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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017150-lapane-final-report-2010.pdf
January 01, 2010 - visits result in prescription of at least one medication.15 Over 1.3
billion new medications were prescribed … Elderly persons consume
31% of all medications prescribed.
6
Methods
Study Design
Our … The CMEs were reviewed and
deemed acceptable for up to 6 Prescribed credit(s) by the American Academy … The physicians reported that they did
not want to keep getting alerts claiming that they had prescribed … Seventy-five percent indicated that their primary doctor knew about all
other medications prescribed
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digital.ahrq.gov/ahrq-funded-projects/impact-office-based-e-prescribing-prescribing-processes-and-outcomes
January 01, 2023 - Impact of Office-Based E-Prescribing on Prescribing Processes and Outcomes
Project Final Report ( PDF , 77.22 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represen…
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017157-carrow-final-report-2012.pdf
January 01, 2012 - Aim 2 Reconciliation of Prescribed to Dispensed EPCSs
Data Sources/Collection. … As noted under Aim 2, the ability to reconcile prescribed
EPCSs with those that have been dispensed is … Aim 2 Reconciliation of Prescribed to Dispensed EPCSs.
Principal Findings
1. … The ability to provide prescribed to dispensed reconciliation information will be beneficial to
both … Uniformly adopted reporting standards for prescribed and dispensed EPCSs will improve the
interstate
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digital.ahrq.gov/ahrq-funded-projects/electronic-communications-across-provider-settings
January 01, 2023 - concluded that patient information documented in one electronic medical record (EMR) (e.g., new medication prescribed
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digital.ahrq.gov/sites/default/files/docs/page/prescribing-patterns-of-cost-effective-drugs-quick-reference-guide.pdf
April 01, 2009 - Although brand
medications are commonly prescribed, published
evidencebased guidelines often support
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017163-baker-final-report-2011.pdf
January 01, 2011 - 1202) Coronary heart disease
diagnosis
Antiplatelet drug on active medication list Anticoagulant prescribed … § Prescribed atorvastatin 80 mg, rosuvastatin 40 mg, or simvastatin 80 mg tablet
¶ Prescribed a … refusals) or medical reasons that were exceptions for individual reminders
(e.g., antiplatelet drug not prescribed … completion of screening mammography and
a 1.6 percent decline in patients with heart failure who were prescribed … § Prescribed atorvastatin 80 mg, rosuvastatin 40 mg, or simvastatin 80 mg tablet
UPlanning and Implementation
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digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/In-officePrescribing-PaperSystem.pdf
January 01, 2010 - Visio-Paper prescribing flowchart
In-office Prescribing – Paper system
P
ro
vi
de
r
A
dm
in
is
tra
tiv
e
S
ta
ff
P
ha
rm
ac
y
P
at
ie
nt
Patient sees
provider
Evaluate patient
Staff retrieves
patient’s chart and
brings to provider
Patient need
prescription
and/or refill?
Patient leaves …
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digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/In-officePrescribing-ElectronicSystem.pdf
January 01, 2010 - In-office prescribing-electronic system
In-office Prescribing – Electronic system
P
ro
vi
de
r
P
ha
rm
ac
y
P
at
ie
nt
Patient sees
provider
Log-in to EMR
system Evaluate patient
Patient need
prescription and/
or refill?
Patient leaves
No
Order prescription
and/or refill
electronically
Pharmacy …
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digital.ahrq.gov/sites/default/files/docs/cds-medication-management-slides-012814.pdf
January 28, 2014 - 4.8) 4.5 (3.4)
Number of medications
prescribeda,b 3.4 (1.5) 3.2 (1.5)
Number of medications prescribed … OM Quality Metrics
• All OM:
► Pain assessed (pain score recorded)
► Pain treated (analgesic prescribed … or recommended)
• AOM:
► Adequate diagnostic evaluation
► Amoxicillin prescribed as first-line therapy … ► Appropriate antibiotics prescribed for penicillin-allergic patients
► High-dose amoxicillin prescribed
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digital.ahrq.gov/ahrq-funded-projects/evaluation-and-integration-automatic-fall-prediction-system/annual-summary/2011
January 01, 2011 - stronger predictor of fall risk than two other well-known risk factors - history of falls and use of prescribed … and recording the number of psychoactive and non-psychoactive medications that each participant was prescribed
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digital.ahrq.gov/ahrq-funded-projects/evaluation-and-integration-automatic-fall-prediction-system/annual-summary/2012
January 01, 2012 - stronger predictor of fall risk than two other well-known risk factors—history of falls and use of prescribed … and recording the number of psychoactive and non-psychoactive medications that each participant was prescribed
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017196-jack-final-report-2011.pdf
January 01, 2011 - First, the patient had his or her prescribed medicine at home, was taking the medicine, but
was not … Patient 2 had a similar situation, with a medication prescribed for twice per day, but the
patient was … The particular medication was for diabetes, and prescribed
according to the patient’s blood sugar levels … In the last example of non-adherence, the patient did not have the prescribed medication, and
thus was … during hospitalization and that she had not refilled a
previously prescribed medication for over a
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digital.ahrq.gov/ahrq-funded-projects/predictive-modeling-social-needs-emergency-department-settings
January 01, 2024 - Unmet social needs--including housing, food, utilities, access to care, ability to obtain prescribed … patient health
Unmet social needs—including housing, food, utilities, access to care, ability to obtain prescribed
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digital.ahrq.gov/sites/default/files/docs/citation/r18hs026877-vandenberg-final-report-2022.pdf
January 01, 2022 - PIMs to all prescriptions in the ED to show what happened to
monthly PIM prescription proportions prescribed … Poisson regression was used to
compare the percentage of PIMs prescribed in the 12 months before the … PIM prescribing over time: The proportions of PIMs/medications prescribed are shown in Table 2. … The two spread sites where non-steroidal anti-inflammatory drug PIMs
(prescribed for greater than 29 … days) were among the five most prescribed PIM classes (29.1% of PIMs for
spread site 1 and 30.9% for
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digital.ahrq.gov/sites/default/files/docs/publication/r01hs015175-weissman-final-report-2007.pdf
January 01, 2007 - and furthermore allows the prescriber to build in
prescriber-specific macros for the most commonly prescribed … Accordingly, we regarded this rate as
an approximation of the proportion of medications that were e-prescribed … The e-prescribing system includes warnings based on the medications
previously prescribed by the system … We had planned to also evaluate dosing range errors for e-prescribed medications. … We found that physicians who used the e-prescribing system prescribed a higher
proportion of Tier 1
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digital.ahrq.gov/sites/default/files/docs/medication-management-elderly-slides-081811.pdf
August 18, 2011 - .
• Primary care physician was not aware that
a new medication (the antibiotic) had been
prescribed … result
in prescribing at least one medication
• 40%-75% of older adults do not take their medication
as prescribed … adverse medication effects
and costs
Room for Improvement…
– 26% did not mention name of medicine prescribed … Participants made varying yet concerted decisions about taking their
medications differently than prescribed … Drug-drug interactions:
– interaction alerts were beneficial to patient safety
– Highly regarded for drugs prescribed
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digital.ahrq.gov/ahrq-funded-projects/effective-use-e-prescribing-physician-practices-and-pharmacies/citation-0
January 01, 2023 - Physician practices, e-prescribing and accessing information to improve prescribing decisions
Citation
Grossman JM, Boukus ER, Cross DA, et al. Physician practices, e-prescribing and accessing information to improve prescribing decisions. Res Briefs 2011 May;(20):1-10.
Link
https://www.ncbi.nl…
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digital.ahrq.gov/ahrq-funded-projects/enhancing-medication-cpoe-safety-and-quality-indications-based-prescribing/citation/comparison
January 01, 2023 - Comparison of a prototype for indications-based prescribing with 2 commercial prescribing systems.
Citation
Garabedian PM, Wright A, Newbury I, Volk LA, Salazar A, Amato MG, Nathan AW, Forsythe KJ, Galanter WL, Kron K, Myers S, Abraham J, McCord SK, Eguale T, Bates DW, Schiff GD. Comparison of a prot…
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digital.ahrq.gov/2018-year-review/executive-summary
January 01, 2018 - Kalenderian
Actively tracking patient-reported symptoms may decrease the number of patients who are prescribed … opioids after surgery upon discharge, as well as the strength of the opioid and length of time they are prescribed
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs018183-weiner-final-report-2013.pdf
January 01, 2013 - are reviewed, to determine which
medications are currently active, and which medications should be prescribed … Measures
This project required matching pre-admission medications with those prescribed at hospital … level of training, gender
• On admission and discharge: number and fraction of outpatient medications prescribed … undergoing any MR.
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• Number and fraction of cases where any outpatient medications were not prescribed