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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/schectman-jm-et-al-2005
January 01, 2005 - Methods: A prescription expert system was implemented in an academic internal medicine residency training … Tools Used
Survey
Type Clinic
Primary care
Type Specific
Internal medicine … the scale of attitudes toward computers' effect (beneficial versus detrimental) on the practice of medicine … computers enhanced the enjoyment of the practice of medicine (p = 0.04) and the quality of health care … Twenty-four percent of physicians would prefer to continue with handwritten prescriptions.
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/oconnell-rt-et-al-2004
January 01, 2004 - specialties who share the same health record, practice location, administration, and information technology … The only surveyed characteristic independently predicting satisfaction was medical specialty (p = 0.04 … specialties who share the same health record, practice location, administration, and information technology … serves to electronically generate orders such as radiology and laboratory orders as well as creation of prescriptions … Although medicine and pediatrics subjects felt similarly about ease of prescription writing and order
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/medication-cost-information
June 01, 1996 - Impact on prescribing in a family medicine clinical practice
Authors: Ornstein SM, MacFarlane … Summary: Settings: Family Medicine Center, Department of Family Medicine, Medical University of South … intervention period they were given the brand name and generic drug cost information while writing prescriptions … 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.
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/murray-md-et-al-1998
January 01, 1998 - by internal medicine physicians on pharmacist work patterns. … Objective
"To measure the effect of computer-based outpatient prescription writing by internal medicine … When the prescription order selection is chosen [by the physician], all active prescription medications … To display the patient's prescriptions, the pharmacist enters a prescription access code specific to … prescriptions.
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digital.ahrq.gov/sites/default/files/docs/resource/PCC_Adams_Q2_PHPCounselingActivation.pdf
May 22, 2009 - Med Safety
caller has error
with RX med PHP+C yes
It is important that
prescription
medicine be … talk with you
about prescription meds? … Do you plan on changing
how you use prescription
meds? … Did your dr talk with you
about prescription meds? … Do you plan on changing
how you use prescription
meds?
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digital.ahrq.gov/sites/default/files/docs/resource/PCC_Lapane_Q2_Patients_Issues_code_book.pdf
May 27, 2009 - Also, in
what way they didn’t take it – didn’t fill the prescription, filled it but didn’t take
it. … Whether they told their doctor about not taking the medicine. … SaveMed: About filling prescriptions and saving the medicines, but rarely or
never taking the medicine … NoScript: About having bought prescription medicines without a prescription
(either in the US, or if … OTC: Anything about over the counter medicines (non-prescription), and whether
generally inform the
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/experience/morrow-j-2004-davies
January 01, 2004 - Morrow J 2004 "Davies Recognition Program: independent primary care practices - North Fulton Family Medicine … "Electronic prescriptions can be managed via fax and e-mail directly from the chart, greatly reducing … Physicians are able to track prescription refill frequency. … It manages orders, procedures, prescriptions, lab results and other data previously collated into patient … "Prescriptions, referrals and orders are generated automatically, again reducing hassles for the patient
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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 … patient satisfaction, impact on efficiency, utilization, and costs Summary: Settings: Academic internal medicine … 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/sites/default/files/docs/publication/r18hs017220-wolf-final-report-2012.pdf
January 01, 2012 - Moreover, ineffective communication and decision making may
be one reason that many prescriptions go … This included, per new prescription, patients being asked what the medicine was for, how many pills … Filled
prescriptions would be treated similarly, however too few patients had not filled prescriptions … exactly how to take
this medicine? … This internal medicine clinic
shifted from a printed prescription to an e-prescribing system four and
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digital.ahrq.gov/sites/default/files/docs/E-Prescribing%20and%20Medication%20Management%20(1).pdf
March 31, 2009 - E-Prescribing and Medication Management
March 31, 2009
Presenters:
Douglas Bell
Department of Medicine … Long Department of Family and Community
Medicine at the University of Missouri
Ken Majkowski
Surescripts … Long Dept. of Family
& Community Medicine, University of Missouri
Need for Medication Lists
• … Definition of E-Prescribing
Prescription Benefit
Prescription History
Prescription
Routing … Prescription Routing: Electronic delivery of prescriptions between prescribers and
pharmacies and refill
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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 … Tools Used
Interview
Flowchart
Type Clinic
Primary care
Type Specific
Internal medicine … 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/citation/r21hs026584-pitts-final-report-2022.pdf
January 01, 2022 - Gurses, Nicole Mollenkopf, Jessica Schwartz, Nae-Yuh Wang
Johns Hopkins University School of Medicine … The clinical practices included general internal medicine, adult
infectious diseases, and pediatric … With duplicate prescriptions in the pharmacy, multiple prescriptions may need to be
deactivated to ensure … BMC medicine. 2020;18(1):313.
2. Allen AS, Sequist TD. … Annals of
internal medicine. 2012;157(10):700-5.
3. Copi EJ, Kelley LR, Fisher KK.
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/reduction-adverse-drug-reactions
October 01, 1987 - physicians participated in the study, which was conducted at the Department of Family and Community Medicine … Intervention: CDISS was used by physicians before writing a prescription to allow for changes in a prescription … The prescription plan was changed for 16 patients (15.5 percent) as a result of using the CDISS.
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digital.ahrq.gov/ndc
January 01, 2023 - The Institute of Medicine's (IOM's) seminal report " To Err is Human " identified illegible prescriptions … In an effort to help alleviate this problem, the National Library of Medicine (NLM) has been working … maintained by the Food and Drug Administration (FDA) and are used for many purposes, including reporting prescription … drugs in pharmacy transactions, coding drug information within clinical information systems and for prescription … Only selected non-prescription drugs are included in the NDC database.
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digital.ahrq.gov/2018-year-review/research-spotlights/prototype-computerized-provider-order-entry-system-reduced
January 01, 2018 - Historically, doctors wrote prescriptions in Latin so that patients could not read the reason the medication … Medicine has come a long way in terms of patient empowerment. … However, if the patient has several prescriptions, they may confuse their medications. … In medicine, an “indication” is a condition or reason for prescribing a medication or performing a test … If the indication was recorded in the CPOE, pharmacists would have more information about the prescription
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/hollingworth
January 01, 2023 - than hand written prescriptions (12.0 seconds; -1.6, 25.6 CI). … Type Clinic
Primary care
Type Specific
Family practice, pediatrics, and internal medicine … These prescriptions can be printed out for the patient or e-faxed directly to any one of over 200 pharmacies … Prescriptions are automatically added to the patient's EHR medication list. … "After adjustment for site, prescriber and type of prescription (new/renew) handwritten prescription[
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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 … Samantha Pitts, faculty in General Medicine at Johns Hopkins, was driven by her experience as a prescribing … 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/rivkin-s-1997
January 01, 1997 - Used
Survey
Type Clinic
Primary care
Type Specific
Family practice, internal medicine … transfers, and problematic prescriptions requiring review." … "Some offices were able to enter prescriptions through this system only when fully staffed. … [One] office said this tool was used only when patients had multiple prescriptions." … In fact, prescriptions would often sit on the fax machine until the patient arrived ...
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/crosson-jc
January 01, 2023 - MEASUREMENTS: Field researchers used observational and interview techniques to collect data on prescription-related … Observation
Interview
Type Clinic
Primary care
Type Specific
Family practice, internal medicine … Health IT Functions
"Both [e-prescribing] programs are designed for the electronic submission of prescriptions … encounter using a computer interface or personal digital assistant (PDA) and can be used to print paper prescriptions … Prescriptions also can be electronically submitted outside of the clinical encounter."
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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 … Internal medicine (45%) and family medicine (39%) dominated the sample.