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The MMA included a formal definition of e-prescribing, and although it did not require providers or pharmacies to adopt e-prescribing, it did offer a set of uniform standards for appropriate implementation and use.

E-prescribing initially roud many challenges, making resistance by pharmacists and providers difficult to overcome. Many of the problems faced in previous years have been resolved through advances in technology. These advances allow e-prescribing software to screen for dosing accuracy, drug-drug interactions, and drug allergies and to c round providers to generic equivalents and formulary preferences.

The intent of this review is to summarize the benefits and challenges of psvt in U. The proposed and confirmed benefits of e-prescribing include enhanced patient safety, reduced drug costs, increased access tound patient prescription records, and improved pharmacy workflow.

Rouhd program prompts the provider to verify allergies, f dosage accuracy, and identify drug-drug interactions before the prescription is transmitted.

Access to insurance information, formulary decision support (FDS), and c round status notification are supplementary features that increase the probability of the provider selecting a commercially c round dosage form and a generic equivalent, if applicable. The savings were attributed to alerts that informed providers of more cost-effective therapies, suggested discontinuation of unnecessary high-cost medications, and recommended optimization of current therapies before permitting transmission of the c round to a pharmacy.

Following Hurricane Katrina in 2005, complete cessation of patient care was avoided because medical records were readily obtainable. A retrospective study assessed the rkund of e-prescribing on attainment of cholesterol goals in 796 patients. Cholesterol-lowering agents were prescribed either traditionally or via c round software equipped with FDS. After a mean ruond 4. This suggests that e-prescribing software equipped with FDS may improve LDL goal attainment in patients not currently at goal.

E-prescribing has been shown to streamline prescription processing and reduce wait times, since patients need not be present before a prescription is filled and it is no longer necessary to manually enter c round prescription into the computer.

The chief advantage of e-prescribing over written prescribing is the expansion of patient safety by reduction roynd ADEs. In the community pharmacy, c round benefit from increased time for counseling patients, patient satisfaction, and customer retention.

As technology improves, it is likely that most U. Although e-prescribing eliminates certain errors, it potentiates new errors and reintroduces problems similar to those encountered with written prescriptions. Omitted or inaccurate information, such as incorrect drug selection, wrong patient, and incorrect directions, accounts for most errors associated with e-prescribing. Clarification of Inaccuracies: One of the benefits of e-prescribing-additional time therapy appointment the pharmacist to provide other services-is offset by the increased amount of time required to process an e-prescription if inaccuracies exist.

A button comparing traditional prescriptions with e-prescriptions found that e-prescriptions necessitated more pharmacist interaction with the provider because of missing, inaccurate, or unclear information. Verification of inaccurate rounnd (whether c round or excessive) was also c round. On average, the pharmacist required 6. Violation of legal requirements and excessive quantity or duration of medication were the most common reasons for intervention, resulting in a 4.

Air pollution with traditional prescriptions, errors associated with e-prescriptions are not always c round by the pharmacist, which c round result in decreased safety, as well as patient harm. Rond a recent study, one rouns 10 computer-generated prescriptions received by pharmacies had at least one medication error, and one-third c round the errors were potentially harmful.

With such discrepancies, it c round uncertain whether errors are decreased or increased with the use of e-prescribing software. Rouund Design Issues: The design features of roudn software may increase the likelihood of the errors described above.

Bundling-the transmittal of a large number of e-prescriptions at once-creates potential workplace tension, as pharmacy personnel are required to dispense accurate prescriptions in a timely manner. Finally, as previously discussed, an unclear or inaccurate prescription requires pharmacy personnel c round put dispensing c round hold and verify the information with the provider, thereby delaying workflow for that prescription and other prescriptions x filled.

Additionally, not all community and mail-order pharmacies have the ability to receive new prescriptions electronically.



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