An assessment of pharmacists' readiness for paperless labeling: a national survey

OBJECTIVE To assess the state of readiness for the adoption of paperless labeling among a nationally representative sample of pharmacies, including chain pharmacies, independent retail pharmacies, hospitals, and other rural or urban dispensing sites. METHODS Both quantitative and qualitative analyses were used to analyze responses to a cross-sectional survey disseminated to American Pharmacists Association pharmacists nationwide. The survey assessed factors related to pharmacists' attitudinal readiness (ie, perceptions of impact) and pharmacies' structural readiness (eg, availability of electronic resources, internet access) for the paperless labeling initiative. RESULTS We received a total of 436 survey responses (6% response rate) from pharmacists representing 44 US states and territories. Across the spectrum of settings we studied, pharmacists had work access to computers, printers, fax machines and access to the internet or intranet. Approximately 79% of respondents believed that the initiative would improve the adequacy of drug information available in their work site and 95% believed it would either not change (33%) or would improve (62%) communication to patients. Overall, respondents' comments supported advancing the initiative; however, some comments revealed reservations regarding corporate or pharmacy buy-in, success of implementation, and ease of adoption. CONCLUSIONS This is the first nationwide study to report about pharmacists' perspectives on paperless labeling. In general, pharmacists believe they are ready and that their pharmacies are well equipped for the transition to paperless labeling. Further exploration of perspectives from product label manufacturers and corporate pharmacy offices is needed to understand fully what will be necessary to complete this transition.

[1]  S. Kripalani,et al.  Predictors of medication self-management skill in a low-literacy population , 2006, Journal of General Internal Medicine.

[2]  A. Thompson,et al.  Implementation of a standardized process for ordering and dispensing of high-alert emergency medication infusions. , 2012, The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG.

[3]  Vicki L Burt,et al.  Prescription drug use continues to increase: U.S. prescription drug data for 2007-2008. , 2010, NCHS data brief.

[4]  J. Kotter Leading change: why transformation efforts fail , 2009, IEEE Engineering Management Review.

[5]  J. deLeon Highlights of drug package inserts and the website DailyMed: the need for further improvement in package inserts to help busy prescribers. , 2011 .

[6]  J. Gardella,et al.  Improving medication safety with accurate preadmission medication lists and postdischarge education. , 2012, Joint Commission journal on quality and patient safety.

[7]  S R Moore,et al.  The history of patient package inserts in the United States. , 1981, Canadian pharmaceutical journal.

[8]  M. Vélez-Díaz-Pallarés,et al.  Using Healthcare Failure Mode and Effect Analysis to reduce medication errors in the process of drug prescription, validation and dispensing in hospitalised patients , 2012, BMJ quality & safety.

[9]  J. Leon,et al.  Highlights of Drug Package Inserts and the Website DailyMed: The Need for Further Improvement in Package Inserts to Help Busy Prescribers , 2011 .

[10]  Christoph U. Lehmann,et al.  Medication errors in neonates. , 2008, Clinics in perinatology.

[11]  M. Wolf,et al.  Low literacy impairs comprehension of prescription drug warning labels , 2006, Journal of General Internal Medicine.

[12]  B. Markoff,et al.  Improving transitions of care from hospital to home: what works? , 2012, The Mount Sinai journal of medicine, New York.

[13]  Kathleen N. Lohr,et al.  Interventions to improve health outcomes for patients with low literacy , 2005, Journal of General Internal Medicine.

[14]  Stacey L. Sheridan,et al.  Low Health Literacy and Health Outcomes: An Updated Systematic Review , 2011, Annals of Internal Medicine.

[15]  P. Aspden,et al.  Preventing Medication Errors , 2007 .