The Role of E-Prescription in Reducing Medication Error in The Prescribing Stage at The Puskesmas Mojoanyar, East Java
Penulis/Author
Prof. Dr. apt. Akhmad Kharis Nugroho, S.Si., M.Si. (2); Prof. Dr. Chairun Wiedyaningsih, M.Kes., M. App.Sc., .Apt. (3)
Tanggal/Date
7 2023
Kata Kunci/Keyword
Abstrak/Abstract
Electronic prescription or e-prescription has been considered as a solution to overcome errors in
the early stage of medicines use. However, the electronic prescribing is still not widely implemented in
Indonesia. The purpose of this study was to identify the role of electronic prescription in minimizing the
incidence of medication errors at the prescribing stage. A cross-sectional study was conducted to compare
errors between electronic and hand-written prescriptions in primary health care Mojoanyar. Mojokerto, East
Java. Prescriptions were collected retrospectively using purposive and quota sampling based on
predetermined criteria. A checklist form was used to collect and review prescriptions during the period
February - March 2021 (hand-written prescriptions) and December 2022 - January 2023 (e-prescriptions).
Errors in prescribing were identified in aspects related to the prescription writing process (incompleteness
information; illegibility writing) and aspects related to drug selection decisions (drug interaction, drug
dosage form, drug dosing and therapeutic duplication). The Chi-square test was used for testing relationships
between categorical variables as appropriate. The data were presented in frequency and percentage using
descriptive statistics. A total of 2570 prescriptions from 656 patients were reviewed for errors in which 1275
(328 patients) hand-written and 1295 (328 patients) electronic prescriptions. The results showed that
incompleteness information was found to be significantly higher in hand-written compared to electronic
prescriptions (p < 0.05). Illegible writing was only found in 92 (7.22%) hand-written prescriptions. The risk
of drug interactions and other errors in drug selection decisions were not reduced by electronic prescribing.
Electronic prescription was able to reduce prescribing errors, especially in the writing process, while for
treatment decision it was necessary to add feature to the electronic support system.
