A survey exploring National Health Service ePrescribing Toolkit use and perceived usefulness amongst English hospitals

Kathrin Cresswell, Ann Slee, Aziz Sheikh

Abstract


Background: There is currently limited guidance for hospitals to implement ePrescribing systems. We have developed an ePrescribing Toolkit designed to support ongoing implementation, adoption and optimisation of efforts.

Aim: To investigate the perceived usefulness, reported use and areas for further development of the Toolkit by ePrescribing implementers in English hospitals.

Methods: Questionnaire-based survey of hospitals that have or are interested in implementing ePrescribing systems.

Results: We received responses from a total of 78 individuals representing 49 English NHS Trusts (out of 82 different Trusts who were emailed the survey, 60% response rate). The overwhelming majority of respondents (92%) were familiar with the ePrescribing Toolkit and 66% reported using it to guide their ongoing implementation efforts. The majority of ePrescribing Toolkit users (85%) viewed it as a helpful resource. Implementers particularly valued the case studies describing lessons learnt from hospitals that had already implemented ePrescribing systems. Suggestions for improvement included more information in relation to the progress of hospitals implementing systems, the names of key contacts in these sites, a list of available systems and the contact details of ePrescribing vendors. Respondents also highlighted the need for more information on optimisation and specialist prescribing.

Conclusions: Interactive elements and learning lessons from early adopter sites that had accumulated experiences of implementing systems was viewed as the most helpful aspect of the ePrescribing Toolkit. The Toolkit now needs to be further developed to facilitate the continuing implementation/optimisation of ePrescribing and other health information technology across the NHS.

Keywords


ePrescribing; survey; implementation

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References


Kaushal R, Shojania KG and Bates DW. Effects of computerized physician order entry and clinical decision support systems on medication safety: a systematic review. Archives of Internal Medicine 2003;163(12):1409–16. Available at: https://doi.org/10.1001/archinte.163.12.1409. PMid:12824090.

Black AD, Car J, Pagliari C, Anandan C, Cresswell K, Bokun T, et al. The impact of eHealth on the quality and safety of health care: a systematic overview. PLoS Med 2011;8(1):e1000387. Available at: https://doi.org/10.1371/journal.pmed.1000387. PMid:21267058; PMCid:PMC3022523.

Campbell EM, Sittig DF, Ash JS, Guappone KP and Dykstra RH. Types of unintended consequences related to computerized provider order entry. Journal of the American Medical Informatics Association 2006;13(5):547–56. Available at: https://doi.org/10.1197/jamia.M2042. PMid:16799128; PMCid:PMC1561794.

Ash JS, Sittig DF, Poon EG, Guappone K, Campbell E and Dykstra RH. The extent and importance of unintended consequences related to computerized provider order entry. Journal of the American Medical Informatics Association 2007;14(4):415–23. Available at: https://doi.org/10.1197/jamia.M2373. PMid:17460127; PMCid:PMC2244906.

Cresswell KM, Mozaffar H, Lee L, Williams R and Sheikh A. Safety risks associated with the lack of integration and interfacing of hospital health information technologies: a qualitative study of hospital electronic prescribing systems in England. BMJ Quality & Safety 2017;26(7):530–41.

Lee L, Cresswell K, Slee A, Slight SP, Coleman J and Sheikh A. Using stakeholder perspectives to develop an ePrescribing toolkit for NHS Hospitals: a questionnaire study. Journal of the Royal Society of Medicine 2014;5(10):1–9. Available at: https://doi.org/10.1177/2054270414551658.

Cresswell K, Coleman J, Slee A, Morrison Z and Sheikh A. A toolkit to support the implementation of electronic prescribing systems into UK hospitals: preliminary recommendations. Journal of the Royal Society of Medicine 2014;107(1):8–13. Available at: https://doi.org/10.1177/0141076813502955. PMid:24108534; PMCid:PMC3883145.

 8. Cresswell KM, Bates DW, Williams R, Morrison Z, Slee A, Coleman J, et al. Evaluation of medium-term consequences of implementing commercial computerized physician order entry and clinical decision support prescribing systems in two ‘early adopter’ hospitals. Journal of the American Medical Informatics Association 2014;21(e2):e194–202. Available at: https://doi.org/10.1136/amiajnl-2013-002252. PMid:24431334; PMCid:PMC4173168.

Cresswell KM, Mozaffar H, Lee L, Williams R and Sheikh A. Workarounds to hospital electronic prescribing systems: a qualitative study in English hospitals. BMJ Quality & Safety 2016:bmjqs-2015.

Google Analytics. Available at: https://www.google.com/analytics/#?modal_active=none. Accessed 13 September 2016.

Dillman DA. Mail and Internet Surveys: The Tailored Design Method. New York: Wiley, 2000.

Survey Monkey. Available at: https://www.surveymon

key.co.uk/. Accessed 13 September 2016.

Investigating the implementation, adoption and effectiveness of ePrescribing systems in English hospitals: a mixed methods national evaluation. Available at: http://www.cphs.mvm.ed.ac.uk/projects/eprescribing. Accessed 13 September 2016.

Pope C, Ziebland S and Mays N. Analysing qualitative data. BMJ 2000;320(7227):114–16. Available at: https://doi.org/10.1136/bmj.320.7227.114. PMid:10625273; PMCid:PMC1117368.

Davies HT and Nutley SM. Developing learning organisations in the new NHS. BMJ 2000;320(7240):998. Available at: https://doi.org/10.1136/bmj.320.7240.998.

Jones M. Learning the lessons of history? Electronic records in the United Kingdom acute hospitals, 1988-2002. Health Informatics Journal 2004;10(4):253–63. Available at: https://doi.org/10.1177/1460458204048508.

Making IT work: harnessing the power of health information technology to improve care in England. Available at: https://www.gov.uk/government/publications/using-information-technology-to-improve-the-nhs. Accessed 13 September 2016




DOI: http://dx.doi.org/10.14236/jhi.v24i2.905

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