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E-prescription errors and their resolution in a community compounding pharmacy.
International Journal of Pharmaceutical Compounding
|June 3, 2014
Summary
Electronic prescribing systems reduce errors by 40%, but workflow disruptions persist. Independent pharmacies should use quality improvement to address e-prescription errors and enhance patient care.
Area of Science:
- Pharmacy Practice
- Health Informatics
- Medication Safety
Background:
- Electronic prescribing (e-prescribing) offers benefits but presents challenges, particularly workflow disruptions in independent community pharmacies.
- Errors in e-prescribing can strain limited pharmacy staffing resources due to increased communication needs with prescribers.
- A previous quality improvement project in 2012 identified issues with e-prescription errors.
Purpose of the Study:
- To re-evaluate electronic prescription error types, rates, and resolution times in an independent compounding pharmacy.
- To compare current e-prescription error data with findings from a 2012 quality improvement initiative.
- To assess the impact of e-prescribing on pharmacy workflow and patient care.
Main Methods:
- A quality improvement study design utilizing descriptive data collection.
- Pharmacists recorded data for each erroneous e-prescription over a four-week period.
- Error types, rates, resolution methods, and time to resolution were analyzed using percentages, range, mean, and standard deviation.
Main Results:
- An e-prescribing error rate of 23.2% was identified (32 errors in 138 e-prescriptions).
- The most frequent error was an invalid electronic prescription signature for controlled substances (31.3%).
- A 40% decrease in identified e-prescription errors was observed compared to the 2012 evaluation.
Conclusions:
- E-prescription errors continue to disrupt pharmacy workflow and patient care, though at a reduced rate.
- Invalid signatures for controlled substances remain a significant e-prescribing error.
- Implementing continuous quality improvement processes is crucial for identifying and resolving e-prescription system issues.
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