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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/determinants-physician-use
September 01, 2005 - Determinants of physician use of an ambulatory prescription expert system
Authors: Schectman … whether MD experience with and attitude towards computers is associated with adoption of ambulatory prescription … Intervention: Installation of an electronic prescription writing system Evaluation Method: Attitude … Description: Commercially available prescription expert system called Practice Partner version 7.5 enabled … Some felt their patients preferred hand-written prescriptions.
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/impact-evidence-based
Impact of an evidence-based computerized decision support system on primary care prescription costs … Intervention: Compared new prescription costs for providers using an electronic prescribing system with … control clinicians matched by pharmacy billed amount, number of patients treated, and number of new prescriptions … group, and the mean cost for new and refilled prescriptions was $4.99 lower (p=.01). … Six month savings for new prescriptions and their refills was estimated as $3,450 per clinician.
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digital.ahrq.gov/sites/default/files/docs/page/08-1094.pdf
January 02, 2025 - The first exemption provided for
entities transmitting prescriptions or
prescription-related information … However,
prescriptions paid for in cash that are
not adjudicated through insurance
claims systems, … Commenters stated that if all
facsimiles of prescriptions and
prescription-related information were … Therefore, we applied a
more conservative 7 percent increase in
generic prescriptions. … (2) Prescription.
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digital.ahrq.gov/location/usa-wi-marshfield
January 01, 2023 - USA, WI, Marshfield
Planning for a Rural Prescription Medication Network … Description
Developed a shared electronic repository for patient-level prescription medication … for patients receiving health care services and plans a model system designed to electronically link prescription
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digital.ahrq.gov/organization/st-josephs-hospital
January 01, 2023 - Joseph's Hospital
Planning for a Rural Prescription Medication Network … Description
Developed a shared electronic repository for patient-level prescription medication … for patients receiving health care services and plans a model system designed to electronically link prescription
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digital.ahrq.gov/principal-investigator/gribble-robert
January 01, 2023 - Gribble, Robert
Planning for a Rural Prescription Medication Network … Description
Developed a shared electronic repository for patient-level prescription medication … for patients receiving health care services and plans a model system designed to electronically link prescription
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs026584-pitts-final-report-2022.pdf
January 01, 2022 - Optimal implementation of CancelRx would facilitate identification of all prescriptions
that … prescriptions in the pharmacy system. … and
generation of a new prescription for both pharmacy types. … contribute to multiple active prescriptions at the pharmacy. … With duplicate prescriptions in the pharmacy, multiple prescriptions may need to be
deactivated to ensure
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digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/In-officePrescribing-ElectronicSystem.pdf
January 01, 2010 - ac
y
P
at
ie
nt
Patient sees
provider
Log-in to EMR
system Evaluate patient
Patient need
prescription … Patient leaves
No
Order prescription
and/or refill
electronically
Pharmacy
receives
electronic … prescription
and/or refill
order
Go to pharmacy to
pick up
prescription and/or
refill
Fill … prescription
and/or refill
tthuemling
Text Box
Carayon P, Karsh B-T, Cartmill RS, et al.
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digital.ahrq.gov/sites/default/files/docs/QA_06232009.pdf
June 23, 2009 - Finally, prescriptions are sometimes contingent on other factors; for example, to be filled only if the … Rupp): Clearly, the improved legibility of e-prescriptions alone is a huge advance in inherent safety … when compared to hand-written prescriptions. … How are pharmacy systems ensuring a
correct patient match with incoming prescriptions? … Just as with legend prescriptions, some
controlled-drug prescriptions will still be delivered on paper
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digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/In-officePrescribing-PaperSystem.pdf
January 01, 2010 - provider
Evaluate patient
Staff retrieves
patient’s chart and
brings to provider
Patient need
prescription … Patient leaves
No
Receive
prescription and/or
renewal
Write out
prescription and/or
refill … Provider passes
patient chart to
staff
Patient chart filed
Take prescription
and/or refill … to
pharmacy
Fill prescription
and/or refill
Yes
tthuemling
Text Box
Carayon P, Karsh B-T, Cartmill
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digital.ahrq.gov/sites/default/files/docs/medicaid/NY_CaseStudy.pdf
July 01, 2010 - , which includes the decrease in
medication errors and costs of printing official New York paper prescriptions … The total cost savings were estimated based on the total
volume of prescriptions dispensed. … Pharmacies and prescribing clinicians also receive an additional incentive for refill prescriptions. … , but faxed prescriptions
do not qualify for incentive payments. … how a prescription was
transmitted.2 In order to receive the incentive payment, the prescription origin
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digital.ahrq.gov/sites/default/files/docs/page/NY_CaseStudy_0.pdf
July 01, 2010 - , which includes the decrease in
medication errors and costs of printing official New York paper prescriptions … The total cost savings were estimated based on the total
volume of prescriptions dispensed. … Pharmacies and prescribing clinicians also receive an additional incentive for refill prescriptions. … , but faxed prescriptions
do not qualify for incentive payments. … how a prescription was
transmitted.2 In order to receive the incentive payment, the prescription origin
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digital.ahrq.gov/sites/default/files/docs/publication/r01hs015413-samore-final-report-2008.pdf
January 01, 2008 - The mean response to a corresponding statement about
new prescriptions was 4.25. … Electronic prescription refills typically began with an “Rx Summary” page-view and new
electronic prescriptions … of
“new” prescriptions were “clinical-staff involved”. … The overall duration of clinical
staff-involved prescriptions was longer than for provider-only prescriptions … 2) prescription of an unfamiliar drug; 3) prescription at higher dose; 4)
prescription for a controlled
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digital.ahrq.gov/medication-adherence
January 01, 2023 - Days covered and fill adherence
Several projects link electronic prescription information to prescription … The denominator is the duration from the start period to the completion of the last prescription, and … the numerator is the days supplied over that period from first to last prescription [2]. … adherence using electronic data sources is via linking electronic prescription information from the … Using Surescripts medication history data can also be challenging, as patients may not always pick up prescriptions
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digital.ahrq.gov/sites/default/files/docs/page/tool-5.1-erx-net-benefit-calculator.xls
September 29, 2011 - and send refill requests electronically, alongside the traditional types of prescriptions (i.e. fax-in … pharmacy system vendor for handling e-prescriptions. … below
New prescription by fax 13
New prescription by phone 3
New prescription by walk in 23
New … by fax 14 72 90 10%
New prescription by phone 68 81 120 10%
New prescription by walk in 34 73 120 … New prescription by fax 1
New prescription by phone 2 (3)
New prescription by walk in 3
New prescription
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digital.ahrq.gov/principal-investigator/pitts-samantha
July 24, 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 … Clinical Workflows, Medication Safety Risks, and Patient Outcomes
Pharmacy e-prescription … Pharmacy e-prescription dispensing before and after CancelRx implementation.
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/workflow
January 01, 2023 - the patient, the provider's thought process, the physical action by the provider of writing a paper prescription … or entering an electronic prescription into an electronic health record and transmitting the order electronically … or having the patient take the prescription to the pharmacy to have the prescription filled.
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digital.ahrq.gov/ahrq-funded-projects/understanding-cancelrx-impact-clinical-workflows-medication-safety-risks-and
January 01, 2023 - Research Story
The implementation of the CancelRx standard reduces the numbers of prescriptions … Thus, a gap remains when prescriptions are printed, when prescriptions are reconciled from outside sources … The use of CancelRx resulted in a statistically significant reduction in the number of prescriptions … Pharmacy e-prescription dispensing before and after CancelRx implementation. … a provider discontinues a patient’s prescription.
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/experience/johnson-k-et-al-2006
January 01, 2006 - To facilitate the future implementation of an electronic prescribing system, this case study modeled prescription … managers, physicians and nurses, and then represented the sequence of steps carried out to complete prescriptions … Objective
"To facilitate the future implementation of an electronic prescribing system [by modeling] prescription … prescribing (e-Rx)
Workflow-Related Findings
Two distinct workflows were found, one for prescription … Workflows also varied for new prescriptions and renewals.
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digital.ahrq.gov/sites/default/files/docs/E-Prescribing%20and%20Medication%20Management%20(1).pdf
March 31, 2009 - ”
–
Mandates Part D plans accept e-prescriptions via standards
•
Medicare Improvements for Patients … prescriptions between the prescriber’s
office and the patient’s choice of
pharmacy. … Definition of E-Prescribing
Prescription Benefit
Prescription History
Prescription
Routing … Prescription Routing: Electronic delivery of prescriptions between prescribers and
pharmacies and refill … •
This information allows health care
professionals to safely renew prescriptions
for evacuees