| What are the important concepts to define? | Must clearly define:ePrescribing: ‘The utilisation of electronic systems to facilitate and enhance the communication of a prescription or medicine order, aiding the choice, administration and supply of a medicine through knowledge and decision support and providing a robust audit trail for the entire medicines use process.’19 Optimisation: ‘The activity of enhancing system capabilities and integration of subsystem elements to the extent that all components operate at or above user expectations.’20
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| Who is the target population? | The lessons from the study should be applied to the healthcare system in the NHS. Included studies should therefore reflect this. |
| What are the outcomes of interest? | What are the approaches being used to achieve optimisation of ePrescribing systems, and in relation to these approaches what are the: Resource implications (ie, time/money, and so on). Likely impacts (both positive and negative). Acceptability.
Identify benchmark national and international hospitals and develop a detailed appreciation of the approaches they have pursued. Identify relevant lessons in relation to systems optimisation for widespread adoption across the NHS at scale.
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| What is the purpose of the work? | The purpose of the study is to develop policy-relevant insights into how best to achieve ePrescribing systems optimisation in the NHS. |
| What is the envisioned outcome? | A description of the range of approaches used for optimisation. A description of the types of ePrescribing systems that have been deployed in the trade-offs between costs and benefits. A road map of relatively easy ‘quick-win’ optimisation strategies versus optimisation strategies that are more resource intensive and difficult to achieve. A map of countries and health systems showing where the evidence in this field is originating. Develop a list of the key investigators/opinion leaders in this field. A short summary of included literature, to be disseminated as an available resource through the ePrescribing Toolkit, http://www.eprescribingtoolkit.com/21
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