Electronic Health Records, Electronic Prescribing and Medication Errors: An Appraisal and Update of Relevant Literature, 2000-2020

This paper summarises the international literature on EHRs, e-prescribing (eP) and MEs and provides a forum for countries in the Eastern Mediterranean Region of the World Health Organization (WHO-EMR) to incorporate EHRs and ePs in the healthcare system. For the years 2000-2020, computer searches were carried out for PubMed , MEDLINE, Quertle ®, Google Scholar, Online Information and International Pharmacy Abstract databases using various single- and combined-keyword techniques, with 184 papers retained for review. While EHR-integrated e-prescribing reduces medication errors at all levels of healthcare, decreases morbidity and mortality, increases patient and healthcare provider satisfaction by lowering costs and enhancing quality of life, at different stages of the prescription process, it produces various types of medication errors. An EHR that has a clinical decision with eP Support system (CDSS), dose-limit range, warning protocols for drug-drug interaction, and support for structured decision support help to strengthen eP and ensure greater patient safety and numerous other applications. There is obviously limited evidence in these countries, and therefore more research are required to evaluate the influence of EHRs and EPSs on medication errors, healthcare quality, patient safety and outcome, morbidity and mortality rates, the acceptance of patients and healthcare providers, and particularly their cost-effectiveness.

Author (s) Details

Naseem Akhtar Qureshi
National Center for Mental Health Promotion, Ministry of Health, Riyadh, Saudi Arabia.

Dr. Dalal Salem Aldossari
King Saud Medical City, Ministry of Health, Riyadh, Saudi Arabia.

Sara Osama Salem
King Saud Medical City, Ministry of Health, Riyadh, Saudi Arabia.

Adnan Ahmed Makkawi
National Center for Mental Health Promotion, Ministry of Health, Riyadh, Saudi Arabia.

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