1. The Effects of Electronic Prescribing Implementation on Patient Safety, Customer Satisfaction, and Prescription Recapture CPT Nicole Robinson, Pharm D Department of Pharmacy, Blanchfield Army Community Hospital Ft Campbell Kentucky Co-Authors: MAJ Kristine Townsend, Pharm.D, Cindy Summers, Pharm.D, Debra Barbour, Pharm.D, Maria Padro, BS Pharmacy, SGT Indya Wilson OBJECTIVE METHODS BACKGROUND To determine whether the implementation of electronic prescribing improves:  MEDICATION ERRORS  PHARMACY WAIT TIMES  RECAPTURE OF PRESCRIPTIONS FROM THE RETAIL NETWORK Data will be analyzed to determine how ERX has mitigated processing time and medication errors.  Wait time data from monthly QFLOW reports is compared from before and after implementation of ERX.  The mean customer wait times for ERX and hardcopy prescriptions is calculated and compared.  Historical Patient Safety Reporting (PSR) data from actual hardcopy prescription errors is compared with errors occurring from the use of ERX.  All PSR errors are reviewed and investigated by a Medication Safety Pharmacist who determines the causal factors and classifies each error by type and origin.  Descriptive statistics is used to analyze ERX errors as a percentage of all prescription errors.  Analysis of catchment data will identify whether electronic prescribing has contributed to recapture from the retail network In 2015, an Army-wide initiative was started to bring Electronic prescribing (ERX) to all MTF pharmacies. ERX takes care of issues encountered with hardcopy prescriptions, such as legibility and legality, while reducing overall processing time at the pharmacy window and recapture of prescriptions from the retail network. RESULTS CONCLUSIONS Research is ongoing. Our goal is to see an overall decrease in wait times and medication errors, and an increase in prescription recapture from the retail network. Maintenance of APLSS scores at about 75% indicates an increased level of patient satisfaction which can be attributed to implementation of ERX. Error rates have not changed, but historically there is a low level of reporting errors to begin with, so there was not much of a change to be seen. ANALYSIS  ERX usage showed an upward trend with an 11% increase and hardcopy utilization showed a downward trend with a 6% decrease from November 2014-May 2015 (Figure 1).  The initial data shows a 28% decrease in combined average wait times from about 35 minutes in January 2015 to 25 minutes in May 2015 (Figure 2).  APLSS scores for Main and TC pharmacies have increased 10% from Dec 2014- March2015 (Figure 3).  Overall medication error rate remains mostly unchanged. Total error rate was between 0.01-0.03% from Nov 2014-Apr 2015 (Figure 4).  Catchment data is forthcoming but Nov 2014-Apr 2015 showed only fluctuations in retail spending, no downward trend was observed. (Figure 5) APLSS scores for Main and TCC OPP (Figure 3) Most medication errors with ERX were due to system issues with CHCS This data calculated using the percent of total prescription dollars spent in the retail network With increased advertising, we have seen an increase in the utilization of ERX