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Economic impact of electronic prescribing in the hospital setting: a systematic review

Ahmed, Z; Barber, N; Jani, Y; Garfield, S; Dean Franklin, B; (2016) Economic impact of electronic prescribing in the hospital setting: a systematic review. International Journal of Medical Informatics , 88 pp. 1-7. 10.1016/j.ijmedinf.2015.11.008. Green open access

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Abstract

Objective To examine evidence on the economic impact of electronic prescribing (EP) systems in the hospital setting. Method We conducted a systematic search of MEDLINE, EMBASE, PsycINFO, International Pharmaceutical Abstracts, the NHS Economic Evaluation Database, the European Network of Health Economic Evaluation Database and Web of Science from inception to October 2013. Full and partial economic evaluations of EP or computerized provider order entry were included. We excluded studies assessing prescribing packages for specific drugs, and monetary outcomes that were not related to medicines. A checklist was used to evaluate risk of bias and evidence quality. Results The search yielded 1160 articles of which three met the inclusion criteria. Two were full economic evaluations and one a partial economic evaluation. A meta-analysis was not appropriate as studies were heterogeneous in design, economic evaluation method, interventions and outcome measures. Two studies investigated the financial impact of reducing preventable adverse drug events. The third measured savings related to various aspects of the system including those related to medication. Two studies reported positive financial effects. However the overall quality of the economic evidence was low and key details often not reported. Discussion There seems to be some evidence of financial benefits of EP in the hospital setting. However, it is not clear if evidence is transferable to other settings. Research is scarce and limited in quality, and reported methods are not always transparent. Further robust, high quality research is required to establish if hospital EP is cost effective and thus inform policy makers’ decisions.

Type: Article
Title: Economic impact of electronic prescribing in the hospital setting: a systematic review
Open access status: An open access version is available from UCL Discovery
DOI: 10.1016/j.ijmedinf.2015.11.008
Publisher version: http://dx.doi.org/10.1016/j.ijmedinf.2015.11.008
Language: English
Additional information: Copyright © 2016 Published by Elsevier Ireland Ltd. This manuscript version is made available under a Creative Commons Attribution Non-commercial Non-derivative 4.0 International license (CC BY-NC-ND 4.0). This license allows you to share, copy, distribute and transmit the work for personal and non-commercial use providing author and publisher attribution is clearly stated. Further details about CC BY licenses are available at http://creativecommons.org/ licenses/by/4.0. Access may be initially restricted by the publisher.
Keywords: Health economics; Electronic prescribing; Computerized provider order entry; Systematic review; Hospital
UCL classification: UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Life Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Life Sciences > UCL School of Pharmacy
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Life Sciences > UCL School of Pharmacy > Practice and Policy
URI: http://discovery.ucl.ac.uk/id/eprint/1474086
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