ABSTRACT

Key Points .............................................................................................................. 213 Introduction ............................................................................................................ 214 E-Prescribing Systems ........................................................................................... 214 Impact on Medication Errors ................................................................................. 214 Electronic Clinical Decision Support Systems ...................................................... 215

Customizing Alerts ............................................................................................ 218 System-Related Medication Errors Associated with e-Prescribing ....................... 219 Electronic Medication Administration Records .....................................................220 Impact of e-Prescribing and Electronic Medication Administration Records on Work Efciency ................................................................................................ 222

Impact of Systems on Doctors’ and Nurses’ Work ........................................... 222 Impact of Systems on Pharmacists’ Work ......................................................... 223 Challenges in Measuring and Interpreting Changes in Work and Communication Patterns ...................................................................................224

Using Electronic Medication Systems to Replicate Current Practices or to Facilitate New Practices .........................................................................................224 Planning for e-Prescribing and Electronic Medication Administration Records ...225 Conclusion .............................................................................................................225 Commentary (I) ......................................................................................................226 Commentary (II) .................................................................................................... 227