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digital.ahrq.gov/ahrq-funded-projects/enhancing-medication-cpoe-safety-and-quality-indications-based-prescribing
January 01, 2023 - Analysis of 4 million outpatient prescriptions. … Analysis of 4 million outpatient prescriptions. … A prescription for enhancing electronic prescribing safety. … Medicine has come a long way in terms of patient empowerment. … In medicine, an “indication” is a condition or reason for prescribing a medication or performing a test
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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/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/sites/default/files/docs/page/eRxReport.pdf
April 01, 2008 - In 1999,
nstitute of Medicine (IOM) estimated that as many as 7,000 people died each year
medication … Angeles School of
Medicine
• A collaborative effort of RAND, Horizon Blue Cross/Blue Shield … Concerns over “lost” prescriptions, not being able to transmit
prescriptions electronically for Schedule … clarification or
incorrect prescriptions. … comply with these standards when electronically transmitting prescriptions and prescription
related
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/crosson-jc-etz-rs-wu-s
January 01, 2023 - Field researchers conducted in-depth interviews and observed prescription-related workflow in these practices … advantage of e-prescribing capabilities and to create specific e-prescribing protocols to distribute prescription-related … Observation
Type Clinic
Primary care
Type Specific
Family practice, internal medicine … Planning teams developed protocols that allowed for standardized handling of prescription renewals by
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digital.ahrq.gov/sites/default/files/docs/medication-without-harm-slides-07242024.pdf
January 12, 2025 - Assistant Professor, Department of Medicine
Johns Hopkins University School of Medicine
Research … • Discontinued e-prescriptions were matched to data from pharmacy
management software to determine … when the prescriptions were
last dispensed … • Question for health system implementation
• In favor of sending
o Reduction in duplicate prescriptions … Associate Professor of Medicine, Director, Division of Geriatrics &
Gerontology, Emory School of Medicine
-
digital.ahrq.gov/technology/clinical-informatics
January 01, 2023 - Design and evaluation of an integrated, patient-focused electronic health record display for emergency medicine … Design and evaluation of an integrated, patient-focused electronic health record display for emergency medicine … Engineering for Complex Decisionmaking & Problem Solving in Acute Care
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/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.
-
digital.ahrq.gov/ahrq-funded-projects/understanding-cancelrx-impact-clinical-workflows-medication-safety-risks-and
January 01, 2023 - 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. … 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/overhage-jm-et-al-2001
January 01, 2001 - physician order entry: effects on physicians' time utilization in ambulatory primary care internal medicine … physician order entry: effects on physicians' time utilization in ambulatory primary care internal medicine … Design: A randomized controlled trial of POE using the ... system in 11 primary care internal medicine … system] then uses the data to create billing documents (superbill), requisitions, consult requests, prescriptions … When entering orders, including prescriptions, physicians can create instructions by typing them in free
-
digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015319-sullivan-final-report-2007.pdf
January 01, 2007 - Data sources were the prescriptions, all documentation contained in
the EHR, and the prescription as … Washington DC: Institute of Medicine/National
Academy Press; 1999
4. … Washington, DC: Institute of Medicine, 2003
Accessed: 11/15/07
20. … Characterization of prescribing errors in an internal
medicine clinic. … Characterization of prescribing errors in an internal
medicine clinic.
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digital.ahrq.gov/sites/default/files/docs/medication-management-elderly-slides-081811.pdf
August 18, 2011 - If You Can’t Read It, You Can’t
Heed It…
•~1/3rd of
patients do
not read
leaflets for
NEW
prescriptions … Literacy and Misunderstanding Prescription Drug Labels. … overwhelmingly believe that their primary care physician
is automatically and fully informed about prescriptions … ”
– “If you read all that printout from the pharmacy you wouldn’t take no medicine. … iRx: It's Your Medicine (cont'd.)
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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 … Tools Used
Observation
Type Clinic
Primary care
Type Specific
Internal medicine … 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/sites/default/files/docs/resource/Wolf_Q6_Med_List_1_27_09.pdf
June 16, 2021 - taking only as needed
None Need Refill
Cost Side Effects
Other
BILEVEL ST PRESCRIPTION … This includes
prescription drugs, over-the-counter medicines, vitamins, and other supplements. … Your Additional Medicines Are
Medicine Name Dose How you take it Concerns
Need Refill Cost
-
digital.ahrq.gov/sites/default/files/docs/AHRQ_Webinar_Aug_2009_Med_Mgmt.pdf
January 01, 2009 - E-prescribing: Current realities
and future directions
Michael Fischer, MD, MS
Assistant Professor of Medicine … Source: Alliance of States with Prescription Monitoring Programs, 1999
Challenges Unique to EPCS … 3,700M U.S. prescriptions2
• Prevalence of non-medical use of prescription
psychotherapeutics in … U.S. estimated at 7M
current users3
• Incidence of non-medical use of prescription
psychotherapeutics … Questions & Answers
Our Panel:
Michael Fischer, MD, MS, Assistant Professor of Medicine
Harvard Medical
-
digital.ahrq.gov/sites/default/files/docs/page/NJ-EPAC%20Pilot%20Testing%20of%20Electronic%20Prescribing%20Standards_0.pdf
April 01, 2008 - of Medicine and
Dentistry of New Jersey– New Jersey Medical School and Robert Wood Johnson Medical … The
deterministic simulation model considered four variants of basic prescription processes: new prescriptions … Allscripts implementation and 6 offices scheduled for iScribe
implementation, and to also include diverse medical … specialties and practice settings. … Hopefully we can still give
an equally effective medicine,” said one ePA pilot physician.
-
digital.ahrq.gov/sites/default/files/docs/publication/u18hs016970-bates-final-report-2012.pdf
January 01, 2012 - Electronic Prescribing in the Ambulatory Setting
Electronic prescribing is defined as the writing of a prescription … electronic prescription (e-prescribing) errors. … • Errors introduced by ePrescribing: Each prescription with error underwent further detailed review … Data Sources: For all providers included in the study, we obtained electronic prescription downloads … Medicine, Editor. 2007, The National Academies
Press: Washington, DC.
5.
-
digital.ahrq.gov/sites/default/files/docs/citation/cds-connect-environmental-scan.pdf
December 01, 2017 - As of 2016, at least 26 States and Guam required prescribers to use the PDMP
before writing opioid prescriptions … [3] Institute of Medicine Committee on Advancing Pain Research, Care Education. … Annals of Internal Medicine. 2015;162(4):295-300.
[7] U.S. … Journal of Hospital
Medicine. 2017; 12 (suppl 2). … (ND) Prescription Drug Monitoring Programs.
-
digital.ahrq.gov/ahrq-funded-projects/scaling-equipped-clinical-decision-support
January 01, 2024 - More than half of older adults receive a new prescription when leaving the ED, contributing to this risk … These increases have been attributed to a lack of emergency medicine geriatric training, insufficient … More than half of older adults discharged from the ED leave with a new prescription medication. … with a lot of interruptions and transitions,” while ED physicians have limited training in geriatric medicine … feels the most significant aspect of this research is how it will spread the principles of geriatric medicine
-
digital.ahrq.gov/sites/default/files/docs/citation/europe-e-prescribing-report.pdf
February 01, 2011 - A GP provides primary care, specializes in family medicine and, if
necessary, refers the patient to … One interviewee cited a study showing that 80 percent
of prescriptions were e-prescriptions in 1998, … Another interviewee indicated that e-prescriptions were used,
in particular, for prescription refills … Nowadays, patients go
to GPs and expect the practitioner to prescribe the appropriate medicine based … N Y
Cancellation of prescriptions N Y
Digital signing of prescriptions by prescribers N Y
Patient