Intended for healthcare professionals

Rapid response to:

Primary Care

Prescribing safety features of general practice computer systems: evaluation using simulated test cases

BMJ 2004; 328 doi: https://doi.org/10.1136/bmj.328.7449.1171 (Published 13 May 2004) Cite this as: BMJ 2004;328:1171

Rapid Response:

false security

Once you have a GP computer system ( RFA99-accredited or not ) the
fact that a type-written Prescription is issued ( on twice as much paper
as necessary - Brazilian Foresters beware ) beguiles the doctor into
believing that it must have been fully checked and correct when it was
entered. What fools we would be to believe it !! Though Allergies are
usually checked for, they can be by-passed, sometimes by simply 'typing
ahead' in a hurry ! Drug interactions are often so numerous and
commonplace as to cause many users to restrict or ignore those prompts.

The fact is that the prescription printouts must be checked by the
signing doctor as if he had just written it himself (for that is indeed
the way the law views it)..

I believe there remain two good reasons to use an RFA99 GP Computer
System as a Prescribing tool :-

1: to avoid the tedium of writing repeat prescriptions every month,
and

2: to ensure a legible script !

But to expect these computers to be a decision-aid or substitute-
intelligence ? No way !

Competing interests:
Pen and Pad

Competing interests: No competing interests

19 May 2004
L S Lewis
GP
Surgery, Newport, Pembs, SA42 0TJ