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Related Experiment Videos

A conceptual framework for evaluating outpatient electronic prescribing systems based on their functional

Douglas S Bell1, Shan Cretin, Richard S Marken

  • 1RAND Health, Santa Monica, CA, USA. dbell@ucla.edu

Journal of the American Medical Informatics Association : JAMIA
|October 7, 2003
PubMed
Summary

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A new framework helps evaluate outpatient electronic prescribing (e-prescribing) systems by analyzing their functions and potential effects. This approach aids in understanding design impacts and monitoring for unintended consequences.

Area of Science:

  • Health Informatics
  • Health Services Research
  • Medical Technology Assessment

Background:

  • Electronic prescribing (e-prescribing) offers potential improvements in healthcare quality and efficiency.
  • The complexity and heterogeneity of current e-prescribing systems hinder comparative evaluation.
  • A standardized framework is needed to anticipate the impact of different e-prescribing system designs.

Purpose of the Study:

  • To develop a conceptual framework for evaluating outpatient e-prescribing systems.
  • To identify key functional capabilities of e-prescribing systems.
  • To anticipate the effects of alternative e-prescribing system designs on healthcare.

Main Methods:

  • Literature review and interviews with e-prescribing vendors.

Related Experiment Videos

  • Identification of distinct e-prescribing functional capabilities.
  • Development of a conceptual framework based on a medication management process model.
  • Analysis of two commercial e-prescribing systems as case studies.

    • Main Results:

    • A framework organized around a medication management process model was developed.
    • Fourteen e-prescribing functional capabilities were identified.
    • Evidence supported specific effects for eight capabilities, highlighting that positive functions can have unintended hazards.
    • The framework facilitates assessment of expected effects based on system capabilities in a clinical setting.

    Conclusions:

    • The conceptual framework aids in integrating evidence to understand the full range of effects from e-prescribing design choices.
    • Further research is required to understand the specific effects of various e-prescribing functional alternatives.
    • E-prescribing initiatives should incorporate monitoring for unintended hazards due to current knowledge gaps.