Updated 16:33 Monday, October 26, 2009
 
Electronic Prescribing and Medicine Administration

What is Electronic Prescribing? 

Ascribe Electronic Prescribing has been designed to facilitate safer methods of prescribing to patients by reducing drug prescribing and administration errors. By understanding clinical processes in a department, hospital or other clinical setting, we are able to tailor the software to support individual processes around patient’s medication.  

Benefits:

  1. Significantly reduces prescribing interventions by preventing ambiguous, illegible and incomplete prescriptions
     
  2. Improves prescribing safety by providing real-time decision support (e.g. allergies, interactions, dose ranges) and parameter based dosing (e.g. calculated doses based on a patient's BSA)
     
  3. Improves service responsiveness and delivery times by supporting and improving local clinical and administrative processes (e.g. implementing LEAN healthcare principles)
     
  4. Improves communication across the healthcare team by providing a single and comprehensive source of up-to-date information relating to the management of medicines for a patient
     
  5. Cost efficiencies through greater control and validation of prescribing practices to reflect local formulary protocols and evidenced best practice
     
  6. Improves quality and accuracy of decision making by providing a truly integrated solution (e.g. prescribing - pharmacy - order comms - medicines administration) providing access to relevant patient data such as lab results that influence the prescribing of many drugs
     
  7. Lower cost of ownership and flexibility of access (bedside, remote workers, terminal, mobile device etc) delivered by our enterprise scale web-based architecture

  

Why implement Electronic Prescribing? Old Prescription


“He wrote in a doctor’s hand – the hand which,
from the beginning of time, has been
so disastrous to the pharmacist and
so profitable to the undertaker”.

Mark Twain

The simple issue of legibility can lead to serious medical consequences when the text involved is medication and dosage. An electronic system that effectively and efficiently conveys exactly what the prescriber ordered can save lives and also provide additional information for clinicians to use that benefit both the patient and the healthcare providers.

Designed as a prescribing solution that will meet the changing needs of health informatics now and in the future, the Ascribe solution also includes full clinical decision support capacity, to ensure the right drug is given to the right patient at the right time. Decision support helps in choosing the right drug for the patient’s condition and warns against patient allergies, drug interactions and ensures that medication doses are correct in relation to a patient’s height, weight, condition and other clinical indications.

Using an IT solution to write and dispense prescriptions not only reduces risk,
it can also provide a number of additional benefits to healthcare providers & patients:
  • Decision Support information can alert clinicians to allergic reactions or drug interactions.
  • Records for the patient can now be analysed to reveal patterns or examine efficacy.
  • For Chemo prescriptions, the heightened sensitivity of patients to aggressive medications can be more easily monitered & accounted for.
  • Dose-range checking can be optimised for patients by age, weight & surface area.
  • An intuitive and helpful user interface can reduce paperwork, improve audit trails for medication and improve communications (for example, between clinical areas and pharmacy departments

Electronic prescribing

Benefits Breakdown:

Clinical Decision Support

  • Dose range checking, supporting Adult & Paediatric doses
  • Therapeutic duplication
  • Chemical duplication
  • Allergy / sensitivity warnings
  • Drug – Drug Interaction checking
  • Pre-configured dose regimens
  • BNF and manufacturers
Protocol prescribing
  • Saves clinicians’ time by providing clear pathways for the prescribing of set drug regimens.
  • Increases patient safety by offering pre-defined and audited protocols to ensure compliance with clinical governance.
  • Ability to build prescription “order sets” that comprises of the medicines, dosing rules, timing and sequences for the regimen – for example, to prescribe Chemotherapy treatment

Formulary Control

  • Simple and effective electronic formulary management
  • Support for multi-level groupings by speciality, consultant, location
  • Full access to the British National Formulary (BNF), including templates for standard doses
  • Ability to create and manage local formulary subsets, linked to security to restrict identified prescribers to key areas or groups of items. 

Simple re-ordering of ward stock or patient’s own medication

  • Reduces the administrative overhead of maintaining accurate levels of ward held drugs.
  • Minimises the volume of drugs held on the ward and thereby reduces the cost of maintaining ward held drugs.

Repeat prescribing

  • Reduces prescribers’ time in the re-issue of drugs.
  • Reduces transcription errors.

Weblink - US Report - Medication Errors Harming Millions - Friday, July 21, 2006
"Many of these medication errors could be avoided if doctors adopted electronic prescribing, ..."  

2. Medicine Administration

Healthcare professionals who are administering medicines can be prompted to administer doses according to the prescription schedule.

Benefits: 

  • Administration is recorded at the bedside using convenient touch screen hand held devices. This ensures the administration record is updated in real time and that doses are not missed, reducing medication errors.
  • The provision of medication from Medical Ward Rounds can be accomodated by the system: by individual rounds or by the accumulated rounds throughout the day.
  • The solution also supports 'PRN' medications (administered as & when required).
  • The system can accomodate patients who are self-medicating, allowing healthcare professionals to enter dosages & medications after they have been administered, allowing a more complete record to be held & maintained.

 Medicine - Patient Admin Screenshot 1

Following a dose of medicine having been given, the administration information is then recorded onto the system.

 Medicine - Patient Admin Screenshot 2