International Journal of Scientific & Technology Research

Home About Us Scope Editorial Board Blog/Latest News Contact Us
10th percentile
Powered by  Scopus
Scopus coverage:
Nov 2018 to May 2020


IJSTR >> Volume 8 - Issue 10, October 2019 Edition

International Journal of Scientific & Technology Research  
International Journal of Scientific & Technology Research

Website: http://www.ijstr.org

ISSN 2277-8616

Physicians Perception Toward An Electronic Prescribing System At An Academic Medical Center (Amc) In Saudi Arabia: An Exploratory Study

[Full Text]



Nouf Khalid Al-Kahtani, Ola Ibrahim Ramzi, Arun Vijay Subbarayalu, Jumana Abdulmohsen Almulhim, Baynah Fahad Almulhim



Electronic Prescribing, Patient Care, Patient Safety, Perception, Academic Medical Center, Physicians, Saudi Arabia.



Due to advancement in the field of health information technology, healthcare organizations (HCO) encouraging the adoption of e-prescribing systems to improve quality of patient careand patient safety. However, physicians employed at HCO facing some barriers to effectively implement these e-prescribing systems. The main purpose of this study was to bring out the hidden perceptions of physicians about Quadramed e-prescribing system prevailing at King Fahad Hospital of the University (KFHU), an academic medical center (AMC), Saudi Arabia. Consequently, assesses the benefits, disadvantages and, barriers of e-prescribing system which is currently implemented in KFHU. Methods: An exploratory study design was adopted and eighty physicians (N=80) who used e-prescribing system at KFHU were surveyed through a self-structured questionnaire via an online system. Statistical analysis was carried out using SPSS 19.0. Results: The results showed that 52% of physicians were satisfied with the e-prescribing system at KFHU. Factors influencing system’s functionality and usability were identified as lack of access to available patient data; hard and complicated system; lack of training and support. Conclusion: Majority of the surveyed physicians were satisfied with the system. This study recommends several improvement opportunities to enhance both functionality and usability of e-prescribing system. And help the policy planners of AMCs in KSA to understand the physician’s voice about e prescribing system which helps them to develop appropriate strategies for its improvement.



[1] DePasse JW, Chen CE, Sawyer A, Jethwani K, Sim I, 2014. Academic Medical Centers as digital health catalysts. Healthc (Amst), 2(3), 173-176.
[2] Al Kuwaiti A, & Subbarayalu AV, 2017. Reducing patients’ falls rate in an Academic Medical Center (AMC) using Six Sigma “DMAIC” approach. Int J Health Care Qual Assur, 30(4), 373-384.
[3] Altuwaijri, MM, 2008. Electronic Health in Saudi Arabia Just around the corner? .Saudi Med J, 29(2), 171-178.
[4] Black AD, Car J , Pagliari C, Anandan C, Cresswell K , Bokun T, et al, 2011. The impact of eHealth on the quality and safety of health care: a systematic overview. PLoS Med, 8(1): e1000387.
[5] Wang CJ, Patel MH, Schueth AJ, Bradley MW, Crosson, JC, Glassman PA, et al, 2009. Perceptions of standards-based electronic prescribing systems as implemented in outpatient primary care: a physician survey. JAMIA Open, 16(4), 493-502.
[6] Moniz TT, Seger AC, Keohane CA, Seger DL, Bates DW, Rothschild JM, 2011. Addition of electronic prescription transmission to computerized prescriber order entry: effect on dispensing errors in community pharmacies. Am J Health Syst Pharm, 68, 158–163.
[7] Smith AD, 2006. Barriers to accepting e-prescribing in the USA. Int J Health Care Qual Assur, 19(2), 158-180.
[8] Tambyln R, Huang A , Kawasumi Y, Bartlett G , Grad R, Jacques A. Pinsonneault A, 2006. The development and evaluation of integrated electronic prescribing and drug management system for primary care. JAMIA Open, 13(2), 148–159.
[9] Eslami AS. Abu-Hanna, N F De Keizer, 2007. Evaluation of outpatient computerized physician medication order entry systems: a systematic review". JAMIA Open, 14(4), 400-406.
[10] American Medical Association, c2011. A Clinician's Guide to Electronic Prescribing. JAMA Netw Open, (Retrieved 2011 December 17). Available from http://www.ama-assn.org/ resources/doc/hit/clinicians-guide-erx.pdf. (Accessed 2018 January29).
[11] Webster L, Spiro RF, 2010. Health information technology: a new world for pharmacy. J Am Pharm Assoc, 50, 20–31.
[12] Evans RS, Pestotnik SL, Classen DC, Clemmer TP, Weaver LK, Orme JF, et al. A computer-assisted management program for antibiotics and other anti-infective agents. N Engl J Med 1998; 338(4): 232-238.
[13] Martin GP, McKee L, Dixon-Woods M, 2015. Beyond metrics? Utilizing “soft intelligence” for healthcare quality and safety. Soc Sci Med, 142, 19–26.
[14] Dixon Woods M, Leslie M, Bion J, 2012. What counts? An ethnographic study of infection data reported to a patient safety program. Milbank Q, 90, 548–91.
[15] Kuivjogi K, Parre J, Tammaru T, Vares T. Terviseinfosu¨ steemiarengukava.[Health information system development plan 2005–2008] [in Estonian] Tallinn (EE): Estonian Ministry of Social Affairs - Estonian health statistics 2004.
[16] Kalvet T, Tiits M, Hinsberg H. E-Teenustekasutamisetulemuslikkusjamo˜ju [The effectiveness and impact of Estonian e-services] [in Estonian] [Internet]. Tartu, Estonia: Institute of Baltic Studies; 2013. [C 2013 Nov 29]. Available from: http://www.ibs.ee/en/publications/item/116-e-teenuste-kasutamise-tulemuslikkus-ja-moju.
[17] Grossman JM, Gerland A, Reed MC, Fahlman C, 2007. Physicians’ experiences using commercial e-prescribing systems. Health Aff, 26 (3), 393-404.
[18] Gіder O, Ocak S, Top M, 2015. Evaluation of Electronic Prescription Implications in Turkey: An Investigation of the Perceptions of Physicians, Worldviews Evid Based Nurs, DOI: https://doi.org/10.1111/wvn.12082.
[19] Devine, EB, Hollingworth W, Hansen R N, Lawless N M, Wilson-Norton J L, Martin D P, et al, 2010. Electronic prescribing at the point of care: A time motion study in the primary care setting. Health Serv Res, 45(1): 152–171.
[20] Hellstrom L, Waern K, Montelius E , Astrand B, Rydberg T, Petersson G, 2009. Physicians' attitudes towards e- Prescribing evaluation of a Swedish full-scale implementation. BMC Med Inform DecisMak, 9(37), doi:10.1186/1472-6947-9-37.
[21] Odukoya O K, Chui M. A, 2012. E-prescribing: a focused review and new approach to addressing safety in pharmacies and primary care. Res Social Adm Pharm, 9 (6), 996-1003.
[22] Tan WS, Phang JS, Tan LK, 2009. Evaluating user satisfaction with an electronic prescription system in a primary care group. Ann Acad Med Singapore, 38, 494–7
[23] PouyanEsmaeilZadeh, 2016. Research in social and administrative pharmacy. A review of the literature and proposed classification on e-prescribing: Functions, assimilation stages, benefits, concerns, and risks. Elsevier inc, 12(1).
[24] Samadbeik M, Ahmadi M, HosseiniAsanjan SM, 2013. A theoretical approach to electronic prescription system: lesson learned from literature review. Iran Red Crescent Med J, 15(10), 8436.
[25] Dainty KN, Adhikari NK J, Kiss A, Quan S, Zwarenstein M, 2011. Electronic prescribing an ambulatory care setting: A cluster randomized trial. J EvalClinPract, 18, 761–767.
[26] Abramson EL, Patel V, Pfoh E R, Kaushal R, 2016. How physician perspectives on E-Prescribing evolve over time. A case study following the transition between EHRs in an Outpatient Clinic. Appl Clin Inform, 7(4), 994-1006.
[27] Bell DS, Cretin S, Marken RS, Landman AB, 2004. A conceptual framework for evaluating outpatient electronic prescribing systems based on their functional capabilities. JAMIA Open, 11: 60–70.
[28] Lipton HL, Miller RH, Wimbush JJ, 2003. Electronic prescribing: Ready for prime time? J HealthcInfManag, 17, 449–454.
[29] Yugandhar B, Shewade DG , Dharanipragada K , Batmanabane G, 2017. Impact of Electronic Prescribing System on Prescribing Error Rate at .Patients’ Transition of Care: An Interventional Study. J Young Pharm, 9(3), 441-445