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Operational rules for the implementation of INN prescribing
Elien Van Bever1, Veronika J Wirtz, Majda Azermai
1Heymans Institute of Pharmacology, Ghent University, Belgium.
International Journal of Medical Informatics
|October 31, 2013
Summary
Belgium
Area of Science:
- Pharmacology
- Health Informatics
- Drug Regulation
Background:
- Electronic prescribing aims to improve medication safety and efficiency.
- International Nonproprietary Name (INN) prescribing promotes standardized drug nomenclature.
- Belgium initiated a project to implement electronic INN prescribing in outpatient care.
Purpose of the Study:
- To describe the process, principles, and outcomes of Belgium's INN prescribing project.
- To operationalize electronic INN prescribing for daily medical practice.
- To develop a factual database for electronic INN prescribing applications.
Main Methods:
- A three-phase operationalization process was employed.
- Phases included expert consultation, regulatory review, and stakeholder testing.
- Stakeholders and end-users were involved in the testing phase.
Main Results:
- Developed operational rules for electronic INN prescribing.
- Created a reference database for integration into medical software.
- Defined INN groups based on therapeutic moiety, strength, and administration, with exemptions for 'NO SWITCH' and 'NO INN'.
Conclusions:
- Establishing INN prescribing rules with stakeholders was challenging but achievable.
- The project yielded explicit operational rules and a reference database.
- Belgium's experience offers insights for other nations and for evaluating INN prescribing's impact on practice and education.
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