在社区药房中电子处方的好处和障碍 - - 系统性审查
Amina Hareem1, Joshua Lee2, Ieva Stupans1
1RMIT University, Australia.
Exploratory research in clinical and social pharmacy
|December 25, 2023
概括
电子处方的采用正在增加,但社区药剂师面临着挑战. 系统设计和用户接受是成功实施和患者护理质量的关键促进者和障碍.
科学领域:
- 药房实践 在药房实践.
- 医疗信息学 医疗信息学
- 药物管理 药物管理
背景情况:
- 在COVID-19大流行期间,电子处方 (电子处方) 的采用加速.
- 关于社区药剂师整合电子处方所面临的挑战和机遇的证据有限.
- 了解药剂师的观点对于有效的电子处方实施至关重要.
研究的目的:
- 系统地审查社区药剂师关于电子处方障碍和促进者的观点.
- 探索电子处方对药剂师工作流程和决策的影响.
- 在电子处方的背景下,确定影响患者护理质量的因素.
主要方法:
- 来自PubMed,Embase和CINAHL数据库的研究的系统审查.
- 从2000年1月1日到2022年10月25日进行的搜索.
- 包括专注于电子处方,计算机化医生订单输入和社区药房设置的研究.
主要成果:
- 包括28项研究,确定设计,互操作性,用户态度,信息质量,工作流,生产力和资源作为促进因素.
- 技术支持对于成功实施电子处方至关重要.
- 设计良好的系统会对护理质量,实施和用户满意度产生积极影响;设计不良的系统会产生负面影响.
结论:
- 电子处方既存在障碍,也存在促进因素,受系统质量和实施的影响.
- 技术问题和用户 (患者,处方者,药剂师) 的接受是关键因素.
- 需要进行全面的监测,以应对电子处方的挑战,并优化其益处.
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