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Table 1 Implementation of 50 features* in 7 prescribing systems

From: Evaluation of features to support safety and quality in general practice clinical software

 

Feature

Clinical software system

  

1

2

3

4

5

6

7

 

Patient data

1

Create patient management plans

2

Record and display allergies and drug intolerance

3

Record and display clinical information

4

Record and display pregnancy and breast-feeding status

5

Record, display and sort current and past medicines (other than complementary medicines)

6

Record and display patient identifying information

7

Record complementary medicines

8

Record medicine changes

9

Record preventive and non-pharmacological management in a specified format

 

Medicine selection

10

Easily select correct problem or diagnosis from a list

11

Access to regulator-approved product information

12

Provide drug strength and form information

13

Provide adult and child dosing information

14

Display active ingredient/s when a branded product selected

15

Access to (other) evidence-based drug information at the time of prescribing

16

Access to dose calculators

17

Differentiate between similar name medicines on a list

18

Record indication for medicine prior to prescribing

19

Provide pre-defined dosage regimens for selection

 

Decision support

20

Alerts for drug-drug interactions

21

Alerts for drugs in pregnancy

22

Alert for same patient name (on opening or creating record)

23

Alerts for drug allergy or intolerance

24

Preview and confirm correct patient details prior to electronic transmission of data

25

Alerts for drugs in breastfeeding

26

Alerts for therapeutic duplication

27

Alerts for drug-condition contraindications

28

Alerts for drug use in patients with renal impairment

29

Alerts prioritised by importance

30

Access to patient data related to alert

31

Alerts for harmful dose, dosage regimen or quantity

32

Alerts for safety issues related to specific products

 

Patient education and information

33

Provide patient clinical information and tools

34

Produce current medicine list--patient version

35

Provide patient medicine information

 

Monitoring, reminders and recalls

36

Reminder--action test results

37

Reminder--overdue tests

38

Displays laboratory results usefully

39

Recalls--manually flagged for individual patients

40

Produce reports--individual and practice level

41

Display medicine information with relevant outcomes

42

Produce reports--predefined

43

Produce reports--user defined

44

Recalls and reminders--preventive care and public health programs

45

Reminder--routine or recommended tests

 

Interoperability and communication

46

Import/export of a range of file formats

47

Generate standard patient medicine chart

 

Security and administration

48

System back-up and restore process is straightforward and secure

49

System and content updates are reliable and easy to install

 

Transparency

50

Exclude all advertising

Advertising was present in 2 systems**

  1. fully implemented (all test criteria met)
  2. partially implemented (some test criteria met)
  3. not implemented (no test criteria met)
  4. Notes
  5. * There were 7 other features that were classified as high impact on safety and/or quality but are not included in this table because they were either (a) tested but not able to be scored (knowledge base--content quality; use of standard messaging protocol; import/export patient clinical data) or (b) were considered 'aspirational' at the time of the study and were not tested (alerts for best practice therapy; use of standard clinical terminologies and coding; support for selection of therapeutic options; use of a national unique patient identifier).
  6. ** Not shown as this would enable identification of these systems.