Investigating and learning lessons from early experiences of implementing ePrescribing systems into NHS hospitals: a questionnaire study.

<h4>Background</h4>ePrescribing systems have significant potential to improve the safety and efficiency of healthcare, but they need to be carefully selected and implemented to maximise benefits. Implementations in English hospitals are in the early stages and there is a lack of standard...

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Main Authors: Kathrin Cresswell, Jamie Coleman, Ann Slee, Robin Williams, Aziz Sheikh, ePrescribing Programme Team
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2013-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0053369&type=printable
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author Kathrin Cresswell
Jamie Coleman
Ann Slee
Robin Williams
Aziz Sheikh
ePrescribing Programme Team
author_facet Kathrin Cresswell
Jamie Coleman
Ann Slee
Robin Williams
Aziz Sheikh
ePrescribing Programme Team
author_sort Kathrin Cresswell
collection DOAJ
description <h4>Background</h4>ePrescribing systems have significant potential to improve the safety and efficiency of healthcare, but they need to be carefully selected and implemented to maximise benefits. Implementations in English hospitals are in the early stages and there is a lack of standards guiding the procurement, functional specifications, and expected benefits. We sought to provide an updated overview of the current picture in relation to implementation of ePrescribing systems, explore existing strategies, and identify early lessons learned.<h4>Methods</h4>A descriptive questionnaire-based study, which included closed and free text questions and involved both quantitative and qualitative analysis of the data generated.<h4>Results</h4>We obtained responses from 85 of 108 NHS staff (78.7% response rate). At least 6% (n = 10) of the 168 English NHS Trusts have already implemented ePrescribing systems, 2% (n = 4) have no plans of implementing, and 34% (n = 55) are planning to implement with intended rapid implementation timelines driven by high expectations surrounding improved safety and efficiency of care. The majority are unclear as to which system to choose, but integration with existing systems and sophisticated decision support functionality are important decisive factors. Participants highlighted the need for increased guidance in relation to implementation strategy, system choice and standards, as well as the need for top-level management support to adequately resource the project. Although some early benefits were reported by hospitals that had already implemented, the hoped for benefits relating to improved efficiency and cost-savings remain elusive due to a lack of system maturity.<h4>Conclusions</h4>Whilst few have begun implementation, there is considerable interest in ePrescribing systems with ambitious timelines amongst those hospitals that are planning implementations. In order to ensure maximum chances of realising benefits, there is a need for increased guidance in relation to implementation strategy, system choice and standards, as well as increased financial resources to fund local activities.
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spelling doaj-art-2f358ed242fa491db7c16798c5e65a0b2025-08-20T03:11:14ZengPublic Library of Science (PLoS)PLoS ONE1932-62032013-01-0181e5336910.1371/journal.pone.0053369Investigating and learning lessons from early experiences of implementing ePrescribing systems into NHS hospitals: a questionnaire study.Kathrin CresswellJamie ColemanAnn SleeRobin WilliamsAziz SheikhePrescribing Programme Team<h4>Background</h4>ePrescribing systems have significant potential to improve the safety and efficiency of healthcare, but they need to be carefully selected and implemented to maximise benefits. Implementations in English hospitals are in the early stages and there is a lack of standards guiding the procurement, functional specifications, and expected benefits. We sought to provide an updated overview of the current picture in relation to implementation of ePrescribing systems, explore existing strategies, and identify early lessons learned.<h4>Methods</h4>A descriptive questionnaire-based study, which included closed and free text questions and involved both quantitative and qualitative analysis of the data generated.<h4>Results</h4>We obtained responses from 85 of 108 NHS staff (78.7% response rate). At least 6% (n = 10) of the 168 English NHS Trusts have already implemented ePrescribing systems, 2% (n = 4) have no plans of implementing, and 34% (n = 55) are planning to implement with intended rapid implementation timelines driven by high expectations surrounding improved safety and efficiency of care. The majority are unclear as to which system to choose, but integration with existing systems and sophisticated decision support functionality are important decisive factors. Participants highlighted the need for increased guidance in relation to implementation strategy, system choice and standards, as well as the need for top-level management support to adequately resource the project. Although some early benefits were reported by hospitals that had already implemented, the hoped for benefits relating to improved efficiency and cost-savings remain elusive due to a lack of system maturity.<h4>Conclusions</h4>Whilst few have begun implementation, there is considerable interest in ePrescribing systems with ambitious timelines amongst those hospitals that are planning implementations. In order to ensure maximum chances of realising benefits, there is a need for increased guidance in relation to implementation strategy, system choice and standards, as well as increased financial resources to fund local activities.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0053369&type=printable
spellingShingle Kathrin Cresswell
Jamie Coleman
Ann Slee
Robin Williams
Aziz Sheikh
ePrescribing Programme Team
Investigating and learning lessons from early experiences of implementing ePrescribing systems into NHS hospitals: a questionnaire study.
PLoS ONE
title Investigating and learning lessons from early experiences of implementing ePrescribing systems into NHS hospitals: a questionnaire study.
title_full Investigating and learning lessons from early experiences of implementing ePrescribing systems into NHS hospitals: a questionnaire study.
title_fullStr Investigating and learning lessons from early experiences of implementing ePrescribing systems into NHS hospitals: a questionnaire study.
title_full_unstemmed Investigating and learning lessons from early experiences of implementing ePrescribing systems into NHS hospitals: a questionnaire study.
title_short Investigating and learning lessons from early experiences of implementing ePrescribing systems into NHS hospitals: a questionnaire study.
title_sort investigating and learning lessons from early experiences of implementing eprescribing systems into nhs hospitals a questionnaire study
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0053369&type=printable
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