In a study by Shah, Aslam and Avery (2001) of approximately 38,000 prescriptions by 23 doctors, there were a number of errors including: 715 or 25% no directions; 510 or 18% prescribed item not mentioned (usually on repeat prescription); 321 or 11%, directions incomplete, illegible or written "as directed"; 306 or 11%, more than one month's supply given on separate repeat prescriptions without patients request; 260 or 9%, strength missing where a product existed in various strengths, and no guidance available in the BNF; 8% or 229, the prescribed quantity was not clearly written, missing or too large; and 5% or 132, prescriber's signature missing. Another 100 errors were due to prescribing medicines no longer available, incorrect medicine because handwriting, no date or wrong strength.
Given that this is the digital age, it seems that prescriptions can be easily "written" by computer or some form of electronics, and indeed that is the case. Preece, Ashford and Hunt, as early as 1984, wrote a report noting that the computer was an ideal data base for minimizing errors in subscriptions. Presently, of course, there are many handheld digital tools that can be used for this purpose, which handle problems with abbreviations, misspellings, lack of information and the like. In fact, recent studies show that although it is a change in mindset, especially for geriatric patients, e-scribes have a positive response with patients and significantly improve the amount of errors.
While e-prescribing is growing rapidly, it still represents only a very small amount of prescriptions written each year. About 2% of the 1.5 billion eligible for electronic routing in 2007 were actually filed that way, according to SureScripts, which runs the network allowing physicians and pharmacies to exchange electronic prescribing information....
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