. Results: After full text examination of the articles selected for this literature review, the major themes of relevance that were identified in the context of reducing documentation errors and waiting time for patients in outpatient clinic include: reduction of medical errors because of fewer documentation errors resulting from EMR implementation and reduction of waiting time for patients due to overall improvement of system workflow after use of EMRs. Conclusion: In summary of the reviewed evidence from published material, the implementation of an EMR system in any outpatient setting appears to reduce documentation errors (medication dose errors, issues of prescription errors). It was also seen that in many settings, waiting time for patients in outpatient clinics was reduced with EMR use, while in other settings it was not possible to determine if any significant improvement was seen in this aspect after EMR implementation.

scholarly journals A collaboration for the promotion of evidence synthesis: A Canadian-African Partnership

2019 ◽  
Vol 40 (2) ◽  
pp. 45-50
Author(s):  
Kim Sears ◽  
Amanda Ross-White ◽  
Christina Godfrey ◽  
Devind Peter ◽  
Alison Annet Kinengyere ◽  
...  
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Health Care Quality ◽  
Research Training ◽  
Evidence Synthesis ◽  
Care Quality ◽  
Training Workshop ◽  
International Partnerships ◽  
Quantitative Evidence ◽  
Centre Of Excellence

In 2018, the Queen’s Collaboration for Health Care Quality: A Joanna Briggs Institute Centre of Excellence (QcHcQ) spearheaded an incentive to increase collaboration and international partnerships. As part of this initiative, six library scientists from the partner institutions of the Consortium for Advanced Research Training in Africa (CARTA) were invited to Queen’s University in Kingston, Ontario to undertake training.  The objective was to provide these library scientists with a comprehensive systematic review-training workshop using the Joanna Briggs Institute methodology for evidence synthesis. The intense six-day training workshop covered evidence synthesis of quantitative evidence and qualitative evidence as well as multiple methodologies for the synthesis of different levels of evidence. As a continuation of the collaboration a joint systematic review was embarked on titled: The role of library scientists in fostering evidence based health care.

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