E-Prescribing Case Study

Improved Essays
Errors regarding medication can be reduced from 13 to 99% in various studies. (CPOE article C)
In one study, CPOE with CDS had a substantial diminution in errors in prescribing that were between 17 and 201 for every 100 orders. The potential number of adverse drug events (ADEs) declined by 0.9%. For certain medications for kidney diseases where the dose was too high, there was a 31% diminution in those errors. (CPOE article A)
In a study on pediatric patients, CPOE with CDS was thought to be able to prevent nearly 2 out of every 3 errors and over 4 out of every ten errors that would be harmful. The pediatric patients are at a several times greater risk for ADEs than adult patients . (CPOE article D)
COE can be set up to make calculations
…show more content…
A report from the Institute of Medicine in 2006 supported the use of e- prescribing to decrease the number of medication errors. E- prescribing is looked on by the Centers for Medicare and Medicaid Services as a way to help in the universal use of electronic health records and creating a country wide information health infrastructure. It is expected that e-prescribing will improve quality and safety in health care by preventing prescriptions from being duplicated, having alerts for drug interactions and allergies, and having certain tools to assist in having the appropriate dose be prescribed. It is part of meaningful use. In order to receive certain federal payments regarding meaningful use, at least four out of every ten prescriptions must be by e-prescribing. E-prescribing is expected to reduce pharmacy costs and decrease medication errors. The latter is done by linking the system to CDS and the EHR, and of course, eliminating difficulty in interpreting handwriting. The decrease in errors could be by half in one report. However, others report the potential of a much larger decrease in errors by as much as about 85%. Furthermore, some predict that over the next decade there could be savings of as much as 240 billion dollars as the result of e-prescribing. Also, there is software to make it easier to keep track of when a refill is needed and decrease the time to make refill prescriptions. It is also more challenging for an individual to make up a fraudulent prescription. However, there are also new types of errors associated with e-prescribing. (CMS.gov. E-prescribing). (e-prescribing article V, VI, VII, VIII) E-prescribing is often associated with CPOE. (CPOE article

Related Documents

  • Improved Essays

    VACAA Case Study

    • 1079 Words
    • 5 Pages

    Many e-Rx systems offer various useful features such as allergy checks, drug-drug interactions, disease-drug interactions, and many others although they may not be as comprehensive as full EHRs. Also, this project will only involve prescriptions incoming from non-VA providers. Outbound prescriptions from VA providers to outside pharmacies will be excluded since a majority of Veterans prefers obtaining prescriptions at the VA as the costs of obtaining their medications at the VA tend to be much lower than those at other…

    • 1079 Words
    • 5 Pages
    Improved Essays
  • Decent Essays

    Issue: An error happened in giving a medication dosage to a trial participant/ subject. The error happened due to a mistake by the pharmacy research technician in dispensing the correct dose of the investigational product. The pharmacy technician dispensed a dose that was for another patient who is not involved in the study. The research nurse gave the medication to the patient enrolled in the study, unaware of the pharmacy technician mistake.…

    • 196 Words
    • 1 Pages
    Decent Essays
  • Decent Essays

    One of the MU that comply with provider is the use of computerized provider order entry (CPOE). COPE is for medication orders directly entered for medication, laboratory, and radiology orders directly entered by any license healthcare professional who can enter orders into the medical record guidelines. The original measure for CPOE was based on number of unique patients with medication in their medication list that was entered using CPOE. The new, alternate measure is based on the total number of medication orders created during the EHR reporting period. Providers can comply with the use of CPOE for many reasons.…

    • 187 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    Medications and patient history were available through the electronic…

    • 367 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Electronic Health Records Article Overview The article that I chose to analyze discusses upcoming changes with the Electronic Health Records (EHRs) requirements due to the overall cost. I selected this particular article because cost seems to be playing a major factor for our office and making the decision to purchase an EHR program. It is evident that the one priority with mandating physicians and hospitals to implement EHRs into their facility was to simplify tasks while improving the quality of care that patients receive.…

    • 669 Words
    • 3 Pages
    Improved Essays
  • Great Essays

    “Widespread meaningful use of fully functional electronic health records (EHRs) combined with a robust infrastructure for broad-base health information exchange can improve the quality, safety, and efficiency of healthcare for all Americans” (Blumenthal, 2010). The EHR is an effective communication system that is designed to improve quality care and patient outcome by providing updated information on the patient. The functions of the EHR to include Computerized Provider Order Entry (CPOE) and Clinical Decision Support System (CDSS) are the backbone of the health care delivery system. Healthcare organizations must embrace implementation of Electronic Health Records (EHRs). Computer Physician Order Entry (CPOE) is a system that allows providers to enter medical orders and instructions for treatment of patients.…

    • 2027 Words
    • 9 Pages
    Great Essays
  • Great Essays

    The use of CPOE has increased extensively since the enactment of the HITECH Act of 2009. A few goals of the CPOE use were “Reducing the potential for human error, reducing time to care delivery, improving order accuracy, making crucial information more readily available, improving communication among physicians, nurses, pharmacists, other clinicians and patients” (Steele & Debrow, 2008). An abundant amount of studies have been conducted to review the positive or negative outcomes of computerized physician order entry. In the article Efficiency Gains with Computerized Provide Order Entry, the turnaround times (TATs) were measured and analyzed for laboratory, radiology and pharmacy.…

    • 1471 Words
    • 6 Pages
    Great Essays
  • Superior Essays

    Patients often become non-compliant with medications when they ran out of their medicines or change their prescribed medicines to over-the-counter (OTC) medications. Providing prescriptions electronically is likely to improve patient compliance with their medications which can lead to positive patient outcomes. According to Tagalicod (2013), the CMS has reported that so far more than 190 million prescriptions have been sent to the patients electronically by eligible providers participating in Meaningful Use program. About 13 million patient reminders have been sent to patients about their preventive or follow-up care (Tagalicod, 2013). This can prevent patients from forgetting about their visits to the providers which can also lead to positive patient outcomes.…

    • 957 Words
    • 4 Pages
    Superior Essays
  • Improved Essays

    Additionally, prescription recommendations make locating and then ordering a patient's prescription less time consuming. Computerized Physician Order Entry Whether you are at your facility or off-site, you can enter treatment orders and medical instructions. Once entered, those orders are executed quickly since the software transmits the information to the proper department (radiology, pharmacy and laboratory). In addition, the CPOE checks patient medication lists and compares them with problem lists to ensure the safety of your patients.…

    • 673 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Electronic Medication Administration Records Affect on Patient Safety In today’s society it is excepted to receive exemplary quality care when admitted to a healthcare facility. This means that the patient is to receive safe and effective care from the nurse and interdisciplinary health care team, with the goal of obtaining positive patient outcomes. These goals can be partially obtained with the use of the advancements in information technology. Information technology has the potential to increase patient safety, improve continuity of care, and change the way healthcare is delivered (Moreland, Gallagher, Bena, Morrison, & Albert, 2012).…

    • 1167 Words
    • 5 Pages
    Improved Essays
  • Decent Essays

    Recognize the effects of unsafe drug labeling practices on patients, health care professionals, and health care organizations. Identify at least three common drug labeling errors that can lead to an adverse drug event. Describe ways health care professionals can contribute to the decrease of medication errors due to inappropriate drug labeling practices.…

    • 52 Words
    • 1 Pages
    Decent Essays
  • Decent Essays

    • What factors contributed to this type of error? Several factors contributed to this error, first the student did not check the labels before given them to the patient. If she had checked the labels she would have notice that the medications were the wrong ones. She did not check the right medication or the right reason. Secondly she did not identify the patient using at least two identifiers.…

    • 157 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    EHR Adoption Analysis

    • 422 Words
    • 2 Pages

    Physicians using EHRs are able to generate reports of patients that are currently taking medications without the need to…

    • 422 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    National Patient Safety Goals: Help Avoid Mistakes with your Medicines Many people assume the role of their medication responsibility to their health care providers, while it is a combined duty of the patient as well (The Joint Commission,2016). In avoiding medication errors in healthcare The Joint Commission has created guidelines to further educate the importance of understanding one’s medications. Patients are given understanding on how to avoid mistakes while in the hospital, at the pharmacist and working with physicians. This paper will discuss The Joint Commissions brochure on “Help avoid mistakes with your medicines” summarizing their guidelines and if the brochure was effective for patients.…

    • 838 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Medications and the 5 Rights Over the years, giving medication has become more than just handing out medications. As a nurse, we all know we have to check the 5 rights, but now we even have to scan patient’s ID bracelets to make sure we are giving the medicine to the correct patient. To help reduce medication errors, we must work on improving communication with patients, continually monitoring for errors, providing clinicians with decision-support and information tools, and improving and standardizing medication labeling and drug-related information (Hughes & Blegen, 2008). Many drugs, such as high alert medications, require two nurses to do a safety check with the patient.…

    • 423 Words
    • 2 Pages
    Improved Essays