With changing regulatory frameworks and patient demographics globally,
the healthcare industry is constantly evolving in terms of organizational
efficiency, quality of healthcare services and cost management. E-prescription
is one such technological step which ensures error free prescription and aids
in avoiding dispensing of wrong medications. E-prescribing refers to the
electronic transfer of an error-free, accurate and understandable prescription
from a prescriber directly to a pharmacy. On a basic level, e-prescription
system acts as an electronic reference handbook. They can either be used as
stand-alone prescription writers or can be integrated with an electronic health
record (EHR) system.
E-prescribing has significantly reduced prescription and medication
errors and has resulted in fewer call-backs to physicians from the pharmacists
for clarification. Moreover, electronic transfer of prescriptions from prescribers
to pharmacists has largely aided in streamlining the clinical workflow.
E-prescribing can be integrated with EHR systems enabling physicians, the
access to not only the prescription information but also to the patient’s
medical information in terms of history, allergies, current medication use and
all such critical parameters. By allowing physicians to access such vital
information, medical errors can be significantly reduced leading to improved
patient safety. According to an October 2016 survey by the U.S. food and drug
administration (FDA), on an annual basis, medication errors injure nearly 1.3
million people in the U.S. Such medication mishaps can be significantly
minimized by use of advanced e-prescribing systems.
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Patient safety can be ensured through e-prescribing by improving
prescription legibility and reducing the time required to prescribe and
dispense medications to the patients leading to minimal medication errors and
adverse drug effects (ADEs). Most of the e-prescription systems include
medication decision support (MDS) which assists prescribers in avoiding
prescription errors. Such programs check for drug-allergy, drug-drug
interaction and drug disease interactions as well as dosing recommendations.
E-prescribing largely improves the efficiency of prescription process. Though
actual drafting of a new prescription in e-prescription system can take a few
seconds longer than writing a prescription, the time is compensated by the time
saved owing to the fact that less or no clarification is needed for an
electronic prescription at the pharmacist’s end.
Some of the key driving factors responsible for growth of the
e-prescribing market are government initiatives to implement e-prescription
systems in order to reduce medication errors and improve the quality of
healthcare, high healthcare IT expenditure in developed countries and
integration of e-prescription with EHR systems. However, factors such as high
initial investment, concerns related to security of patient information and
shortage of high speed broadband services in developing countries can hamper
the growth of e-prescription market.
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The major players operating in the e-prescribing market focus on
innovation to develop technologically advanced e-prescribing solutions in order
to stay ahead of their competitors in terms of market share. For instance, in
February 2015, Imprivata, Inc., a healthcare IT security solutions provider,
launched Confirm ID, software for electronically prescribing controlled
substances. Some of the key players in e-prescribing market are, Epic Systems
Corporation, Cerner Corporation, Quality Systems, Inc., DrFirst.com, Inc.,
Henry Schein, Inc., Surescripts, LLC and Practice Fusion, Inc.
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