Public Health

Principles of Electronic Prescribing by Stephen Goundrey-Smith

By Stephen Goundrey-Smith

Over the following couple of years, the Connecting for health and wellbeing IT programme for the NHS in England is because of enforce digital prescribing platforms in any respect hospitals in England. additionally, the opposite united kingdom international locations are inclined to persist with swimsuit with scientific IT implementation programmes, and those advancements will generate curiosity in digital prescribing at eu and overseas point. there's for that reason more likely to be an exponential development within the importance of digital prescribing over the following ten years. rules of digital Prescribing discusses the elemental rules of layout and implementation of secondary care digital medications administration platforms, and the way their layout and configuration can influence on advantages awareness, health facility workflow and medical practice.

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Because the prescription history is captured electronically, a patient medication record (PMR) and legible discharge documentation can be generated for each patient. The eSCRIPT system was developed in-house at the Trust with a Crystal database platform, a custom-designed user interface and links with the PAS and bed management systems. The rationale for developing the system was to streamline the discharge process, produce legible discharge prescriptions and to support the work of ward-based clinical pharmacists.

Based on FDBE data, the system provides decision support for drug interactions, sensitivities, drug-disease interactions, duplicate therapies and clinical trials management (trust customised table). The training of new users of the system is an in-use process consisting of a combination of desk-based initial training, together with shadowing experienced users. The system was implemented with the view that, if the Connecting for Health (CfH) program did not deliver a timely EP solution, the eSCRIPT system could be expanded to become a thoroughgoing electronic prescribing and medicine administration system.

In January 2001, Southmead Hospital embarked on a 2-year project to establish an electronic prescribing and electronic medicines administration system throughout the hospital, using the Sunrise/iCM system. However, during the course of the project, the scope was reviewed, for financial and strategic reasons, and the EP system was limited to pilot use in the surgical unit. The EP system was piloted between September and December 2002 on the surgical admissions ward, two general surgical wards and the associated theatres and recovery rooms.

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