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digital.ahrq.gov/sites/default/files/docs/page/2006LeonhardtPagel_052411comp.pdf
June 01, 2006 - RN
Aurora Health Care
June 2006
Medication Safety
• 90% of Americans > 65 years of age take
prescription … • Only about half of patients who leave a physician's office
with a prescription take the drug as … The medication history is OUTDATED by the
time the patient leaves the doctor’s office, due
to new prescriptions … and/or prescriptions from
other providers.”
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digital.ahrq.gov/hl7
January 01, 2023 - [HL7 Press Release ( PDF , 34 KB)]
In December 2005, HL7 and the National Council for Prescription … groups completed a mapping guidance document to help implementers create e-prescribing messages "for new prescriptions … , changes to prescriptions, refills (renewals), cancellation of a prescription, compliance notification
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digital.ahrq.gov/location/usa-il-mattoon
January 01, 2023 - patient records across various community health care providers and incorporates electronic tools for prescription
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digital.ahrq.gov/ahrq-funded-projects/enhancing-fulfillment-data-community-practices-clinical-care-and-research/annual-summary/2012
January 01, 2012 - AHRQ Funding Amount
$190,455
Summary: In ambulatory care, there are two major forms of prescription … This study strives to extend what occurs at the pharmacy level to include additional information on prescriptions … finding significant inconsistencies with fulfillment records and seeing a much greater rate of new prescriptions
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/simon-sr-et-al-2007
January 01, 2007 - considerably fewer reported being able to order laboratory tests electronically (46.8%) or transmit prescriptions … than half of the physicians who had systems with clinical decision support, transmittal of electronic prescriptions … Electronic health records (EHR)
Type of Health IT Functions
Functions studied included electronic prescription
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/hoch-i-et-al-2003
January 01, 2003 - [Link]
Abstract
"More than 20% of approximately 35,000 patients filling a diuretic prescription … complete historical records of patient demographic data, physician data, laboratory results, and filled prescriptions … The inclusion criteria was that they had to have written at least 20 diuretic prescriptions over a 5
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017150-lapane-final-report-2010.pdf
January 01, 2010 - event (ADE).
10
In a study involving 107 clinicians in ambulatory care settings, the rate of new prescriptions … medications were prescribed during out-patient office visits with an estimated
average number of 2.4 prescriptions … 2003 (MMA),19
stipulations included in Section 1860D-4(e) of the Social Security Act require that prescriptions … Prescription drugs: a
vital component of health care. … Efficacy of a clinical medication review on the
number of potentially inappropriate prescriptions
prescribed
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digital.ahrq.gov/principal-investigator/ancker-jessica
January 01, 2023 - Improving Healthcare Quality with User-Centric Patient Portals
First opioid prescription … First opioid prescription and subsequent high-risk opioid use: a national study of privately insured
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digital.ahrq.gov/sites/default/files/docs/page/the-impact-of-stand-alone-vs-ehr-integrated-e-prescribing-systems.pdf
June 02, 2010 - e-prescribing system most or all
of the time to
Integrated
system
Stand-alone
system
Write the prescription … 78% 58%*
Send the prescription to the
pharmacy 80% 71%*
Check formulary information 39% 26%*
Check … office receives
9
32%
51%
34%
47%
0%
25%
50%
75%
About formulary issues From patients about
prescription
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017029-kaushal-final-report-2011.pdf
January 01, 2011 - Methods: We conducted detailed prescription reviews over time to identify errors made by
providers … Prescriptions written by residents were
excluded. … We limited review to 3 prescriptions per patient
to minimize clustering of errors. … EHR), 1331
prescriptions at 3 months, 1303 prescriptions at 1 year, and 1885 prescriptions at 2 years … at baseline versus 3.7 errors per 100
prescriptions at 2 years, p<0.001).
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/lapane-kl-rosen-rk-dub%C3%A9
January 01, 2023 - The next closest method was computer generated fax and prescriptions in which approximately 25% rated … Clinicians appreciated the efficiency of the technology, including that it allowed them to write and send prescriptions … directly to the pharmacy while they were meeting with patients, and also that it allowed them to approve prescriptions
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digital.ahrq.gov/sites/default/files/docs/20070917%20Electronic%20Prescribing%20Standards.pdf
September 17, 2007 - The passage of the Medicare Prescription Drug Improvement and Modernization Act of 2003, which I’ll … Prescriptions fill status notification does adequately supports the activities of the pharmacy sending … the
unique identifier in RxNorm for new prescriptions and renewal prescriptions. … be a higher rate than the people who get a paper
prescription and then never fill it anyway. … feel sort of more obliged to fill their prescription.
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digital.ahrq.gov/sites/default/files/docs/activity/2011_016970_bates_pdf_3.pdf
January 01, 2011 - This project reviewed prescriptions from commercial
pharmacies to identify electronic prescription ( … The prescriptions were analyzed to
determine the frequency and character of errors, and develop recommendations … The team met with the commercial e-prescribing vendor to ensure that
the prescription data could be … The team obtained electronic
prescription downloads of the data from the e-prescribing vendor, and completed … prescription review and
data analysis.
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digital.ahrq.gov/organization/sarah-bush-lincoln-health-center
January 01, 2023 - patient records across various community health care providers and incorporates electronic tools for prescription
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digital.ahrq.gov/ahrq-funded-projects/building-implementation-toolset-e-prescribing/annual-summary/2010
January 01, 2010 - examined governance agreements, organizational characteristics, individual attitudes and motivations, prescription-related … Activities: Pilot testing of the toolsets began among prescribers and pharmacies that are adopting e-prescription
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digital.ahrq.gov/population/pharmacist
January 01, 2024 - Understanding the information needs of pharmacy staff using CancelRx: A qualitative study of the use of prescription … Understanding the information needs of pharmacy staff using CancelRx: A qualitative study of the use of prescription
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digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/MGMA_IT_Assessment_Part_II.pdf
June 01, 2003 - Self-assessment
Have your patients asked about e-mailing your
providers or using your practice’s Web site for
prescription … that transfer work out of your office setting
and free staff from routine interruptions, such as
prescription … Do you know how much time your office would recover
if you could obtain patients’ prescription refill … • Would your office workflow benefit from
automated prescription printing during the
chart preparation
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digital.ahrq.gov/sites/default/files/docs/activity/2011_017149_veline_pdf_3.pdf
January 01, 2011 - an e-prescribing
system with clinical decision support for medication management increases patient prescription … The project focused on two health information technology
(IT) systems: 1) DrFirst Rcopia electronic prescription … Medical claims data and the e-prescribing
patient-fill histories were used to determine whether patient prescription … There were a similar number of prescriptions in both the
stand-alone system and after compliance and
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/safran-c-et-al-1998
January 01, 1998 - entry in a computer system allows for more efficient updating of records, such as problem lists and prescription … "A popular feature of the [system] is the prescription reordering and printing, in which prescriptions … Examples include ordering medications, which no longer requires a hand-written prescription, the readily
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/cross-sectional-comparison
medication component Evaluation Method: Telephone survey of adult patients receiving at least one prescription … clinics and two EHR clinics Description: EHR had the following medication safety features: a) printable prescriptions