Exploring Challenges in Electronic Health Prescriptions: A Qualitative Study

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Haghshenas Elham; Ganjali Khan Hakemi Ali; raoofi samira; Akhavan Rezayat Sara; Demiri soheila; Nateghi Saeed; Radin Manesh Maryam

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Journal Paper

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Journal: HOSPITAL Year:2024 | Volume:23 | Issue:4 Page(s): 378-394

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Title

Exploring Challenges in Electronic Health Prescriptions: A Qualitative Study

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Keywords

Electronic Prescription

Electronic Health Record

Patient Safety

Abstract

Background and purpose: Given the interdisciplinary nature and multiple stakeholders involved in electronic prescribing systems, their implementation process encounters numerous complexities. This qualitative study aimed to explore and clarify the challenges associated with electronic prescribing and prescription dispensing systems. Methods: A qualitative content analysis was conducted in 2021 (Iranian calendar: 1400). Data were collected through semi-structured interviews with 25 key informants from the treatment management sector and affiliated hospitals of Tehran University of Medical Sciences. The collected data were analyzed using conventional content analysis methodology facilitated by MAXQDA 10 software. Results: Approximately 350 initial codes were identified, which were categorized into four main themes with eight sub-themes: policy preparation (establishing a policy secretariat and achieving political consensus), policy formulation (developing policy content and advocacy), policy implementation (planning and executing policies), and policy evaluation (monitoring and evaluating policies). Conclusion: Ensuring public health remains the ultimate goal of the healthcare system. Electronic transformation, particularly in establishing electronic health records, can significantly improve healthcare service quality. Integrated policymaking among the various institutions involved, enhancing technical and procedural infrastructure, human resource training, and societal cultural readiness are essential factors for the effective implementation of electronic prescription systems and the enhancement of healthcare quality.

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