Sample Health Care Paper on Using A PMR to Record Information and Validate a Prescription

Using A PMR to Record Information and Validate a Prescription

Most physicians in the public and private healthcare domains are issuing computer generated and handwritten prescriptions. In the primary healthcare, policy requires that pharmacists dispense prescriptions under strict supervision. The recent evolution of the healthcare sector in electronic prescription enhances transmission of physicians’ intentions directly to a selected dispensing pharmacy. Although all the workflow in electronic prescriptions reflect physical entries, the PMR system is vital to make point of order entry checks.

In secondary care, the workflow in electronic prescriptions is unique. In the pharmacy department, we regularly conduct clinical substantiations in the ward setting before dispensing in the main pharmacy without referring to electronic prescribing systems. During the reference phase, PMR served to provide a conclusion of patient’s health and drug reaction, vital to influence the dispensing process (Ojeleye, et al. 27). These validation processes are a vital component of delivering safe and quality care for patients by reducing prescription errors and promoting accuracy on dosing, drug interactions, and potential allergies.

In most clinical settings, the PMR systems are independent although terminals may be collaborated if there is more than one at a dispensing facility. To avoid indecipherable orders and errors with written prescriptions that may result to incorrect administration and unavailability of drugs, we have integrated different PMR systems in a flexible design to enhance the efficiencies by incorporating patient-specific demographics, medication, and clinical data to support medication reviews to appropriateness (PSNC, Royal Pharmaceutical Society). The integration of PMR systems serves a vital role in managing inventory because it can interact fully with other integrated clinical systems.

Together with the manual safety features implemented by pharmacists, we largely utilized PMR in primary and secondary care to augment pharmacists’ clinical decisions and safe dispensing of drugs during order entry. The embedded safety features alert pharmacists on potentially hazardous medications, drug interactions, errors, combinations, and adverse effects.  Other technological innovations including electronic prescribing systems, automations, and bar coding are vital to minimize the occurrence of medication errors in different practice settings, although the productivity of some features are sub-optimal.

 

 

Works Cited

Ojeleye, Oluwagbemileke, et al. “The evidence for the effectiveness of safety alerts in electronic patient medication record systems at the point of pharmacy order entry: a systematic review.” BMC Medical Informatics and Decision Making, vol. 13, no. 1, 2013.

PSNC. “Pharmacy System (PMRs) Requested Features and Development.” PSNC Main Site, 2021, psnc.org.uk/contract-it/pharmacy-it/pharmacy-system-suppliers/making-your-pharmacy-system-work-for-you/.

Royal Pharmaceutical Society. “Pharmacist access to patient records will be a local decision.” The Pharmaceutical Journal, 2013.