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Evaluating the Wasfaty E-Prescribing Platform Against Best Practices for Computerized Provider Order Entry.

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The Wasfaty electronic prescribing platform in Saudi Arabia shows significant gaps in Computerized Provider Order Entry (CPOE) best practices. Improvements are needed to enhance patient safety and prescriber satisfaction with the Wasfaty system.

Keywords:
Saudi Arabiaadverse drug reactionse-prescribingelectronic medical recordsoutpatientpatient safety

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Area of Science:

  • Health Informatics
  • Pharmaceutical Sciences
  • Healthcare Management

Background:

  • Saudi Arabia's healthcare reform includes outsourcing outpatient pharmacy services via the Wasfaty electronic prescribing platform.
  • The National Unified Procurement Company (NUPCO) manages Wasfaty to improve efficiency and medication accessibility.
  • Limited research exists on Wasfaty's adherence to Computerized Provider Order Entry (CPOE) best practices.

Purpose of the Study:

  • To evaluate the adherence of the Wasfaty e-prescribing platform to established CPOE best practices.
  • To identify functional deficiencies in the Wasfaty platform concerning CPOE standards.

Main Methods:

  • A descriptive, cross-sectional study analyzed 1965 filled prescriptions from May 2022 to December 2023.
  • A checklist of 60 functional CPOE features was used to assess Wasfaty's implementation level.
  • Prescriptions were reviewed by pharmacy interns, a clinical pharmacist, and a researcher.

Main Results:

  • Only 31.66% (19 out of 60) of CPOE features were fully implemented in the Wasfaty platform.
  • An additional 16.66% (10 out of 60) of features were partially implemented.
  • The most common prescription areas included gastroenterology (44.10%) and neurology (19.17%).

Conclusions:

  • The Wasfaty platform exhibits deficiencies in critical CPOE functional features.
  • These deficiencies may impact patient safety and user satisfaction.
  • Enhancements to the Wasfaty platform are crucial to mitigate risks of adverse drug events and improve healthcare delivery.