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digital.ahrq.gov/sites/default/files/docs/page/Strom.ppt
May 28, 2005 - Estimate costs associated with hospitalizations due to errors
CCEB
DESIGN
Prospective cohort
3 Drug … drugs, frequently implicated in ADEs leading to hospitalization
Narrow therapeutic windows lead to drug … level monitoring
CCEB
Medication Grouping
Enrolled in Study (surveyed) N= 5569
DRUG COUNT %
Chronic … CCEB
PROJECT THREE
Schematic Protocol
T0
T24
T48
Minimum AG drug exposure
Risk Period
Continues … support systems
5) less subject to errors caused by use of apothecary measures
6) easily linked to drug-drug
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015319-sullivan-final-report-2007.pdf
January 01, 2007 - We posited that few
errors would result in adverse drug events. … allergies or drug-drug interactions (the
latter two occurred with a frequency < 1% are therefore not … categorized as a non-clinical error (illegibility) and two categorized as clinical errors (allergy and
drug-drug … than did errors involving allergies or drug-drug
interactions. … hospital, Wess found that dose, route, and frequency clarifications
were far more common than were drug-drug
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digital.ahrq.gov/ahrq-funded-projects/impact-office-based-e-prescribing-prescribing-processes-and-outcomes/citation-1
January 01, 2023 - Prior authorization for biologic disease-modifying antirheumatic drugs: a description of US Medicaid programs.
Citation
Fischer MA, Polinski JM, Servi AD, et al. Prior authorization for biologic disease-modifying antirheumatic drugs: a description of US Medicaid programs. Arthritis Rheum 2008 Nov 15;5…
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs021544-zhou-final-report-2014.pdf
January 01, 2014 - intent is to avoid errors, such as omission,
duplication, incorrect doses or timing, and adverse drug-drug … , drug-allergy, or drug-disease
interactions. … NotesLink also displays “Drug allergies found in Notes”.
Figure 5. … Drug-related morbidity and mortality: updating the cost-of-illness
model. … AHFS Drug Information. Bethesda,
MD: American Society of Health-System Pharmacists, 2006.
-
digital.ahrq.gov/sites/default/files/docs/page/10-0010-EF.pdf
November 01, 2009 - Analyzing variations in medication compliance related to
individual drug, drug class, and prescribing … upon the drug knowledgebase vendor. … When looking at prescribing
information from different systems, different codes or mapping for drug … • Lack of broad/generalized surveys (mostly disease/drug specific). … The new
technology graphs estimates of
adherence, the prescribed drug
dose, and the value of the
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digital.ahrq.gov/sites/default/files/docs/lesson/10-0010-ef-medication-adherence.pdf
November 01, 2009 - Analyzing variations in medication compliance related to
individual drug, drug class, and prescribing … upon the drug knowledgebase vendor. … When looking at prescribing
information from different systems, different codes or mapping for drug … • Lack of broad/generalized surveys (mostly disease/drug specific). … The new
technology graphs estimates of
adherence, the prescribed drug
dose, and the value of the
-
digital.ahrq.gov/sites/default/files/docs/page/CORLEY_AHRQ_CDSC_5-29.pdf
April 20, 2013 - manually deployed to
allow the xref
Mapping Challenges
• Allergies in NextGen are coded at the
drug … allergies, only drugs
Available FDB Mappings
FDB Code RxNorm Concept
GCN_SEQNO Semantic Clinical Drug … (SCD)
GCN_SEQNO Semantic Branded Drug (SBD)
HIC_SEQN Ingredient (IN)
NDC SCD
NDC SBD
NDC Generic
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015135-arora-final-report-2008.pdf
January 01, 2008 - Hepatitis C infection is strongly associated with intravenous drug use and patients must be
drug and … alcohol free in order to pursue drug therapy treatment options. … New Mexico has an
estimated 15,000 to 24,000 current drug injectors. … IV drug users, with approximately 45-70% becoming infected within the first 6
months. … Among experienced IV drug users, the virus is widespread (more than 80%) in some
areas.
-
digital.ahrq.gov/ahrq-funded-projects/enabling-electronic-prescribing-and-enhanced-management-controlled-medications/annual-summary/2012
January 01, 2012 - Drug Enforcement Administration (DEA) as it implements the Interim Final Rule (75 FR 16236) (IFR) governing … Grant Carrow and the Massachusetts Department of Public Health (MDPH) Drug Control Program, partnered … some of the problems associated with written prescriptions for controlled substances (e.g., incorrect drug
-
digital.ahrq.gov/sites/default/files/docs/Nov2_eRxWebConference%20(3).pdf
November 02, 2007 - • Patient Medication History: Provides real-time PBM drug
history for all patient coverages and … Data can be used to indicate patient
compliance, therapeutic interventions, drug-drug and drug-
allergy … interactions, adverse drug reactions, and duplicate
therapy. … 17
• In general, physicians want basic med history lists (drug
prescribed) with ability to drill … decrease in medication errors, with many
respondents indicating they overrode drug-drug interactions
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digital.ahrq.gov/sites/default/files/docs/activity/computer_assisted_medication_and_patient_information_interface__campii__2010_pdf__2.pdf
January 01, 2010 - patients can use
in a municipal hospital diabetes clinic to report medication information and adverse drug … support medication management functions, including correcting incoming
medication data, entry of new drug … municipal hospital diabetes clinic that
patients can use to report medication information and adverse drug … provider medication interface to enable
provider correction of incoming medication data, entry of new drug
-
digital.ahrq.gov/sites/default/files/docs/eRx_MMA_Pilot_Slides_A%20(3).pdf
April 01, 2008 - Exchange of Medication History
– Fill Status Notification
– Structured patient instructions
– Clinical Drug … been checked for eligibility and
18
� Prescriptions that have been checked for eligibility and
drug … safest prescription possible
� Paid lower fees out-of-pocket because the prescription
utilizes your drug … (Institute of Medicine)
� According to a recent study more than 8.8 million
Adverse Drug Events (ADEs … MMA Requires that…
� All health plans and pharmacies participating in the new
Medicare prescription drug
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digital.ahrq.gov/sites/default/files/docs/page/rise-above-the-soise-making-news-media-and-policymakers-care-about-your-research.pdf
June 04, 2010 - “Right away, we got an alert for a drug-drug interaction,” Dr.
Choucair says. … “The drug that the psychiatrist was giving
him was interacting with a drug that his cardiologist was
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/murray-md-et-al-1998
January 01, 1998 - practice by removing some of the practical ambiguities physicians have in writing prescriptions (which drug … , dosage, how supplied, and costs) and by reminding physicians how to effectively monitor patients' drug … therapy and avoid important drug interactions. … Physicians also have no way of telling when a drug or dosage has been depleted from the pharmacy inventory
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digital.ahrq.gov/sites/default/files/docs/page/implementing_e_prescribing_in_the_medicaid_schip_programs__experiences_and_lessons_learned_5.pdf
April 01, 2009 - Benefits of E-Prescribing
■ Actively promotes appropriate drug usage
■ Reduces medication errors … ■ Provides information about formulary-based
drug coverage, including formulary alternatives
and copay … ■ Allergy alerts
■ Preferred drug list
■ Benefit limitations
■ Pharmacy copays
■ Pre-authorization … requirements
■ Encouragement of generics
■ Clinical decision support
■ Patient history
■ Drug to … drug interaction alerts
■ Therapeutic duplication alerts
■ Dosage alerts
■ Tracking drug over- and
-
digital.ahrq.gov/sites/default/files/docs/epc-hit-qas-072011.pdf
December 01, 2010 - Our physicians are concerned with alert fatigue based on their experience with
drug-drug interaction … and drug-allergy alerts. … Did you review any studies pertaining to
drug-interaction alerts and any outcomes related to these alerts
-
digital.ahrq.gov/sites/default/files/docs/publication/r18hs017045-lazarus-final-report-2011.pdf
January 01, 2011 - Department of Health and Human Services of a particular drug, device, test, treatment, or
other clinical … Although 25% of
ambulatory patients experience an adverse drug event, less than 0.3% of all adverse … drug events
and 1-13% of serious events are reported to the Food and Drug Administration (FDA). … New
surveillance methods for drug and vaccine adverse effects are needed.
-
digital.ahrq.gov/ahrq-funded-projects/past-initiatives/transforming-healthcare-quality-through-health-it/east-clevelands-huron
August 31, 2007 - For that reason, CPOE software needs to be calibrated so that alerts for drug interactions only "fire … For example, the computer might prompt the ordering physician to use a more appropriate dose of a drug … Or the computer might remind the physician that the patient is allergic to a drug that's just been ordered … During the first half of 2006, 36 percent of drug orders were cancelled or modified after the system
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digital.ahrq.gov/sites/default/files/docs/page/7-11-08%20glides-presentation%201.pdf
November 01, 2009 - • Perform Procedure • Advocate
Example: Application of Action-Types
• Action-type: Prescribe
– Drug … information
– Safety alerts (allergy, drug-drug, drug-
disease, drug-lab)
– Formulary check
– Dosage
-
digital.ahrq.gov/ahrq-funded-projects/health-information-technology-and-improving-medication-use/annual-summary/2012
January 01, 2012 - The goal of this project was to increase surveillance evidence for recently-released Food and Drug Administration-approved … reconciliation module in ambulatory EHRs to reduce postdischarge medication discrepancies and adverse drug … decision rules in the areas of preventive care reminders and medication decision-support rules related to drug-drug