patient perspectives of an integrated electronic
TRANSCRIPT
Patient perspectives of an
integrated electronic medication
prescribing and dispensing system
Grace Lau, Jayde Ho, Susan Lin, Karen Yeoh, Tiffany Wan, Marisa Hodgkinson
Monash Health Pharmacy Department, Victoria
Introduction
Gagnon et al. Barriers and facilitators to implementing electronic prescription:
A systematic review of user groups’ perceptions. JAMIA. 2014
Perceptions of e-prescribing
Physicians &
clinical staff
(e.g. nurses)
Pharmacists &
pharmacy staff
Managers, IT staff,
combination of groups
Introduction
~ 1.4 million residents each year have accessto our services in the greater community
Monash Health Fast Facts 2014-15. www.monashhealth.org
Monash Health
~ 15,000 staff
Aim
To explore patient attitudes
towards an e-prescribing system
Objectives
Evaluate patient experience with electronic prescriptions and service delivery
Identify valued features of e-prescribing systems to guide further developments in system functionality
Identify areas for improvement in patient-centred care
Setting
& Study
Design
Method
Metropolitan hospital network– 2170+ beds, 5+ sites, 2312 km2 catchment
– e-prescribing implemented Jun’13 – Jan’16
Cross-sectional survey– all areas with e-prescribing fully implemented
– 5 weeks (25/01/16 – 26/02/16)
Patients who had received an e-prescriptionSubjects
Results
Sample (n=400)
76.3% (400/524) survey response rate
Population
19,242 original e-prescriptions
13,648 unique patients
Results
Awareness
of change64%
36%
Aware (143/400)
Unaware (257/400)
Outpatients (143/400)Aware (60) Unaware (83)
Inpatients (257/400)Aware (83) Unaware (174)
Results: Perceptions & Experiences
92.5% agree overall (370/400)
Prescriptions are
easier to read
Provides a complete
electronic record
of your medicines 95.0% agree overall (380/400)
Access to Information
Results: Perceptions & Experiences
89.8% agree overall (359/400)
I am comfortable about the
privacy of information
about my medicines that
is on the computer system
Privacy
Results: Perceptions & Experiences
Dispensing of
medicines is safer
88.3% agree overall(353/400)
90.8% agree overall(363/400)
Prescribing of
medicines is safer
Medication safety
Results: Perceptions & Experiences
Communication between my treating team
and Monash Health pharmacists about my
medicines is better77.0% agree overall
(308/400)
Filling prescriptions at
Monash Health Pharmacy
is faster
(262/400)
65.5% agree overall
Interactions in healthcare system
Results: Perceptions & Experiences
I prefer computer-
generated prescriptions85.8% agree overall
(343/400)
Results: Valued Features
0 20 40 60 80 100
% of Respondents
1. Correct patient details 92.5% (370/400)
2. Prescribing history 90.0% (360/400)
3. Prescription legibility 87.5% (350/400)
4. Dispensing history 84.3% (337/400)
Access to Information
Results: Valued Features
0 20 40 60 80 100
% of Respondents
5. Medicine interaction alerts 85.0% (340/400)
6. Allergy/ADR alerts 84.3% (337/400)
7. Central allergy/ADR record 83.5% (334/400)
8. Appropriate doses displayed 77.8% (311/400)
Medication Safety
0 20 40 60 80 100
% of Respondents
Results: Valued Features
9. Improved communication
between health professionals77.5% (310/400)
10. Time saved waiting for
prescription to be written57.3% (229/400)
11. Time saved at pharmacy 56.5% (226/400)
Interactions in healthcare system
Results: Valued Features
0 20 40 60 80 100
% of Respondents
Access to Information
Medication Safety
Interactions in healthcare system
Discussion: Key Findings
High patient satisfaction with electronic prescriptions
Greater value placed on system features that improve
effective access to information and medication safety
Most patients unaware of change, prior to study
Relevance to other systems/hospitals
Discussion: Moving Forward
patients during eMM implementation
patient perceptions, experiences and values
knowledge to improve patient experience:
guide enhancements in service delivery &
system functionality
tailor education & communication to patients
Image credits (in order of use): ‘Crowded waiting room’ [modified: grayscale] by Kenneth Feucht | ‘Sea of People’ [modified: grayscale] by
Garry Knight. CC BY 2.0 | ‘A Face in the Crowd’ [modified: grayscale] by Michael Pardo. CC BY 2.0 | ‘A different perspective’ by Anna Tesar.
CC BY 2.0 | MerlinMAP ePrescribing, printed prescription and Merlin images used with permission from Pharmhos Software. | Clipart images
used with permission from Microsoft | ‘People vectors’ designed by Freepik | ‘PDCA circle’ by Christoph Roser. CC BY-SA 4.0 | ‘The world is
wrong side up’ by Eric May. CC BY-NC 2.0
Thank you