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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/medication-cost-information
June 01, 1996 - intervention period they were given the brand name and generic drug cost information while writing prescriptions … The system includes a prescription writing function that either uses free form or pop-up choice menu. … System Penetration: For 25% of the prescriptions, cost information was not displayed due to mismatch … between the medication name and dose in the prescription and CPR data dictionary. … Changes in healthcare costs: The mean and SD cost per prescription in the control and intervention periods
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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/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/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/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/sites/default/files/docs/eRx_MMA_Pilot_Slides_A%20(3).pdf
April 01, 2008 - Fulfillment: (Pharmacist-Patient)
The pharmacy of patient’s choice fills the prescription, generates … information that will reduce medication
errors
� Prescriptions that are legible
� Prescriptions pre-checked … for DUR & contra-indications
� Prescriptions that have been checked for eligibility and
18
� Prescriptions … possible
� Paid lower fees out-of-pocket because the prescription
utilizes your drug benefit
� More … drug benefit (Part D) support an
e-prescription program,
� The Secretary of Health and Human
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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."
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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/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/health-it-costs-and-benefits-database/twelve-month-drug-cost-savings
May 01, 2005 - To enter a prescription, the clinician must first choose a patient and then select a diagnosis. … Healthcare Utilization: There was little difference between the two groups in the absolute change in prescription … However, within the 8 targeted therapeutic categories, prescriptions for high-cost target medications … Changes in healthcare costs: Over a 12 month period, the average cost per new prescription decreased … After correcting for the impact of patient clustering, the savings were $4.12 per new prescription (p
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digital.ahrq.gov/organization/oregon-state-university
January 01, 2023 - Oregon State University
Prescription Drug Monitoring Program Integration … Electronic Health Record
Description
This research will examine a State-subsidized integration of prescription
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digital.ahrq.gov/location/usa-or-corvallis
January 01, 2023 - USA, OR, Corvallis
Prescription Drug Monitoring Program Integration … Electronic Health Record
Description
This research will examine a State-subsidized integration of prescription
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digital.ahrq.gov/sites/default/files/docs/activity/rural_trial_of_clinic_order_entry_with_decision_support_2009_update_pdf_2.pdf
January 01, 2009 - Features of the prescription writer included on-the-fly drug-to-drug
interaction prompts; automatic … 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/sites/default/files/docs/June_2009_Transcript.pdf
January 01, 2009 - But in renewed
prescriptions the technicians’ time and for new prescriptions for both pharmacists and … One for non
controlled prescriptions and one for controlled prescriptions. … Pharmacists can save 3 to 4 hours a day on
prescription issues between the calls and slower paper prescriptions … So in summary, the routing of electronic prescriptions is a totally electronic transmission of the
prescription … to the prescription.
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digital.ahrq.gov/sites/default/files/docs/implementation/Gorman508c.pdf
December 26, 2012 - EEaacchh reressppoonnssibiblele fofor trar tracckkiningg mmeeddicicaatiotionnss
New Prescription … New Prescription
Pharmacy Service View
Oregon Practice Based Research Network … Jones can't sleep
New Prescription Rehab Center View
Rehab Nursing Perspective
New Prescription … Physicians' Office View
Clinic Perspective
New Prescription Pharmacy Service View
Pharmacy Perspective … Fax Graveyard
New Prescription System View
System Perspective
Silos of Data
Added complexity
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digital.ahrq.gov/sites/default/files/docs/activity/electronic_prescribing_and_decision_support_to_improve_rural_primary_care_quality_2010_pdf__2.pdf
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/ahrq-funded-projects/enabling-electronic-prescribing-and-enhanced-management-controlled-medications/annual-summary/2012
January 01, 2012 - project developed and tested a data interface between the e-prescribing system and the Massachusetts Prescription … Develop and test the interfacing of this e-prescribing system with the Massachusetts PMP to monitor prescription … improved and in many cases the prescription was ready when the patient arrived at the pharmacy. … for controlled substances (e.g., incorrect drug or dose was prescribed, prescription altered, or reported … lost and required replacing), but not others (counterfeit prescription was discovered).
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digital.ahrq.gov/sites/default/files/docs/page/10-0010-EF.pdf
November 01, 2009 - If patients fill their prescriptions via this program, a claim is never filed with
the insurer and … the insurer will never receive dispensing information for the related
prescriptions to link with the … prescription data … Prescriptions that are sent and resent, because patients are
going to a different pharmacy, or the prescription … Prescriptions written for double dosage (where the patient splits the pill
and takes the medication