The use of Electronic Prescribing Systems (EPS) has significant potential role in improving patient safety and reducing adverse drug events. However, the introduction of these systems can have negative outcome on delivery of care if healthcare providers are not utilizing regularly and accept it. This study aims to explore paediatrician’s attitude towards electronic prescribing systems as well as understand the possible factors affecting user acceptance at tertiary care using the Technology Acceptance Model (TAM). A qualitative research methodology was applied. Semi-structured interviews were developed according to TAM model and used as primary source of collecting empirical data. Seven research participants were interviewed. The findings of this study had identified factors that are important for paediatrician’s acceptance of EPS systems. Although paediatricians are positive to the usefulness of EPS, it appears that there are some acceptance problems due to ease of use concerns and usability issues of the system. The acceptance of EPS can be improved by leveraging ease of use as well as enhancing training.

Substantial research has been done on inpatient provider order entry systems with varying degrees of clinical decision support. Such studies have examined how these technologies impact patient safety as well as the quality and cost of care. However, given that most medical care and prescriptions are administered in an ambulatory setting, the dearth of research on ACPOE systems is quite astonishing. This knowledge gap demonstrates the need for an integrative and systematic literature review that attempts to assess the research done on computerized patient safety interventions in ambulatory care. This review’s findings provided adequate evidence that ACPOE systems are effective interventions for reducing medication errors. Other evidence further indicated that, in terms of functional capabilities, commercial ACPOE and e-prescribing systems may be catching up with their homegrown counterparts. PDA-based CDSSs were depicted as useful tools for raising adherence to guidelines and inducing safer prescribing. These findings suggest that ACPOE And PDA-based CDS systems show promise for improving safety and healthcare quality in ambulatory settings. ACPOE specifically, tended to have more advanced CDS attributes but, nonetheless, showed more negative results compared to the e-prescribing systems. Close scrutiny should therefore be given to the elements of decision support that ambulatory physicians find most useful.

There are 353 NHS hospitals in the United Kingdom, and within these hospitals there is wide variation in the electronic prescribing systems applied. Indeed, only one hospital uses a single system in all of its clinical areas. Medication error is the biggest issue in the health care profession in respect to patient safety—