Computerized prescribing in the practice of medicine is a change that is overdue.
Virtually all prescriptions in the United States are still handwritten.
Instead, medications should be ordered on a computer interacting with 3 databases : patient drug history, scientific drug information and guideline reference, and patient-specific (weight, laboratory) data.
Current problems with prescribing on which computerized prescribing could have a positive impact include (1) drug selection ; (2) patient role in pharmacotherapy risk-benefit decision making ; (3) screening for interactions (drug-drug, drug-laboratory, drug-disease) ; (4) linkages between laboratory and pharmacy ; (5) dosing calculations and scheduling ; (6) coordination between team members, particularly concerning patient education ; (7) monitoring and documenting adverse effects ; and (8) postmarketing surveillance of therapy outcomes.
Computerized prescribing is an important component of clinician order entry.
Development of this tool has been impeded by a number of conceptual, implementation, and policy barriers.
Overcoming these constraints will require clinically and professionally guided vision and leadership.
Mots-clés Pascal : Traitement informatique, Prescription médicale, Facteur qualité, Relation médecin malade, Communication information, Analyse coût efficacité, Homme, Informatique, Organisation santé
Mots-clés Pascal anglais : Computerized processing, Medical prescription, Q factor, Physician patient relation, Information communication, Cost efficiency analysis, Human, Computer science, Public health organization
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0207331
Code Inist : 002B28E. Création : 11/09/1998.