E-prescribing and medication safety in community settings: A rapid scoping review
Background: Medication prescribing is essential for the treatment, curing, maintenance, and/or prevention of an illness and disease, however, medication errors remain common. Common errors including prescribing and administration, pose significant risk to patients. Electronic prescribing (e-prescrib...
| Main Authors: | , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2023-12-01
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| Series: | Exploratory Research in Clinical and Social Pharmacy |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2667276623001464 |
| _version_ | 1797389361430396928 |
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| author | Christine E. Cassidy Leah Boulos Erin McConnell Brittany Barber Alannah Delahunty-Pike Andrea Bishop Nawal Fatima Amanda Higgins Megan Churchill Allison Lively Shannon P. MacPhee Ruth Martin Misener Rowan Sarty Robert Wells Janet A. Curran |
| author_facet | Christine E. Cassidy Leah Boulos Erin McConnell Brittany Barber Alannah Delahunty-Pike Andrea Bishop Nawal Fatima Amanda Higgins Megan Churchill Allison Lively Shannon P. MacPhee Ruth Martin Misener Rowan Sarty Robert Wells Janet A. Curran |
| author_sort | Christine E. Cassidy |
| collection | DOAJ |
| description | Background: Medication prescribing is essential for the treatment, curing, maintenance, and/or prevention of an illness and disease, however, medication errors remain common. Common errors including prescribing and administration, pose significant risk to patients. Electronic prescribing (e-prescribing) is one intervention used to enhance the safety and quality of prescribing by decreasing medication errors and reducing harm. E-prescribing in community-based settings has not been extensively examined. Objective: To map and characterize the current evidence on e-prescribing and medication safety in community pharmacy settings. Methods: We conducted a rapid scoping review of quantitative, qualitative, and mixed methods studies reporting on e-prescribing and medication safety. MEDLINE All (OVID), Embase (Elsevier), CINAHL Full Text (EBSCOHost), and Scopus (Elsevier) databases were searched December 2022 using keywords and MeSH terms related to e-prescribing, medication safety, efficiency, and uptake. Articles were imported to Covidence and screened by two reviewers. Data were extracted by a single reviewer and verified by a second reviewer using a standardized data extraction form. Findings are reported in accordance with JBI Manual for Evidence Synthesis following thematic analysis to narratively describe results. Results: Thirty-five studies were included in this review. Most studies were quantitative (n = 22), non-experimental study designs (n = 16) and were conducted in the United States (n = 18). Half of included studies reported physicians as the prescriber (n = 18), while the remaining reported a mix of nurse practitioners, pharmacists, and physician assistants (n = 6). Studies reported on types of errors, including prescription errors (n = 20), medication safety errors (n = 9), dispensing errors (n = 2), and administration errors (n = 1). Few studies examined patient health outcomes, such as adverse drug events (n = 5). Conclusions: Findings indicate that most research is descriptive in nature and focused primarily on rates of prescription errors. Further research, such as experimental, implementation, and evaluation mixed-methods research, is needed to investigate the effects of e-prescribing on reducing error rates and improving patient and health system outcomes. |
| first_indexed | 2024-03-08T22:55:51Z |
| format | Article |
| id | doaj.art-ad0e3e7fd6b544e3a60eac404923eb31 |
| institution | Directory Open Access Journal |
| issn | 2667-2766 |
| language | English |
| last_indexed | 2024-03-08T22:55:51Z |
| publishDate | 2023-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Exploratory Research in Clinical and Social Pharmacy |
| spelling | doaj.art-ad0e3e7fd6b544e3a60eac404923eb312023-12-16T06:10:55ZengElsevierExploratory Research in Clinical and Social Pharmacy2667-27662023-12-0112100365E-prescribing and medication safety in community settings: A rapid scoping reviewChristine E. Cassidy0Leah Boulos1Erin McConnell2Brittany Barber3Alannah Delahunty-Pike4Andrea Bishop5Nawal Fatima6Amanda Higgins7Megan Churchill8Allison Lively9Shannon P. MacPhee10Ruth Martin Misener11Rowan Sarty12Robert Wells13Janet A. Curran14Dalhousie University, Halifax, Nova Scotia, Canada; IWK Health, Halifax, Nova Scotia, Canada; Corresponding author at: School of Nursing, Dalhousie University and IWK Health, 5869 University Avenue, Halifax NS B3H 4R2, Canada.Maritime SPOR SUPPORT Unit, Nova Scotia Health, Halifax, Nova Scotia, CanadaDalhousie University, Halifax, Nova Scotia, CanadaIWK Health, Halifax, Nova Scotia, CanadaIWK Health, Halifax, Nova Scotia, CanadaNova Scotia College of Pharmacists, Halifax, Nova Scotia, CanadaDalhousie University, Halifax, Nova Scotia, CanadaIWK Health, Halifax, Nova Scotia, CanadaIWK Health, Halifax, Nova Scotia, CanadaNova Scotia Health, Halifax, Nova Scotia, CanadaIWK Health, Halifax, Nova Scotia, CanadaDalhousie University, Halifax, Nova Scotia, CanadaNova Scotia Department of Health and Wellness, Halifax, Nova Scotia, CanadaPatient Partner, Halifax, Nova Scotia, CanadaDalhousie University, Halifax, Nova Scotia, Canada; IWK Health, Halifax, Nova Scotia, CanadaBackground: Medication prescribing is essential for the treatment, curing, maintenance, and/or prevention of an illness and disease, however, medication errors remain common. Common errors including prescribing and administration, pose significant risk to patients. Electronic prescribing (e-prescribing) is one intervention used to enhance the safety and quality of prescribing by decreasing medication errors and reducing harm. E-prescribing in community-based settings has not been extensively examined. Objective: To map and characterize the current evidence on e-prescribing and medication safety in community pharmacy settings. Methods: We conducted a rapid scoping review of quantitative, qualitative, and mixed methods studies reporting on e-prescribing and medication safety. MEDLINE All (OVID), Embase (Elsevier), CINAHL Full Text (EBSCOHost), and Scopus (Elsevier) databases were searched December 2022 using keywords and MeSH terms related to e-prescribing, medication safety, efficiency, and uptake. Articles were imported to Covidence and screened by two reviewers. Data were extracted by a single reviewer and verified by a second reviewer using a standardized data extraction form. Findings are reported in accordance with JBI Manual for Evidence Synthesis following thematic analysis to narratively describe results. Results: Thirty-five studies were included in this review. Most studies were quantitative (n = 22), non-experimental study designs (n = 16) and were conducted in the United States (n = 18). Half of included studies reported physicians as the prescriber (n = 18), while the remaining reported a mix of nurse practitioners, pharmacists, and physician assistants (n = 6). Studies reported on types of errors, including prescription errors (n = 20), medication safety errors (n = 9), dispensing errors (n = 2), and administration errors (n = 1). Few studies examined patient health outcomes, such as adverse drug events (n = 5). Conclusions: Findings indicate that most research is descriptive in nature and focused primarily on rates of prescription errors. Further research, such as experimental, implementation, and evaluation mixed-methods research, is needed to investigate the effects of e-prescribing on reducing error rates and improving patient and health system outcomes.http://www.sciencedirect.com/science/article/pii/S2667276623001464Scoping reviewMedication errorsMedication safetyPharmacy |
| spellingShingle | Christine E. Cassidy Leah Boulos Erin McConnell Brittany Barber Alannah Delahunty-Pike Andrea Bishop Nawal Fatima Amanda Higgins Megan Churchill Allison Lively Shannon P. MacPhee Ruth Martin Misener Rowan Sarty Robert Wells Janet A. Curran E-prescribing and medication safety in community settings: A rapid scoping review Exploratory Research in Clinical and Social Pharmacy Scoping review Medication errors Medication safety Pharmacy |
| title | E-prescribing and medication safety in community settings: A rapid scoping review |
| title_full | E-prescribing and medication safety in community settings: A rapid scoping review |
| title_fullStr | E-prescribing and medication safety in community settings: A rapid scoping review |
| title_full_unstemmed | E-prescribing and medication safety in community settings: A rapid scoping review |
| title_short | E-prescribing and medication safety in community settings: A rapid scoping review |
| title_sort | e prescribing and medication safety in community settings a rapid scoping review |
| topic | Scoping review Medication errors Medication safety Pharmacy |
| url | http://www.sciencedirect.com/science/article/pii/S2667276623001464 |
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