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Electronic prescribing adoption was low in Quebec, with only 2% of prescriptions transmitted electronically. System alignment issues between prescribers and receivers created safety concerns, limiting potential benefits of this medication management technology.

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Area of Science:

  • Health Informatics
  • Medication Management Systems
  • Public Health Technology

Background:

  • Electronic prescribing (e-prescribing) is crucial for enhancing medication use and patient safety.
  • Evaluating nationwide e-prescribing systems is essential for understanding adoption barriers and benefits.
  • The study focuses on a nationwide e-prescribing system implemented in Quebec, Canada.

Purpose of the Study:

  • To assess the adoption and user perspectives of a nationwide electronic prescribing system in Quebec.
  • To identify challenges and safety issues associated with the e-prescribing system's implementation.
  • To evaluate the realization of potential benefits from the e-prescribing technology.

Main Methods:

  • A mixed-method approach was employed from July 2017 to June 2018.
  • Descriptive analysis of aggregated e-prescription usage data was conducted.
  • Exploratory descriptive analysis involved user perspectives from prescribers, pharmacy technicians, and pharmacists using integrated electronic health records (EHR) and pharmacy management systems (PMS).

Main Results:

  • The overall adoption rate of the e-prescribing system was low, with only 2% of prescriptions transmitted and retrieved electronically during the study period.
  • Significant alignment problems were identified between prescribers and receivers of electronic prescriptions.
  • These alignment issues led to safety concerns and hindered the system's potential benefits.

Conclusions:

  • The nationwide e-prescribing system in Quebec experienced low adoption rates.
  • Interoperability and alignment issues between healthcare providers are critical barriers to successful e-prescribing implementation.
  • Addressing these challenges is necessary to leverage the full potential of electronic prescribing for improved medication safety and efficiency.