{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T01:15:01Z","timestamp":1768353301977,"version":"3.49.0"},"reference-count":21,"publisher":"Georg Thieme Verlag KG","issue":"01","funder":[{"name":"Victorian Government Department of Business and Innovation"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Appl Clin Inform"],"published-print":{"date-parts":[[2016,1]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p>A cloud-based mobile electronic prescribing and medication management system (ePMMS), in which prescribers\u2019 orders directly populate residential aged care facility (RACF) medication administration records (MARs) and are communicated electronically to the RACF\u2019s pharmacy, may create efficiencies and improve patient safety when compared to the paper-based and hybrid paper-electronic medication management systems used in most Australian RACFs. Little is known about general-practitioners\u2019 (GPs\u2019), nurses\u2019 and pharmacists\u2019 acceptance of, or experiences with, ePMMS.<\/jats:p><jats:p>To explore the uptake of an ePMMS by GPs, and the experiences and perceptions of GPs, nurses and pharmacists, at a 90-bed RACF that tested a beta-version ePMMS.<\/jats:p><jats:p>Retrospective audit to determine the proportion of medicines ordered by GPs via the ePMMS over a three-month period. Focus groups conducted three-to-four months after implementation: one with GPs (n=5), one with nurses (n=12); in-depth interview\/survey of pharmacists (n=2). Qualitative data were analysed thematically.<\/jats:p><jats:p>Three of seven GPs used the ePMMS to order medicines; 53\/205(25.9%) medicines were ordered via the ePMMS by GPs.<\/jats:p><jats:p>Two broad themes were identified: benefits of the ePMMS, and barriers\/limitations. Benefits related to patient safety and workforce efficiency, and included GPs\u2019 ability to access and modify residents\u2019 MARs remotely, no need for nurses to fax orders to the pharmacy, and no need for pharmacy transcription of GPs\u2019 handwritten orders to create electronic MARs. Barriers and limitations related to inefficiency, low GP uptake and training\/support, and included slower prescribing compared to written orders, the need for GP-signed paper copies of the MAR, lack of integration with GP clinic software, and low GP motivation to use the system, especially GPs with few patients at the RACF.<\/jats:p><jats:p>GPs, nurses and pharmacists felt the ePMMS improved medication-safety and workforce-efficiency, however a number of barriers were identified that contributed to low GP-uptake and limited the benefits.<\/jats:p>","DOI":"10.4338\/aci-2015-08-ra-0098","type":"journal-article","created":{"date-parts":[[2016,3,2]],"date-time":"2016-03-02T07:36:27Z","timestamp":1456904187000},"page":"116-127","source":"Crossref","is-referenced-by-count":12,"title":["Electronic prescribing and medication management at a residential aged care facility"],"prefix":"10.4338","volume":"07","author":[{"given":"Cik","family":"Lee","sequence":"first","affiliation":[]},{"given":"Safeera","family":"Hussainy","sequence":"first","affiliation":[]},{"given":"Rohan","family":"Elliott","sequence":"additional","affiliation":[]}],"member":"194","published-online":{"date-parts":[[2017,12,16]]},"reference":[{"key":"10.4338\/ACI-2015-08-RA-0098-1","unstructured":"Australian Commission on Safety and Quality in Health Care. Analysis of Residential Aged Care Facility Medication Charts. Sydney; 2012. http:\/\/www.safetyandquality.gov.au\/wp-content\/uploads\/2012\/02\/NRMC-Project-RACF-Medication-Chart-Analysis-Report.pdf (Accessed 19\/11\/15)"},{"key":"10.4338\/ACI-2015-08-RA-0098-2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2125.2009.03425.x"},{"key":"10.4338\/ACI-2015-08-RA-0098-3","doi-asserted-by":"publisher","DOI":"10.1007\/s40264-013-0090-2"},{"issue":"1","key":"10.4338\/ACI-2015-08-RA-0098-4","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1016\/S1553-7250(09)35005-9","volume":"35","author":"Scott-Cawiezell","year":"2009","journal-title":"Joint Commission Journal on Quality & Patient Safety"},{"key":"10.4338\/ACI-2015-08-RA-0098-5","unstructured":"Australian Commission on Safety and Quality in Health Care. Analysis of Residential Aged Care Facility Medication Chart Staff and Approved Providers Surveys Sydney; 2012. http:\/\/www.safetyandquality.gov.au\/wp-content\/uploads\/2012\/06\/NRMC-Analysis-of-RACF-Staff-and-Approved-Provider-Surveys-20122.pdf (Accessed 19\/11\/15)"},{"key":"10.4338\/ACI-2015-08-RA-0098-6","doi-asserted-by":"publisher","DOI":"10.4338\/ACI-2014-08-RA-0062"},{"key":"10.4338\/ACI-2015-08-RA-0098-7","doi-asserted-by":"crossref","unstructured":"Elliott RA, Lee CY, Hussainy SY. Evaluation of a hybrid paper-electronic medication management system at a residential aged care facility. Aust Health Rev Published online 21 September 2015","DOI":"10.1071\/AH14206"},{"key":"10.4338\/ACI-2015-08-RA-0098-8","first-page":"156","volume":"204","author":"Tariq","year":"2014","journal-title":"Studies in Health Technology & Informatics"},{"key":"10.4338\/ACI-2015-08-RA-0098-9","unstructured":"Oliver KV, Raban MZ, Baysari MT, Westbrook JI. Electronic medication administration records. Evidence Briefings on Interventions to Improve Medication Safety, Australian Commission on Safety and Quality in Health Care 2013; 1(5). http:\/\/www.safetyandquality.gov.au\/publications\/evidence-briefings-on-interventions-to-improve-medication-safety-electronic-medication-administration-records\/ (Accessed 19\/11\/15)"},{"key":"10.4338\/ACI-2015-08-RA-0098-10","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2005.53515.x"},{"issue":"4","key":"10.4338\/ACI-2015-08-RA-0098-11","first-page":"283","volume":"34","author":"Bollen","year":"2005","journal-title":"Aust Fam Phys"},{"key":"10.4338\/ACI-2015-08-RA-0098-12","doi-asserted-by":"publisher","DOI":"10.1111\/j.1741-6612.2007.00237.x"},{"key":"10.4338\/ACI-2015-08-RA-0098-13","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.320.7227.114"},{"key":"10.4338\/ACI-2015-08-RA-0098-14","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzi015"},{"key":"10.4338\/ACI-2015-08-RA-0098-15","doi-asserted-by":"publisher","DOI":"10.1136\/qshc.2006.019497"},{"key":"10.4338\/ACI-2015-08-RA-0098-16","unstructured":"Australian Government Department of Health and Ageing. Fact sheet: Supply and PBS claiming from a medication chart in residential aged care facilities. 2012. http:\/\/www.safetyandquality.gov.au\/wp-content\/uploads\/2012\/03\/MedCharts-Fact-Sheet-for-Pharmacy-FINAL-June-2012.pdf (Accessed 19\/11\/15)"},{"key":"10.4338\/ACI-2015-08-RA-0098-17","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2318-12-25"},{"key":"10.4338\/ACI-2015-08-RA-0098-18","unstructured":"Australian Government Department of Health. The Personally Controlled eHealth Record System. 2015. http:\/\/health.gov.au\/internet\/main\/publishing.nsf\/Content\/ehealth-record (Accessed 19\/11\/15)"},{"key":"10.4338\/ACI-2015-08-RA-0098-19","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2007.01304.x"},{"key":"10.4338\/ACI-2015-08-RA-0098-20","doi-asserted-by":"publisher","DOI":"10.1007\/s10916-015-0198-2"},{"key":"10.4338\/ACI-2015-08-RA-0098-21","first-page":"1b","volume":"11","author":"Charles","year":"2014","journal-title":"Perspectives in Health Information Management"}],"container-title":["Applied Clinical Informatics"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.4338\/ACI-2015-08-RA-0098.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,9,5]],"date-time":"2019-09-05T05:01:46Z","timestamp":1567659706000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.4338\/ACI-2015-08-RA-0098"}},"subtitle":["Uptake by general practitioners and qualitative evaluation of the benefits and barriers"],"short-title":[],"issued":{"date-parts":[[2016,1]]},"references-count":21,"journal-issue":{"issue":"01","published-online":{"date-parts":[[2017,12,16]]},"published-print":{"date-parts":[[2016]]}},"URL":"https:\/\/doi.org\/10.4338\/aci-2015-08-ra-0098","relation":{},"ISSN":["1869-0327"],"issn-type":[{"value":"1869-0327","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,1]]}}}