A few years ago I did a very thorough analysis of every dose-based electronic prescribing system suitable for secondary care available in the UK market (and several which were not officially). They fell into three categories:
- Home-grown systems which were fit for purpose but not operable or available outside the organisation for which they were designed. The Birmingham (UK) University Hospitals system [1] is a great example of these.
- "Enterprise" (pejorative) systems which generally came from the US and focused almost entirely on billing capture, and had almost no thought put into clinicians workflow. This encompassed Epic, Cerner Millenium and so forth.
- "New" systems which were UX first, but were often little more than front-end mockups. A good example was "Alert", a Portuguese system written in Flash which had almost nothing in the way of basic medicine management safeguards, and the team demonstrated zero aptitude for the ability to build them.
In the end the hospital in question used paper-based prescribing.
[1]: https://www.digitalhealth.net/2017/05/birmingham-childrens-g... is a reasonable story about this.
[2]: http://org-portal.alert-online.com/products-services