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Inpatient prescribing systems used in NHS Acute 65 66 Trusts across England: a managerial perspective

Shemilt, K and Morecroft, CW and Ford, J and Mackridge, AJ and Green, C (2016) Inpatient prescribing systems used in NHS Acute 65 66 Trusts across England: a managerial perspective. European Journal of Hospital Pharmacy: Science and Practice. ISSN 2047-9964

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Abstract

Objective The individualised patient prescription chart,
either paper or electronic, is an integral part of
communication between healthcare professionals. The
aim of this study is to ascertain the extent to which
different prescribing systems are used for inpatient care
in acute hospitals in England and explore chief
pharmacists’ opinions and experiences with respect to
electronic prescribing and medicines administration
(EPMA) systems.
Method Audio-recorded, semistructured telephone
interviews with chief pharmacists or their nominated
representatives of general acute hospital trusts across
England.
Results Forty-five per cent (65/146) of the chief
pharmacists agreed to participate. Eighteen per cent
(12/65) of the participants interviewed stated that their
trust had EPMA systems fully or partially implemented on
inpatient wards. The most common EPMA system in
place was JAC (n=5) followed by MEDITECH (n=3),
iSOFT (n=2), PICS (n=1) and one in-house created
system. Of the 12 trusts that had EPMA in place, 4 used
EPMA on all of their inpatient wards and the remaining
8 had a mixture of paper and EPMA systems in use. Fifty
six (86% 56/65) of all participants had consulted the
standards for the design of inpatient prescription charts.
From the 12 EPMA interviews qualitatively analysed, the
regulation required to provide quality patient care is
perceived by some to be enforceable with an EPMA
system, but that this may affect accuracy and clinical
workflow, leading to undocumented, unofficial
workarounds that may be harmful.
Conclusions The majority of inpatient prescribing in
hospital continues to use paper-based systems; there
was significant diversity in prescribing systems in use.
EPMA systems have been implemented but many trusts
have retained supplementary paper drug charts, for a
variety of medications. Mandatory fields may be
appropriate for core prescribing information, but the
expansion of their use needs careful consideration.

Item Type: Article
Subjects: R Medicine > RS Pharmacy and materia medica
Divisions: Pharmacy & Biomolecular Sciences
Publisher: BMJ Publishing Group
Date Deposited: 04 Jul 2016 08:33
Last Modified: 04 Jul 2016 08:33
DOI or Identification number: 10.1136/ejhpharm-2016-000905
URI: http://researchonline.ljmu.ac.uk/id/eprint/3839

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