A survey of E_Prescription readiness in selected Nigeria Hospitals
(Sprache: Englisch)
This project aims to survey electronic prescription readiness in Nigeria hospitals to know whether they are ready for electronic prescription or not. Electronic prescribing or e-prescribing is a computer-based electronic generation and transmission of a...
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This project aims to survey electronic prescription readiness in Nigeria hospitals to know whether they are ready for electronic prescription or not. Electronic prescribing or e-prescribing is a computer-based electronic generation and transmission of a prescription. Prescribing systems help to increase patient safety and increase prescribing accuracy, the system also helps to reduce costs through improved legibility. The motivation for e-prescribing lies in the greater safety of drug use and the current unacceptable levels of adverse drug events. The aim of this study is to evaluate the readiness of Hospitals in Nigeria to adopt e-prescription system for patient s welfare and improved healthcare service delivery. With the adoption of e-prescription, errors in writing prescriptions that sometimes result in patient s harm could be rectified.
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Text Sample:Chapter 2.5, Limitations to e-Prescribing adoption:
E-prescribing can smooth run work processes and make the system run efficiently if the right tools are available in the right setting. Change can be difficult; e-prescribing may enable your practice to more effectively manage medications for your patients. (e-health initiative 2008).
Challenges that have restricted more global adoption are described below.
I. Financial Cost and Return on Investment (ROI): Prescribers, especially those in small practices and in inner city or rural settings, may believe they bear more than their fair share of the cost of e-prescribing, since other stakeholders also benefit from the savings and quality improvements that are achieved, or receive fees from the use of e-prescribing. Physician practices need to invest in hardware and software, and cost estimates vary depending on whether an EHR system is adopted or a stand-alone e-prescribing system is used.
II. Change Management: It is important not to undervalue the change management challenges associated with transitioning from paper prescribing to e-prescribing. In a busy practice setting where providers and their staff are accustomed to their current management of patient prescriptions, change management is important. If some of the providers and staff are particularly technology averse, it can be difficult to get everyone on board with such a dramatic change.
III. Workflow: New systems, particularly in the beginning, are likely to add time to tasks like creating new prescriptions or capturing preferred pharmacy information at patient intake, and this can be a barrier. Workflow changes are greater with a full EHR system as compared to stand-alone e-prescribing systems, but either way, practices often experience lost productivity during the transition while they modify the practice workflow and become adept at using the system.
IV. Limitations on E-Prescribing System Remote Access: There are often no easy remote
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access options. In rural areas there may not be many options for consistent remote access services due to cell phone gaps for digital service and limitations of broadband Internet service.
V. Patient Acceptance/Usage Issues: Some patients may not feel comfortable with electronic prescriptions and demand their clinician provide a paper prescription. Also, patients who travel frequently, or are otherwise away from home for extended periods may feel more comfortable having a written prescription to take with them.
VI. Medication History and Medication Reconciliation: E-prescribing can help provide information to prescribers at the point of care on what medications their patients are taking, and have taken in the past. However, it is difficult to place absolute confidence in the completeness and currency of this information, since medication histories must be reconciled from multiple sources. Prescribers should always consult with their patients about what medications they are taking to validate the medication history information that is available through e-prescribing and update the records accordingly.
VII. Hardware and Software Selection: Choosing the right software and hardware and supporting it after installation can be a daunting task for some physician practices, especially small practices that are extremely busy, experiencing declining reimbursements, and lack expert information technology staff. Some struggle with how to get started, vendor selection, negotiation, implementation and long term support.
2.6, Tele-pharmacy:
It is the innovative approaches in providing pharmacy services during a time of pharmacist shortage or 24 hours base time. Tele-pharmacy involves integrating telecommunications, information system pharmacy software, and remote controlled dispensing technology to support a pharmacy model in which a central pharmacy is electronically linked to single or multiple physician offices, local and remote clinics, emergency rooms, health and surgical
V. Patient Acceptance/Usage Issues: Some patients may not feel comfortable with electronic prescriptions and demand their clinician provide a paper prescription. Also, patients who travel frequently, or are otherwise away from home for extended periods may feel more comfortable having a written prescription to take with them.
VI. Medication History and Medication Reconciliation: E-prescribing can help provide information to prescribers at the point of care on what medications their patients are taking, and have taken in the past. However, it is difficult to place absolute confidence in the completeness and currency of this information, since medication histories must be reconciled from multiple sources. Prescribers should always consult with their patients about what medications they are taking to validate the medication history information that is available through e-prescribing and update the records accordingly.
VII. Hardware and Software Selection: Choosing the right software and hardware and supporting it after installation can be a daunting task for some physician practices, especially small practices that are extremely busy, experiencing declining reimbursements, and lack expert information technology staff. Some struggle with how to get started, vendor selection, negotiation, implementation and long term support.
2.6, Tele-pharmacy:
It is the innovative approaches in providing pharmacy services during a time of pharmacist shortage or 24 hours base time. Tele-pharmacy involves integrating telecommunications, information system pharmacy software, and remote controlled dispensing technology to support a pharmacy model in which a central pharmacy is electronically linked to single or multiple physician offices, local and remote clinics, emergency rooms, health and surgical
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Bibliographische Angaben
- Autor: Adebayo Omotosho
- 2014, Erstauflage, 60 Seiten, Masse: 15,5 x 22 cm, Kartoniert (TB), Englisch
- Verlag: Anchor Academic Publishing
- ISBN-10: 3954892987
- ISBN-13: 9783954892983
Sprache:
Englisch
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