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. 2014 Spring;13(2):725-38.

Modeling of outpatient prescribing process in iran: a gateway toward electronic prescribing system

Maryam Ahmadi  1 , Mahnaz Samadbeik  2 , Farahnaz Sadoughi  1
Affiliations

Modeling of outpatient prescribing process in iran: a gateway toward electronic prescribing system

Maryam Ahmadi et al. Iran J Pharm Res. 2014 Spring.

Abstract

Implementation of electronic prescribing system can overcome many problems of the paper prescribing system, and provide numerous opportunities of more effective and advantageous prescribing. Successful implementation of such a system requires complete and deep understanding of work content, human force, and workflow of paper prescribing. The current study was designed in order to model the current business process of outpatient prescribing in Iran and clarify different actions during this process. In order to describe the prescribing process and the system features in Iran, the methodology of business process modeling and analysis was used in the present study. The results of the process documentation were analyzed using a conceptual model of workflow elements and the technique of modeling "As-Is" business processes. Analysis of the current (as-is) prescribing process demonstrated that Iran stood at the first levels of sophistication in graduated levels of electronic prescribing, namely electronic prescription reference, and that there were problematic areas including bottlenecks, redundant and duplicated work, concentration of decision nodes, and communicative weaknesses among stakeholders of the process. Using information technology in some activities of medication prescription in Iran has not eliminated the dependence of the stakeholders on paper-based documents and prescriptions. Therefore, it is necessary to implement proper system programming in order to support change management and solve the problems in the existing prescribing process. To this end, a suitable basis should be provided for reorganization and improvement of the prescribing process for the future electronic systems.

Keywords: Electronic prescribing; Medication prescription; Model; Process analysis; Workflow.

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Figures

Figure 1
Figure 1
The conceptual model of workflow components for current prescribing process in Iran.
Figure 2
Figure 2
The context diagram of prescribing system in Iran
Figure 3
Figure 3
Use case diagram of the prescription process in Iran
Figure 4
Figure 4
Activity diagram of prescription process in Iran
See this image and copyright information in PMC

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