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General and Risk Management, Patient Safety (including: medication errors, quality control)
Impact of the implementation of electronic prescription on pharmaceutical interventions
  1. A. Quintana,
  2. L. Guisasola,
  3. A. Minguez,
  4. S. Martinez,
  5. A. Martiarena,
  6. M. Nogales
  1. 1Hospital Txagorritxu, Pharmacy, Vitoria, Spain

Abstract

Background In order to get a decrease in incidents with impact on safety and improve the effectiveness of the prescriptions, the authors implemented ISOFAR software for electronic prescription.

Purpose To describe the impact of the implementation of electronic prescription in the nature of pharmaceutical interventions recorded in the ISOFAR software.

Materials and methods From November 2009 to February 2010 the authors implemented the electronic prescription with the e-osabide application in the 488 hospital beds. The authors have evaluated pharmaceutical interventions recorded in the ISOFAR software in the period 1 November 2008–31 October 2009 (preimplantation) and in the period 1 November 2009–31 October 2010 (postimplantation). The impact of each pharmaceutical intervention has been assessed and classified according to their impact on safety or efficacy, based on the software.

Results The number of registered pharmaceutical interventions has decreased from 1129 in 2009 to 766 in 2010. This decrease is due, to some extent, to the great effort that this implantation has caused, which made it difficult for us to devote to other activities. There was also a decrease from 94.2% to 74.1% in interventions with impact on safety and an increase from 5.8% to 22.6% in interventions with impact on the effectiveness of treatment.

Conclusions It can be considered that the implementation of electronic prescription has improved security, because of the decrease in incidents with impact on safety and therefore the possibility of potential adverse events, and interventions with impact on effectiveness have increased

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