gms | German Medical Science

25. Jahrestagung der Gesellschaft für Arzneimittelanwendungsforschung und Arzneimittelepidemiologie (GAA)

Gesellschaft für Arzneimittelanwendungsforschung und Arzneimittelepidemiologie

22.11. - 23.11.2018, Bonn/Bad Godesberg

A hospital standard on “Good Practice in Prescribing Medicines” – a quality parameter and set of minimum requirements for computerised physician order entry (CPOE) systems

Meeting Abstract

  • corresponding author presenting/speaker Winnie Vogt - Hospital Pharmacy, University Hospital Carl Gustav Carus Dresden, Dresden, Germany
  • author Maria Buchelt - Hospital Pharmacy, University Hospital Carl Gustav Carus Dresden, Dresden, Germany
  • author Andreas Hanel - Dept of Quality and Risk Management, Dresden, Germany
  • author Maria Eberlein-Gonska - Dept of Quality and Risk Management, Dresden, Germany
  • author Holger Knoth - Hospital Pharmacy, University Hospital Carl Gustav Carus Dresden, Dresden, Germany

Gesellschaft für Arzneimittelanwendungsforschung und Arzneimittelepidemiologie e.V. (GAA). 25. Jahrestagung der Gesellschaft für Arzneimittelanwendungsforschung und Arzneimittelepidemiologie. Bonn/Bad Godesberg, 22.-23.11.2018. Düsseldorf: German Medical Science GMS Publishing House; 2018. Doc18gaa13

doi: 10.3205/18gaa13, urn:nbn:de:0183-18gaa130

Veröffentlicht: 23. November 2018

© 2018 Vogt et al.
Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). Lizenz-Angaben siehe http://creativecommons.org/licenses/by/4.0/.


Gliederung

Text

Background: Prescribing drugs on paper based charts has been common practice in German hospitals. The uptake of computerised physician order entry (CPOE) systems is slow given the costs, lack of interfaces and associated change management. Thus, the process of prescribing drugs remains error prone and puts patients and healthcare staff equally at risk by ignoring the value of clinical decision support and neglecting the incorporation of efficient workflows. Introducing a “Good Practice in Prescribing Medicines” can support daily clinical work and introduce a higher level of safety culture. However, it needs to be drafted by each hospital individually because national hospital guidance is lacking.

Materials and methods: National and international literature was reviewed to retrieve recommendation and guidance on good prescribing of drugs. The results were evaluated and completed with hospital individual requirements by an in-house interdisciplinary expert working group with members of hospital pharmacy, medical and nursing staff, controlling and quality safety management. A standard operating procedure (SOP) on “Medicines Managements” with a sub-procedure on “Good Practice in Prescribing Medicines” was finalised and hospital-wide adopted by the control office.

Results: The SOP on “Medicine Management” encompasses the overall medicine management processes in hospital. This starts at the point of medical assessment of the patient and drug prescribing by the doctor and acted upon by the nurse in terms of drug preparation, administration to the patient and documentation. The medication process also covers unit-dose medication and clinical pharmacist work. With regard to “Good Practice in Prescribing Medicine” the SOP regulates requirements on drug prescribing, such as the use of generic drug names, the Substitution Exclusion List of the Federal Joint Committee (G-BA), unambiguous prescribing of as-required (PRN) medication and medication reconciliation steps all in terms of content and responsibility.

Conclusion: The implementation of “Good Practice in Prescribing Medicines” is one cornerstone of safe and effective patient care in hospital. It defines a standard not only on quality but also on minimum requirements for computerised physician order entry (CPOE) systems in Germany.