Electronic Medicines Management: Support for Professional Practice

  • Stephen Goundrey-Smith
Part of the Health Informatics book series (HI)


The changing role of the various professions in the health services provides implementers of EP systems with the challenge of how professional roles are recognized and regulated within an EP system. This will be discussed further in  Chap. 7, concerning the use of EP systems by non-medical prescribers. However, if systems are to be accepted by users, designers and implementers will also need to consider how EP systems will support, or can be configured to support, the needs of healthcare professionals in their everyday practice.


Healthcare Professional Continue Professional Development Computerize Physician Order Entry Hospital Pharmacist Clinical Audit 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


  1. 1.
    Courtenay M, Carey N, Burke J. Independent extended and supplementary nurse prescribing practice in the UK: a national questionnaire survey. Int J Nurs Stud. 2007;44:1093–101.PubMedCrossRefGoogle Scholar
  2. 2.
    Marriott J, Curtis C, et al. The influence of electronic prescribing on pharmacist clinical intervention reporting. Int J Pharm Pract. 2004;12(Suppl):R44.Google Scholar
  3. 3.
    Curtis C, Ford NG. Paperless electronic prescribing in a district general hospital. Pharm J. 1997;259:734–5.Google Scholar
  4. 4.
    Adcock H. Electronic solution to intervention monitoring aids clinical governance. Hosp Pharm. 2006;13:137.Google Scholar
  5. 5.
    Goundrey-Smith SJ. Electronic prescribing – technology designed for the healthcare setting. Pharm J. 2007;278:677–8, 683.Google Scholar
  6. 6.
    Shane R. Computerized physician order entry: challenges and opportunities. Am J Health Syst Pharm. 2002;59:286–8.PubMedGoogle Scholar
  7. 7.
    Willson W, Buisson J. New IT demands new ways of working. Pharm J. 2003;272:33.Google Scholar
  8. 8.
    Franklin BD, O’Grady K, et al. The impact of a closed-loop electronic prescribing and administration system on prescribing errors, administration errors and staff time: a before and after study. Qual Saf Health Care. 2007;16:279–84.PubMedCrossRefGoogle Scholar
  9. 9.
    Poissant L, et al. The impact of electronic health records on time efficiency of physicians and nurses: a systematic review. J Am Med Inform Assoc. 2005;12:505–16.PubMedCrossRefGoogle Scholar
  10. 10.
    Bates DW, Gawande AA. Improving safety with information technology. N Engl J Med. 2003;348:2526–34.PubMedCrossRefGoogle Scholar
  11. 11.
    Hunt DL. Effects of computer-based clinical decision support systems on physician performance and patient outcomes. J Am Med Assoc. 1998;280:1339–46.CrossRefGoogle Scholar
  12. 12.
    Tierney WM, Miller ME, et al. Physician inpatient order writing on microcomputer workstations: effects on resource utilisation. J Am Med Assoc. 1993;269:379–83.CrossRefGoogle Scholar
  13. 13.
    Evans RS, Pestotnik SL, et al. A computer assisted management program for antibiotics and other antiinfective agents. N Eng J Med. 1998;338:232–8.CrossRefGoogle Scholar
  14. 14.
    Michelis KC, Hassouna B, et al. Effect of electronic prescription on attainment of cholesterol goals. Clin Cardiol. 2011;34:254–60.PubMedCrossRefGoogle Scholar
  15. 15.
    Bates DW, et al. Ten commandments for effective clinical decision support: making the practice of evidence-based medicine a reality. J Am Med Inform Assoc. 2003;10:523–30.PubMedCrossRefGoogle Scholar
  16. 16.
    Schiff GD, Rucker TD. Computerised prescribing: building the electronic infrastructure for better medication usage. J Am Med Assoc. 1998;279:1024–9.CrossRefGoogle Scholar
  17. 17.
    The Good Practice Guidelines for GP Electronic Patient Records. Department of Health, Royal College of General Practitioners, British Medical Association. 2011, v4, p. 174. Accessed in November 2011.
  18. 18.
    Farrar K. Accountability, prescribing and hospital pharmacy in an electronic, automated age. Pharm J. 1999;263:496–501.Google Scholar
  19. 19.
    Gray S, Smith J. Practice report – electronic prescribing in Bristol. Healthc Pharm. August 2004:20–2.Google Scholar
  20. 20.
    Foot R, Taylor L. Electronic prescribing and patient records – getting the balance right. Pharm J. 2005;274:210–2.Google Scholar
  21. 21.
    Richman C. How to get useful information out of drug reports – and save time. Clin Pharm. 2011;3:186–8.Google Scholar
  22. 22.
    Pacini M, Smith RD, et al. Home-based medication review in older people: is it cost-effective? Pharmacoeconomics. 2007;25:171–80.PubMedCrossRefGoogle Scholar
  23. 23.
    National Service Framework (NSF) for Older People. London: Department of Health; 2001. Accessed in May 2012.
  24. 24.
    Slee A, Farrar K, Hughes D, et al. Electronic prescribing – implications for hospital pharmacy. Hosp Pharm. 2007;14:217–20.Google Scholar
  25. 25.
    Dale M, Goundrey-Smith S, Higham S, Collinson A. Reducing human error in checking concomitant medications. J Clin Res Best Pract. 2010;6:1–5.Google Scholar
  26. 26.
    Collin C, Davies P, Mutiboko IK, Ratcliffe S. Randomised controlled trial of cannabis-based medicine in spasticity caused by multiple sclerosis. Eur J Neurol. 2007;14(3):290–6.PubMedCrossRefGoogle Scholar
  27. 27.
    Fischer S, Stewart T, et al. Handheld computing in medicine. J Am Med Inform Assoc. 2003;10:139–49.PubMedCrossRefGoogle Scholar
  28. 28.
    Formea CM, Picha AF, et al. Enhancing participant safety through electronically generated medication order sets in a clinical research environment: a medical informatics initiative. Clin Transl Sci. 2010;3:312–5.PubMedCrossRefGoogle Scholar
  29. 29.
    Seroussi B, Bouaud J. Using oncodoc as a computer-based eligability screening system to improve accrual onto breast cancer clinical trials. Artif Intell Med. 2003;29:153–67.PubMedCrossRefGoogle Scholar
  30. 30.
    Morris K, Safdar A, et al. Make reflection part of your daily practice. Clin Pharm. 2010;2:397.Google Scholar
  31. 31.
    Bates DW, Kuperman GJ, Wang S, et al. Ten commandments for effective clinical decision support: making the practice of evidence-based medicine a reality. J Am Med Inform Assoc. 2003;10:523–30.PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag London 2012

Authors and Affiliations

  • Stephen Goundrey-Smith
    • 1
  1. 1.Cert Clin Pharm, MRPharmSSGS PharmaSolutionsChedworthUK

Personalised recommendations