Effects of computer-based prescribing on pharmacist work patterns

Michael Murray, Bonnie Loos, Wanzhu Tu, George J. Eckert, Xiao Hua Zhou, William M. Tierney

Research output: Contribution to journalArticle

51 Citations (Scopus)

Abstract

Objective: To measure the effect of computer-based outpatient prescription writing by internal medicine physicians on pharmacist work patterns. Design: Work sampling at a hospital-based outpatient pharmacy. Data were collected from pharmacists wearing silent, random-signal generators before and after the implementation of computer-based prescribing. Measurements: The type of work performed by pharmacists (activity), the reason for their work (function), and the people they contacted (contact) were measured. Results: Total staff hours and prescriptions handled were similar before and after computer-based prescribing. Pharmacists recorded 4,687 observations before and 4,735 observations after implementation of computer-based outpatient prescription writing. After implementation, pharmacists spent 12.9 percent more time correcting prescription problems, had 3.9 percent less idle time, and spent 2.2 percent less time in discussions with others. Pharmacists also spent 34.0 percent less time filling prescriptions, 45.8 percent more time in problem-solving activities involving prescriptions, and 3.4 percent less time providing advice. Over 80 percent of pharmacist time was spent working alone both before and after computer-based outpatient prescription writing. Conclusion: Computer-based prescribing results in major changes in the type of work done by hospital- based outpatient pharmacists and in the reason for their work and small changes in the people contacted during their work.

Original languageEnglish
Pages (from-to)546-553
Number of pages8
JournalJournal of the American Medical Informatics Association
Volume5
Issue number6
StatePublished - Nov 1998

Fingerprint

Pharmacists
Prescriptions
Outpatients
Internal Medicine
Physicians

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Effects of computer-based prescribing on pharmacist work patterns. / Murray, Michael; Loos, Bonnie; Tu, Wanzhu; Eckert, George J.; Zhou, Xiao Hua; Tierney, William M.

In: Journal of the American Medical Informatics Association, Vol. 5, No. 6, 11.1998, p. 546-553.

Research output: Contribution to journalArticle

Murray, Michael ; Loos, Bonnie ; Tu, Wanzhu ; Eckert, George J. ; Zhou, Xiao Hua ; Tierney, William M. / Effects of computer-based prescribing on pharmacist work patterns. In: Journal of the American Medical Informatics Association. 1998 ; Vol. 5, No. 6. pp. 546-553.
@article{b4248052906a4d9dbd19db253df30ebe,
title = "Effects of computer-based prescribing on pharmacist work patterns",
abstract = "Objective: To measure the effect of computer-based outpatient prescription writing by internal medicine physicians on pharmacist work patterns. Design: Work sampling at a hospital-based outpatient pharmacy. Data were collected from pharmacists wearing silent, random-signal generators before and after the implementation of computer-based prescribing. Measurements: The type of work performed by pharmacists (activity), the reason for their work (function), and the people they contacted (contact) were measured. Results: Total staff hours and prescriptions handled were similar before and after computer-based prescribing. Pharmacists recorded 4,687 observations before and 4,735 observations after implementation of computer-based outpatient prescription writing. After implementation, pharmacists spent 12.9 percent more time correcting prescription problems, had 3.9 percent less idle time, and spent 2.2 percent less time in discussions with others. Pharmacists also spent 34.0 percent less time filling prescriptions, 45.8 percent more time in problem-solving activities involving prescriptions, and 3.4 percent less time providing advice. Over 80 percent of pharmacist time was spent working alone both before and after computer-based outpatient prescription writing. Conclusion: Computer-based prescribing results in major changes in the type of work done by hospital- based outpatient pharmacists and in the reason for their work and small changes in the people contacted during their work.",
author = "Michael Murray and Bonnie Loos and Wanzhu Tu and Eckert, {George J.} and Zhou, {Xiao Hua} and Tierney, {William M.}",
year = "1998",
month = "11",
language = "English",
volume = "5",
pages = "546--553",
journal = "Journal of the American Medical Informatics Association : JAMIA",
issn = "1067-5027",
publisher = "Oxford University Press",
number = "6",

}

TY - JOUR

T1 - Effects of computer-based prescribing on pharmacist work patterns

AU - Murray, Michael

AU - Loos, Bonnie

AU - Tu, Wanzhu

AU - Eckert, George J.

AU - Zhou, Xiao Hua

AU - Tierney, William M.

PY - 1998/11

Y1 - 1998/11

N2 - Objective: To measure the effect of computer-based outpatient prescription writing by internal medicine physicians on pharmacist work patterns. Design: Work sampling at a hospital-based outpatient pharmacy. Data were collected from pharmacists wearing silent, random-signal generators before and after the implementation of computer-based prescribing. Measurements: The type of work performed by pharmacists (activity), the reason for their work (function), and the people they contacted (contact) were measured. Results: Total staff hours and prescriptions handled were similar before and after computer-based prescribing. Pharmacists recorded 4,687 observations before and 4,735 observations after implementation of computer-based outpatient prescription writing. After implementation, pharmacists spent 12.9 percent more time correcting prescription problems, had 3.9 percent less idle time, and spent 2.2 percent less time in discussions with others. Pharmacists also spent 34.0 percent less time filling prescriptions, 45.8 percent more time in problem-solving activities involving prescriptions, and 3.4 percent less time providing advice. Over 80 percent of pharmacist time was spent working alone both before and after computer-based outpatient prescription writing. Conclusion: Computer-based prescribing results in major changes in the type of work done by hospital- based outpatient pharmacists and in the reason for their work and small changes in the people contacted during their work.

AB - Objective: To measure the effect of computer-based outpatient prescription writing by internal medicine physicians on pharmacist work patterns. Design: Work sampling at a hospital-based outpatient pharmacy. Data were collected from pharmacists wearing silent, random-signal generators before and after the implementation of computer-based prescribing. Measurements: The type of work performed by pharmacists (activity), the reason for their work (function), and the people they contacted (contact) were measured. Results: Total staff hours and prescriptions handled were similar before and after computer-based prescribing. Pharmacists recorded 4,687 observations before and 4,735 observations after implementation of computer-based outpatient prescription writing. After implementation, pharmacists spent 12.9 percent more time correcting prescription problems, had 3.9 percent less idle time, and spent 2.2 percent less time in discussions with others. Pharmacists also spent 34.0 percent less time filling prescriptions, 45.8 percent more time in problem-solving activities involving prescriptions, and 3.4 percent less time providing advice. Over 80 percent of pharmacist time was spent working alone both before and after computer-based outpatient prescription writing. Conclusion: Computer-based prescribing results in major changes in the type of work done by hospital- based outpatient pharmacists and in the reason for their work and small changes in the people contacted during their work.

UR - http://www.scopus.com/inward/record.url?scp=0031772994&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0031772994&partnerID=8YFLogxK

M3 - Article

C2 - 9824801

AN - SCOPUS:0031772994

VL - 5

SP - 546

EP - 553

JO - Journal of the American Medical Informatics Association : JAMIA

JF - Journal of the American Medical Informatics Association : JAMIA

SN - 1067-5027

IS - 6

ER -