A prescription for enhancing electronic prescribing safety

Gordon Schiff*, Maria M. Mirica, Ajit A. Dhavle, William L. Galanter, Bruce Lambert, Adam Wright

*Corresponding author for this work

Research output: Contribution to journalArticle

9 Scopus citations

Abstract

While electronic prescribing has been shown to reduce medication errors and improve prescribing safety, it is vulnerable to error-prone processes. We review six intersecting areas in which changes to electronic prescribing systems, particularly in the outpatient setting, could transform medication ordering quality and safety. We recommend incorporating medication indications into electronic prescribing, establishing a single shared online medication list, implementing the transmission of electronic cancellation orders to pharmacies (CancelRx) to ensure that drugs are safely and reliably discontinued, implementing standardized structured and codified prescription instructions, reengineering clinical decision support, and redesigning electronic prescribing to facilitate the ordering of nondrug alternatives.

Original languageEnglish (US)
Pages (from-to)1877-1883
Number of pages7
JournalHealth Affairs
Volume37
Issue number11
DOIs
StatePublished - Nov 2018

ASJC Scopus subject areas

  • Health Policy

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    Schiff, G., Mirica, M. M., Dhavle, A. A., Galanter, W. L., Lambert, B., & Wright, A. (2018). A prescription for enhancing electronic prescribing safety. Health Affairs, 37(11), 1877-1883. https://doi.org/10.1377/hlthaff.2018.0725