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digital.ahrq.gov/research-method/observational-study
January 01, 2024 - Prescription Drug Monitoring Program Integration in the Electronic Health Record – Final Report. … Principal Investigator
Hartung, Daniel
Project Name
Prescription Drug Monitoring Program … Name
Patient Choice of Telemedicine Encounters
Effect of integration of prescription … Effect of integration of prescription drug monitoring program data in the electronic health record on … Principal Investigator
Hartung, Daniel
Project Name
Prescription Drug Monitoring Program
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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/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/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/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/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/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/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/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/health-it-tools-and-resources/implementation-toolsets-e-prescribing/physician-offices
January 01, 2023 - pharmacies advance notice, they can make any necessary arrangements to have their system accept your e-prescriptions … colorful flyer for patients that announces your e-prescribing launch and gives tips for dealing with e-prescriptions … Tool 10.2 "Prescription Pad" Handout for Patients ( DOC , 17 KB)
This tool is a prescription-sized … handout that you can give to patients during the visit if they have received an electronic prescription … and how to find the prescription in their system if they're not familiar with e-prescribing.
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digital.ahrq.gov/program-overview/research-stories/closing-communication-gap-between-prescribers-and-pharmacists
January 01, 2023 - orders between electronic health records and pharmacies, showed an immediate and persistent reduction in prescriptions … a patient’s medication, the prescription change is updated in the provider’s electronic health record … always reflected in a pharmacy’s medication list for the patient, which can lead to erroneously filling prescriptions … The tool allows pharmacists to have patients’ current prescription information and notifies them when … a provider discontinues a patient’s prescription.
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digital.ahrq.gov/sites/default/files/docs/publication/r01hs015175-weissman-final-report-2007.pdf
January 01, 2007 - relative to a written prescription). … Any prescriptions filled during that time were matched
with the original prescription to form a “co-exposure … received an e-prescription
• Patients receiving e-prescriptions were slightly more likely to be … Patient characteristics
Intervention Control Total
Patients Ever got e-prescription Never got e-prescription … relative to before the first e-prescription.
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/weingart-sn-et-al-2003
January 01, 2003 - They were more likely to override alerts for renewals compared with new prescriptions (OR, 17.74; 95% … Prescriptions for amoxicillin and a combination of amoxicillin and clavulanate potassium triggered 6 … In contrast, physicians overrode all 3 erythromycin allergy alerts triggered by prescriptions for azithromycin … "New prescriptions were less often written [after overriding an alert] than renewals (50.0% vs 89.6% … than for a new prescription (OR, 17.74; 95% CI, 5.60-56.18)."
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digital.ahrq.gov/ahrq-funded-projects/rural-trial-clinic-order-entry-decision-support/annual-summary/2008
January 01, 2008 - Third, Web log files were used to estimate the efficiency of electronic prescription writing for new … prescriptions and refills. … The number of steps and amount of time needed to generate a prescription was compared for prescriptions … written entirely by the provider versus prescriptions that entailed clinical staff involvement. … Front office staff became more engaged in the prescription process.
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs025793-chui-final-report-2020.pdf
January 01, 2020 - If the
medication was originally ordered as an
electronic prescription, it contains an e-
prescription … If the prescription 1) cannot be matched to a prescription
in the pharmacy management software; or 2 … UW Health clinicians e-
prescribe over 1.5 million prescriptions annually. … UW Health Pharmacies fill approximately 500,000 prescriptions annually. … in the instance of an old/outdated prescription more than several years
old or if the prescription
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digital.ahrq.gov/ahrq-funded-projects/electronic-prescribing-and-decision-support-improve-rural-primary-care-quality/annual-summary/2010
January 01, 2010 - certification process essentially certifies that pharmacy software is capable of receiving electronic prescriptions … SureScripts certification does not address how the pharmacy software processes electronic prescriptions … efficiency gain than those required to perform more data entry when processing new electronic prescriptions … the prescription data elements as they exist in the pharmacy software. … Also, telephone calls and facsimile interruptions have decreased as more prescriptions are delivered
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/tamblyn-r-et-al-2003
January 01, 2003 - patients in the CDS group and 33.3% of those in the control group had at least 1 potentially inappropriate prescription … The alerts appeared when the electronic chart was opened, when prescription-record updates were downloaded … Workflow-Related Findings
"During the study, the rate of initiation of an inappropriate prescription … from study physicians and other physicians than for the other types of prescription problems." … Physicians in the CDS group downloaded prescription information in 81% of the study weeks; however, those
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/arar-nh-et-al-2005
January 01, 2005 - Objective
To describe the effect of prescription data availability via an EMR on the content of patient-physician … , refill existing prescriptions, and check on the frequency and timing of patient refill requests; it … In this case, the EMR allowed for immediate renewal of a prescription and access to information regarding … In most cases, pharmacy procedures were discussed in conjunction with entering prescriptions." … and entering patients' new prescriptions and refills."