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digital.ahrq.gov/sites/default/files/docs/activity/2011_017216_johnson_pdf_3.pdf
January 01, 2011 - pediatric prescribing
use-cases, site visits to pilot users, and an examination of the error rate of prescriptions … three different pediatric specialties who regularly
use the e-prescribing system RxStar to generate prescriptions
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digital.ahrq.gov/sites/default/files/docs/activity/optimizing_medication_history_value_in_clinical_encounters_with_elderly_patients_2010_pdf__2.pdf
January 01, 2010 - systems are integrated with pharmacy chains, making medication histories and information on unfilled
prescriptions … trial, recruiting
physicians that use DrFirst, an e-prescribing application and network to transmit prescriptions
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digital.ahrq.gov/electronic-prescribing-0
January 01, 2023 - Initiative as "the use of computing devices to enter, modify, review, and output or communicate drug prescriptions … writer Level 3 - patient-specific prescription creation or refilling Level 4 - medication management … All levels of electronic prescription writing confer varying degrees of improvements in patient safety … Another current trend is transmission of electronic prescriptions using a standard known as NCPDP-SCRIPT … managers, physicians and nurses, and then represented the sequences of steps carried out to complete prescriptions
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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/health-it-tools-and-resources/health-it-costs-and-benefits-database/cross-sectional-comparison
medication component Evaluation Method: Telephone survey of adult patients receiving at least one prescription … clinics and two EHR clinics Description: EHR had the following medication safety features: a) printable prescriptions
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/computer-assisted-medication
October 01, 2004 - quality Summary: Settings: Dutch asthma patients between ages 13 and 40 who received four or more prescriptions
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digital.ahrq.gov/ahrq-funded-projects/assessing-impact-patient-centered-medical-home/annual-summary/2010
January 01, 2010 - for all patients, there were some significant associations for the subgroup of patients with multiple prescriptions … However, overall resource use was lower only among complex patients receiving multiple prescriptions
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digital.ahrq.gov/sites/default/files/docs/activity/2011_017157_carrow_pdf_3.pdf
January 01, 2011 - narcotics, stimulants, sedatives) is expected to increase access to needed medications and reduce risks of
prescription … evaluation of a safe, secure,
and efficient system for electronic transmission of controlled substance prescriptions … is developing and testing a data interface between
the e-prescribing system and the Massachusetts Prescription … Specific Aims:
• Develop, implement, and verify a system of safe and secure electronic transmission of prescriptions … Develop and test the interfacing of this e-prescribing system with the Massachusetts PMP to monitor
prescription
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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 … STUDY 2 INTERVENTION: ENHANCED COMMUNICATION FOR NEW PRESCRIPTIONS
Using the same strategy as … Filled
prescriptions would be treated similarly, however too few patients had not filled prescriptions … Overall, communication about new prescriptions, including indication and directions for
use was very … However, this resolves itself by a year out, to even lower rates of unfilled prescriptions than
before
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digital.ahrq.gov/sites/default/files/docs/Electronic_Prescribing_Standards_Slides%20(2).pdf
September 17, 2007 - tried
• E-prescribing without Med History transaction
– Listing and checking can be based on past
e-prescriptions … through same system
• E-prescribing with Med History transaction
– Outside prescriptions can be included … Medication History: Technical Level
• Technical problems hinder reconciliation of Medication History with
prescriptions … dispensed, pharmacy
• Some vendors find reconciling Medication History too hard
– Drive alerts only from prescriptions … independently attempted to match an SCD for new and renewal Rxs
• Non-matches
– 9789 non-device new prescriptions
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digital.ahrq.gov/hl7
January 01, 2023 - [HL7 Press Release ( PDF , 34 KB)]
In December 2005, HL7 and the National Council for Prescription … groups completed a mapping guidance document to help implementers create e-prescribing messages "for new prescriptions … , changes to prescriptions, refills (renewals), cancellation of a prescription, compliance notification
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/improved-compliance-quality
March 01, 2006 - Intervention: CPOE for discharging patients with AMI or CHF Evaluation Method: Compared outcomes (prescription … implementation Description: CPOE included point-of-care reminders for the specific quality measures and a prescription … The proportion of patients who received discharge prescriptions did not change.
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/clinical-decision-support-system
June 07, 2000 - Evaluation Method: Measure of physicians guidelines compliance, and the proportion of appropriate prescriptions … During each intervention period, the appropriateness of prescription increased significantly (P<.001)
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/evaluation-computer-based-0
March 11, 2000 - Evaluation Method: Measures of absolute cardiovascular risk, blood pressure, and prescriptions of cardiovascular
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/cost-effectiveness-two
June 01, 1989 - However, the face-to-face group visit achieved a lower average cost of prescriptions.
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/improving-ambulatory-prescribing
Quality of Care and Patient Safety Outcome: The mean proportion of cases per physician with unsafe NSAID prescriptions
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/treatment-chronic-heart-failure
January 01, 1990 - potentially deleterious for the patient) between the expert system's suggestions and the cardiologists' prescriptions
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digital.ahrq.gov/sites/default/files/docs/20070917%20Electronic%20Prescribing%20Standards.pdf
September 17, 2007 - The passage of the Medicare Prescription Drug Improvement and Modernization Act of 2003, which I’ll … Prescriptions fill status notification does adequately supports the activities of the pharmacy sending … the
unique identifier in RxNorm for new prescriptions and renewal prescriptions. … be a higher rate than the people who get a paper
prescription and then never fill it anyway. … feel sort of more obliged to fill their prescription.
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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 … 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/sites/default/files/docs/publication/r18hs017216-johnson-final-report-2011.pdf
January 01, 2011 - We implemented a rounding system and assessed it with a test set of pediatric e-
prescriptions. … goals, and then focused the
interview around 3 framing questions: “Please describe how you create a prescription … For each prescription, we saved data that would serve as input parameters (weight, age in months,
medication … The final set of prescriptions were divided randomly into two
groups. … Any test cases that were not in
agreement with the sample prescription were flagged as discrepant.