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Incorporating medication indications into the prescribing process.

Kevin Kron1, Sara Myers2, Lynn Volk1

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American Journal of Health-System Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists
|April 21, 2018
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Summary

Adding medication indications to electronic prescribing systems can enhance patient safety. This study outlines design requirements for an indications-based computerized prescriber order-entry (CPOE) system to improve medication safety.

Keywords:
CPOEdrug safetymedication errorspatient safetypatient-centered careprescription drug indications

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Area of Science:

  • Health Informatics
  • Patient Safety
  • Clinical Pharmacy

Background:

  • Most prescriptions lack patient-specific drug indications, a critical component for safe medication use.
  • Previous attempts to include indications on prescriptions have been unsuccessful.
  • Electronic prescribing systems provide an opportunity to integrate indications.

Purpose of the Study:

  • To discuss the incorporation of medication indications into the prescribing process to improve patient safety.
  • To identify system design considerations and requirements for an indications-based computerized prescriber order-entry (CPOE) system.

Main Methods:

  • Convened 6 expert panels to consult high-level stakeholders.
  • Summarized findings on rationale, literature, benefits, and challenges.
  • Identified design requirements for a new CPOE interface and workflow based on stakeholder input.

Main Results:

  • Incorporating indications can prevent errors, aid drug selection, improve communication, and enhance patient understanding and medication reconciliation.
  • Stakeholder input provided crucial design requirements for an indications-based CPOE system.
  • Design requirements for a new CPOE interface and workflow have been identified.

Conclusions:

  • The integration of indications into CPOE systems is essential for safer prescribing.
  • Efficient and effective CPOE system design is imperative as indications become standard.
  • Optimizing the incorporation of indications into prescriber workflows is a key goal.