7136SOH Transforming Healthcare Business Case Project
Chapter 1: Introduction
Background and context
Implementation of e-prescription to reduce medication errors in hospital pharmacy due to paper prescription at New Life hospital in Kerala has been analysed to be one of the major criteria. It can be also analysed that e-prescription further enables new determined abilities to enhance improvised vision, for strengthening vitality parameters and reduction of medication errors in hospital pharmacy aspects (Kõnd and Lilleväli, 2019). Recent research will identify core specific criteria, based on development in E-prescription strategies at hospital functioning, which enables cultivation of change.
Medication error in hospital pharmacy due to paper prescriptions by prescribers in New Life hospital in Kerala
Patient satisfaction disruptions, decrease in trust and changes in cost of health. The mortality rate, morbidity rate and health outcome, reputation of organisation are some of the major issues faced by hospital due to paper prescriptions. Medication safety and loss of productive time are some of the major issues faced by hospital within management.
Stating the problem (Issue of concern)
The concern holds huge specific importance, for creating change where E-prescriptions advances scope to technically improvise faster medication advancement among hospital. In the UK, hospitals are reducing medication errors, by strengthening business proposal for developing e-prescription. It enables lack of duplication, maintains confidentiality and accuracy of medication subscription among patients which enables to keep track of all information competencies variedly. Issues such as slips, errors in medication subscription are highly growing concerns for medical and healthcare management which has to be prioritised. New Life hospital in Kerala has been focusing towards determining new healthcare management criteria to be evolved, doctors, patients and health pharmacist are heading towards shifting to e-prescriptions. The doctors and workforce New Life hospital in Kerala has been facing various new demands to be worked on, where e-prescriptions has to be implemented systematically. The patient safety, medication safety, productive time, cost of time are some of the major concerns which are critically experienced as one of the major factor where
Importance to health care management in global context
The pharmacy organisations and hospitals are taking best steps for maintaining best rage of health care management, by developing E-prescriptions to advance on competent focus on quality assurance. It intensifies checking of medication, reduce errors and slips, lapses which further generates improvised growth criteria for leading authentic check on improvised medical services. Globally hospitals are shifting towards imperative healthcare management, for leading growth towards advanced health care expertise which keenly enables best healthcare changes to be delivered. New Life hospital in Kerala aims to work on delivering change in e-prescriptions, by focusing towards keeping electronic records of all medication among hospital functions.
E-prescriptions allows prescribers to transmit electronic copies, avoiding mistakes on difficulty which leads to medication errors which decreases efficiency. The medication errors are decreased with difficulty of paper-prescriptions for comprehending handwritten medication at hospitals. Prescribing and dispensing error rates per patient were reduced by 93% (from 2.98 to 0.2) and 98% (from1.27 to 0.03), with implementation of E-Prescriptions among new mechanisms keenly for diverse benchmarks (Andrilla et. al. 2019).
Benefits of addressing problem
The benefits of addressing problems is that E-prescription implementation at New Life hospital in Kerala will benefit faster medication services availability and also faster up medical services delivery. There is elimination of errors and faster interaction among working practices, which enables clarity to be advanced on constantly for adhering towards advanced working engagement actively. Also benefits in hospitals mechanisms within E-prescriptions will enable specific technical specific determination, to be worked on for leveraging improvement. It also benefits inn strengthening cost effective, technical solutions to be implemented for maintaining enhancement towards sustainable standards which leverages specific rise on functional parameters. New Life hospital in Kerala doctors and hospitals, further bring on new changes to be determined for overcoming issues within traditional system of keeping records.
Statement of the problem
The proposal of implementing e-prescription in reducing medication errors in hospital pharmacy, due to paper prescription in New Life hospital in Kerala will enable determination of new changes to be worked on diversely. Paper prescription has reduced efficiency concerns, based on specific technical improvement to be worked on where E- prescription enables medication priorities to be enhanced on competently. Statement prioritises specific adherences towards new ideal determinants, for maintaining coordination and specific technical improvement to lead competent change. New Life hospital in Kerala, further aims to improvise new mechanisms for strengthening technical determination which leads corporate specific technical pace. . New Life hospital in Kerala aims to work on delivering change in e-prescription within working mechanisms, by stringently keeping record of working efficacy based on larger determination of keeping systematic records.
Implementing new mechanism and technology oriented determination, through E-prescriptions machinery will enable development of accurate change to be worked on consistently.
Solution to the problem
The problem will be addressed at New Life Hospital, through taking up E-prescriptions as the new method for maintaining patient’s record at the hospital. The e –prescription comes with new benefits and specific rise towards determined engagement, based on enlarged goodwill for keeping up with strengthened vision.
Aim and Objectives of research
Aim of research: Business proposal to implement e-prescription to reduce Medication error in hospital pharmacy due to paper prescription in hospital
Objectives:
- To analyse challenges within paper prescriptions and developing overcome by e-prescriptions at New Life hospital in Kerala
- To identify importance of developing e- prescriptions for reducing medication errors in hospital pharmacy
- To recommend new core strategies for implementing e-prescription implementation in hospital at New Life hospital in Kerala
Chapter 2: Literature Review
Search strategy
The search strategy adopted within present report will be focusing on focusing on terms related to impact of paper prescriptions, developing E- prescriptions for reduction in medication errors. Recent published articles and research papers will be evaluated, for maintaining accuracy and significant collaborative functional efficiency. The search among literature core articles will be heading to fundamentally analyse new strategies, based on E-prescriptions in hospitals.
By adhering to search strategy, new determinants will be focused on for keeping informative analysis on check and develop accurate check on improvised vision based on significant working standards. Implementation of E-prescription in hospitals benefits will be focused on, for strengthening core ideal determinants and new determinants extensively evolve. Search terms will be specifically focused on adhering towards latest technical aspects, maintaining check on keeping articles and studies relevant efficiently.
Synthesis of literature findings
Analysing challenges within paper prescriptions and developing overcome by e-m prescriptions
As per the views of Belton et. al. (2019) paper prescriptions have been lacking efficiency and clarity of functional strengths where slips, loss in proper records among patient medical history and records further lowers efficiency. Author supports the views, where paper prescriptions and developing e-prescriptions within hospitals have to be reduced for strengthening engaged determined care parameters. It lacks healthcare management, to be worked on for leading specific technical growth standards deliver rapid change. Paper prescriptions and developing overcome significantly by e-commerce prescriptions as it enables patient care, medication be recorded with stronger efficiency.
Developing overcome strategies by E-prescription brings new competitive changes to be developed based on specific rise for enlarged productivity, strengthening accuracy for enlarged growth development. It has been also analysed to be keenly essential, where paper descriptions further lowers efficiency, and lowers track of medical information where it hampers business productivity at hospitals. The New Life hospital in Kerala further aim to determine improvement in strengthening development of new strategies, where E-prescription has come up as one of the new strategy for overcoming challenge (Andrilla et. al. 2019). It has been also analysed to be critically crucial, where paper prescription hampers clarity in medication services. It can be also analysed that challenges of paper prescriptions has been found to be intricate, which lowers productive pace and lack in maintaining check on wider horizons which brings demand rise on E- prescriptions.
Furthermore, paper prescriptions also hamper keeping records with efficiency, which hinders business management abilities to be connected among healthcare departments within hospitals. As analysed by the views of Griese-Mammen et. al. (2018) author presents contradictory statement where E-prescriptions investment comes with significant risk, specific adherence towards improvised long term vision and core planning. It is highly costly to be implemented and also needs specific vision, management strengths to be engaged on for leading improvised strengths to be attained. This has been analysed to be critical factor where hospitals and healthcare services are found to be hampered, where hospitals are facing various concerns to maintain check on strengthening innovation variedly. Developing E-prescriptions will overcome issues faced by paper record system hospital, for effective management of patient records and keeping systematic awareness enhance? Hospitals by taking up e-prescriptions will be able to successively lead improvised vision, stringently work on towards electronic record in terms of hospital records functioning.
Importance of developing E-prescriptions for reducing medication errors in hospitals pharmacy
As per the views of Maatuk et. al. (2022) Hospitals in recent time are diversely focusing to bring on improvised strengthened integration on E-prescriptions as it enables to keep records functionally enhanced diversely. It keeps accuracy intact, and also leads new changes to be actively worked on for leading technical efficiency worked on for larger mechanisms growth. Investments into E- Prescriptions enable hospitals to get fruitful returns, get optimum vision enhance and generate improvised competitive strengths develop diversely. Author supports views by stating fact that pharmacy, medication records are organized in proper format for leading improvement to be engaged on actively. It develops strengthened goodwill of hospital to be risen, based on specific technical vision growth and generating improvised brand development critically (Shatvorya et. al. 2021). Patient’s medical and pharmacy history is recorded with huge efficiency, faster mechanisms with implementation of E-Pharmacy adoption for strengthening advancement and core functional strengths being implemented. It primitively enhances commercial importance, to be worked on for leading imperative changes to be worked on for leading working mechanisms enhance rapidly.
As analysed by the views of Ababneh et. al. (2020) contradictory facts are there analysed by author, that implementation of E-Prescriptions comes with challenges and time taking investments to be engaged on actively. Hospitals have to further adhere towards optimal new plans, for developing core strengthened rise on new E-prescriptions for shaping new synergies to be engaged on progressively. This leads wider demands to be actively evolved, analysed and determined as per hospital core targets for gaining optimum returns for enhancing towards specific technical pace actively. Doctors and workforce among healthcare department, are able to explore new scale efficiency within electronic system and keeping up with e-pharmacy system for leading growth oriented mechanisms.
Artawan and Martini, (2020) argues the key benefits about e-prescribing as improving the best concepts over the hospital. This could keep the improving quality of increasing efficiency, health care services and effectiveness over the medication and health care costs. E-prescribing seems to be important part of the most countries and enhance for keeping quality over the work and prescribing process. This could be defined about working easier and taking the place of paper. Through having such things paper based wok has become lesser and this type of community are being care setting holds out the greatest potential to be achieved.
New core strategies for implementing e-prescription implementation in hospital
According to Gullslett and Bergmo, (2022) electronic health records are about improving care quality by using computerised concepts over provider order entry and ensuring medication safety by reducing medication errors. This seems to be an important concept for the implementation of new technology, particularly socio-technical, and unintended for having a new generation of errors. These strategies seem to be used and learn more about technology that enables successful adoption (Pangeran, 2022). Some of the hospital trusts are making progress in working towards replacing their paper work and moving towards an electronic counterpart.
As per Zemene et. al. (2022) engages clinicians early and ensures they are working at all stages of the project. This seems that organisations need to make sure that all staff is on board from the start and there is resistance from those who are going to be working on a daily basis and on the way to smooth concepts. Along with this, there could be big differences in the systems that govern how they want to work and make sure to understand the output of the system. Also, digital health system enables to keep track on proactive horizons and stringently keep functional vision enhance rapidly. E prescriptions will enable new changes to be determined on actively, shaped on efficiently for competent change profoundly to be worked on.
Figure 1: Digital Health in Physicians’ and Pharmacists
(Sources: Sampalli, 2021)
Bocevska et. al. (2022) said that can learn from those who have already done it and efforts that are already being made by some other organisations to share information and effective best practises on using such an EPMA system. This could be sure to develop an effective experience for the first time, and in 2016, a programme will be sure to create global digital. While having such things, this could keep delivering improvement in the quality of care through those who already make use of such digital technology and information (Lester et. al. 2022). Moreover, technology is important for such concepts and ensures having those innovations in an organization.
Auvinen et. al. (2022) argues that to ensure the right team in place and get such a technology system into an organization, this could be the huge undertaking that will likely be between procurement and planning roll out. While this could keep them from putting together the right project and having good leadership in place, it is vital to the implementation going as smoothly as possible for them. In working with electronic systems, the project team should have such knowledge and skills on both the clinical and technical sides (Ndayishimiye et. al. 2022). Having knowledge and skills regarding such systems will keep the organisation working in digital terms.
Accordingly Tuula et. al. (2022), push for high investment, which keeps the EPMA system coming from a variety of sources and sizes, as might be based on electronic charts in a standalone system, Along with this, ensure you have effective versions that incorporate patients’ records and other relevant information. This could keep them from using barcodes to track their medicines from management to prescription. It also seems that putting together such a type of effort can lead to securing the required investment. It could keep them from working with effective information strategies and individual benefits that can be expected as results of the implementation.
Kõnd and Lilleväli, (2019), determined to future-proof the infrastructure because it seems to be an important concept and purpose over the EPMA system, which will only be appropriate for current and short-term needs. While having such things, this could be a standalone system, may be a quick fix and move the hospital from paper work to electronic concepts and future systems as being required for working together. This also found out that the interface for both software and hardware seems to be an important system functionally (Lester et. al. 2022). Moreover, the EPMA system helps out the organisation by working shorter and keeping their workload decreased through which staff can easily work.
Zemene et. al. (2022) indicated that they are gradually moving towards using more complex features which keep the right concepts over the important sources. Having such things could easily help them to analyse simple concepts such as how people search for medicines through using electronic lists and this will lead them to the right item. When considering such things organisations must consider the design and usability of such technology, as well as the constraints of having multiple records and looking back to present the best medicines for the patient. This seems to be an essential part for them and ensures having decision support over the system.
According to Bocevska et. al. (2022), ensure the devices are fit for the purpose while having poor Wi-Fi connectivity. This could be some of the common reasons for the failure of their implementation of an EPMA system. This may be done within the range of having a good connection, and this could lead to devices across the location to fit out the different workflows (Thatcher and Acharya, 2018). While having such things, this could make sure of having the best connectivity concepts and re-map out the wireless coverage to ensure no dead spots. The systems in the hospital needed to be updated to ensure they had the best technology usage for them.
Conceptual framework
References
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Online
Sampalli, S., (2021). Digital Health in Physicians’ and Pharmacists’ Office: A Comparative Study of e-Prescription Systems’ Architecture and Digital Security in Eight Countries. [Online]. Access through: < https://www.liebertpub.com/doi/10.1089/omi.2020.0085>
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