Evaluation of the effectiveness of electronic prescription in reducing medical and medical errors (systematic review study).

INTRODUCTION: The use of electronic systems in prescription is considered as the final solution to overcome the many problems of the paper transcription process, especially with the outbreak of Coronavirus needs more attention than before. But despite the many advantages, its implementation faces many challenges and obstacles. Therefore, the present study was conducted to review the effectiveness of computerized physician order entry systems (CPOE) on relative risk reduction on medication error and adverse drug events (ADE). METHOD: This study is one of the systematic review studies that was conducted in 2021. In this study, searching for keywords such as E-Electronic Prescription, Patient safety, Medication Errors prescription, Drug Interactions, orginal articles from 2000 to October-2020 in the valid databases such as ISI web of Science PubMed Embase, Scopus and search engines like google was done. The included studies were based on the main objectives of the study and based on the inclusion criteria after several stages of review and quality evaluation. In fact, the main criteria for selecting articles were studies that compared the rate of medication errors with or without assessing the associated harms (real or potential) before and after the implementation of EMS. RESULTS: Out of 110 selected studies after initial screening, only 16 articles were selected due to their relevance. Among the final studies, there was a significant heterogeneity. Only 6 studies were of good quality. Of the 10 studies prescribing error rates, 9 reported reductions, but variable denominators prevented meta-analysis. Twelve studies provided specific examples of systemic drug errors. 5 cases reported their occurrence slightly. Out of 9 cases that analyzed the effects on drug error rate, 7 cases showed a significant relative reduction between 13 and 99%. Four of the six studies that analyzed the effects on potential ADEs showed a significant relative reduction of between 35 and 98%. Two of the four studies that analyzed the effect of ADEs showed a relative reduction of between 30 and 84%. CONCLUSION: Finally, e-prescribing seems to reduce the risk of medication errors and ADE. However, the studies differed significantly in terms of setting, design, quality and results. More randomized controlled trials (RCTs) are needed to further improve the evidence of health informatics information.

The Self-Report Symptoms of COVID-19 in Iranian Population Through a Teleconsultation-Based Service

Aims: COVID-19 has affected a worldwide population, causing more than a million deaths from the end of 2019 until now;so the aim of this study was to determine the symptoms of COVID-19 in the Iranian population through a teleconsultation-based service to better deal with it. Instrument & Methods: This study was a cross-sectional study that included 12125 individuals calling for COVID-19 screening and consultation from 2 March 2020 to 19 April 2020 with the census method. A telephone number was assigned for consultation with more than 70 nurses responding to first-level questions and more than 30 medical doctors responding to second-level questions. For statistical analysis, a chi-squared test and univariate logistic regression with SPSS 25 were used. Finding: Cough was the most common complaint (41.3%), followed by shortness of breath (32.8%), and fever (31.5%). Confusion was the least common complaint (1.6%). Binary logistic regression revealed that men were at a higher risk of COVID-19 compared to women (OR:1.31, 95% CI 1.10-1.55, p=0.002). In addition, older age was a risk factor for COVID-19 (OR:1.02, 95% CI 1.02-1.03, p<0.001). Also, significant positive correlations were found between fever, chills, sore throat, shortness of breath, cough, body ache, and gastrointestinal symptoms with COVID-19 even after adjustment for gender and age. Conclusion: Fever, cough, and shortness of breath were the most common complaints in individuals calling for COVID-19 teleconsultation. It’s suggested that in times of crisis, such as the Covid-19 pandemic, remote sensing can be done to raise public awareness and break the transmission chain. © 2022, Tarbiat Modares University. All rights reserved.