Difference between revisions of "Talk:Reviews"

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Tamblyn R, Huang A, Kawasumi Y, Bartlett G, Grad R, Jacques A, Dawes M, Abrahamowicz M, Perreault R, Taylor L, Winslade N, Poissant L, Pinsonneault A.  The development and evaluation of an integrated electronic prescribing and drug management system for primary care. J Am Med Inform Assoc. 2006 Mar-Apr;13(2):148-59.
 
  
This article discusses the use of an integrated electronic prescribing and drug management system (MOXXI) for primary care physicians in Quebec Canada. It summarizes a 20-month follow-up study of MOXXI (Medical Office of the XXIst Century) in which this software was implemented in 28 primary care physicians and 13,515 consenting patients. MOXXI was developed to improve patient safety by integrating patient demographics, retrieving active drugs from pharmacy systems, generating an automated problem list, and providing electronic prescription, stop order, automated prescribing problem alerts, and compliance monitoring functions. Findings from the research included that only the represcribing function was faster using MOXXI than by handwritten prescription. Physicians wrote electronic prescriptions in 36.9 per 100 visits and reviewed the patient's drug profile in 12.6 per 100 visits. Physicians rated printed prescriptions, the current drug list, and the represcribing function as the most beneficial aspects of the system. The researchers concluded that physicians were more likely to use the software for patients who used more medication, made more emergency department visits, had more prescribing physicians, and lower continuity of care. Further, primary care physicians believed that an integrated electronic prescribing and drug management system would improve continuity of care, and they were more likely to use the system for patients with more complex, fragmented care.
 
Comment: This research shows that even with a universal health insurance program (provided in Quebec, Canada), there is limited use of a technological intervention designed to enhance patient safety. Only 28 of 127 eligible physicians (22%) implemented the MOXXI system in their practice. All but two had prior experience using a PDA or computer at the time of enrollment, although only 10.7% used a computer for clinical activities prior to the MOXXI implementation; the mean number of hours of weekly computer use was 7.1 hours. Only19.1% of the physicians' 70,805 eligible practice patients consented. More research should be done to determine how great acceptance of this technology could be achieved.
 

Latest revision as of 16:43, 22 November 2006