Principles of Electronic Prescribing by Stephen Goundrey-Smith

By Stephen Goundrey-Smith

Over the following few years, the Connecting for wellbeing and fitness IT programme for the NHS in England is because of enforce digital prescribing platforms in any respect hospitals in England. in addition, the opposite united kingdom international locations tend to stick with swimsuit with scientific IT implementation programmes, and those advancements will generate curiosity in digital prescribing at eu and foreign point. there's consequently prone to be an exponential progress within the importance of digital prescribing over the following ten years. rules of digital Prescribing discusses the fundamental rules of layout and implementation of secondary care digital medicinal drugs administration platforms, and the way their layout and configuration can influence on advantages awareness, clinic workflow and scientific practice.

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Correspondingly, in primary care, GP systems have been in use since the mid 1980s and, in recent years, have become quite elaborate, in terms of the functionality they offer. As well as the ability to store clinical notes (usually with a problem/ note hierarchy) and generate prescriptions, these systems are able to provide prescription pricing information, detailed medical information from reference sources such as the British National Formulary (BNF) or the Physicians Desk Reference, pathology order management and items of service/billing and claim management.

While it is necessary for this information to be recorded electronically and, as far as possible, taken into account by decision support functions, consideration should be given limiting access to that information, or providing some form of “sealed envelope” functionality to prevent the information being viewed freely by all users. Related to the matter of confidentiality is the issue of a patient’s consent to having their information stored on an EP system. In many instances, a patient’s consent is implied when a medication history is taken from a general practitioner’s letter; the assumption is that the patient agreed to the referral.

While resource allocation is a reality for health professionals, they may be concerned at the potential for EP systems to impose government restrictions on prescribing practice, or to apply such restrictions in an unrealistic manner, without regard to the professional’s clinical judgment. Conclusion EP systems have been implemented successfully in some healthcare economies and have been associated with various clinical and organisational benefits. Furthermore, there is a huge potential for greater adoption of EP systems, and introduction of progressively more complex functionality.

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Principles of Electronic Prescribing by Stephen Goundrey-Smith
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