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Related Experiment Videos

Computerized prescribing: building the electronic infrastructure for better medication usage

G D Schiff1, T D Rucker

  • 1Department of Medicine, Cook County Hospital, Chicago, Ill 60612, USA. gdschiff@aol.com

JAMA
|April 9, 1998
PubMed
Summary
This summary is machine-generated.

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Computerized prescribing, integrating patient history and drug databases, can significantly improve medication management. This technology addresses issues in drug selection, dosing, and adverse event monitoring for better patient care.

Area of Science:

  • Medical Informatics
  • Clinical Pharmacology

Background:

  • The majority of prescriptions in the U.S. are still handwritten, leading to potential inefficiencies and errors.
  • Current prescribing practices face challenges in drug selection, patient involvement, interaction screening, and outcome monitoring.

Purpose of the Study:

  • To advocate for the adoption of computerized prescribing systems in medical practice.
  • To highlight the potential benefits of integrating electronic prescribing with multiple databases.

Main Methods:

  • The abstract proposes a system where medication orders are placed via computer.
  • This system would interact with databases for patient drug history, drug information and guidelines, and patient-specific data (e.g., weight, lab results).

Main Results:

Related Experiment Videos

  • Computerized prescribing can positively impact drug selection, patient decision-making, and screening for drug interactions (drug-drug, drug-laboratory, drug-disease).
  • It can also improve dosing calculations, team coordination, adverse effect monitoring, and postmarketing surveillance.

Conclusions:

  • Computerized prescribing is a crucial element of clinician order entry that is currently hindered by conceptual, implementation, and policy barriers.
  • Overcoming these barriers requires strong clinical and professional leadership to realize the full potential of this technology.