-
digital.ahrq.gov/sites/default/files/docs/activity/safety_through_enhanced_e_prescribing_tools__stepstools__2010_pdf__2.pdf
January 01, 2010 - pediatric
prescribing use-cases, site visits to pilot users, and an examination of the error rate of prescriptions … The knowledge and rounding algorithm was tested with a dataset of thousands
of completed prescriptions
-
digital.ahrq.gov/sites/default/files/docs/activity/2011_017150_lapane_pdf_3.pdf
January 01, 2011 - systems are integrated with pharmacy chains, making medication histories and information on unfilled
prescriptions … Physicians who used the e-prescribing application and network to transmit prescriptions to pharmacies … medication were coded into themes
including general information, knowledge of the drug, discussion of the prescription
-
digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015397-bates-final-report-2008.pdf
January 01, 2008 - In the first
phase, all 30 physicians used duplicate (“carbonless copy”) paper prescriptions. … Our study
pharmacist evaluated each prescription for potential errors and then conducted chart reviews … (using the duplicate prescription pads). … practically speaking they will effectively be excluded, because only the
small proportion of their prescriptions … 84%), but many fewer reported being able to order laboratory
tests electronically (47%) or transmit prescriptions
-
digital.ahrq.gov/sites/default/files/docs/page/e_prescribing_in_medicaid_chip_agencies__implementation_approaches__challenges__and_opportunities_summary_5.pdf
October 01, 2009 - staff training, or
enhance workflow
Balance: remaining 50%
Will be paid after 6 months if 70% of prescriptions … Average Prescriptions per Patient
Medicaid Prescription Savings per Patient, 2006-2009
Patterns … of the Medicaid
e-Prescribing Pilot Project
• Prescribers in the Medicaid pilot write 25% fewer
prescriptions … problem list of current and active
diagnoses based on ICD-9.
• Generate and transmit permissible prescriptions … Availity Care Profile Provider Screen
Availity Care Profile Diagnosis Screen
Availity Care Profile Prescriptions
-
digital.ahrq.gov/health-it-tools-and-resources/implementation-toolsets-e-prescribing/toolset-e-prescribing/tool-52b-sample-task-table-delegation
January 01, 2023 - Give patient record and prescription to office staff
Authorized office staff
Handoffs
… Patient record, prescription copies
Details of request
Physician-review pathway (b) … Give prescription and record to office staff
Prescribing physician or nurse practitioner
Handoffs … File patient record
Office staff
Filing
Patient record, prescription copies
Patient ID … Transmit to pharmacy
Office staff
Processing
Transmit to pharmacy via fax or phone
Prescription
-
digital.ahrq.gov/health-it-tools-and-resources/implementation-toolsets-e-prescribing/toolset-e-prescribing/tool-52a-sample-task-table-no-delegation
January 01, 2023 - information such as last visit, lab results, current medication list, insurance coverage; complete prescription … Patient record, request
Prescription written, note re order
6. … Give prescription and record to office staff
Prescribing physician or nurse practitioner
Handoffs … Give all materials to staff
Patient record, prescription
Prescription details
7. … Transmit to pharmacy
Office Staff
Processing
Transmit to pharmacy via fax or phone
Prescription
-
digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/cost-savings-using-stepped-care
March 27, 1996 - : Before and after trial with one study site and two control sites Outcomes: The expensive NSAIDs prescription … implemented an NSAID prescribing protocol that required either ibuprofen or indomenthacin before new prescription … Patients received their prescriptions free at the pharmacies adjacent to the study military outpatient
-
digital.ahrq.gov/ahrq-funded-projects/encoding-and-processing-patient-allergy-information-ehrs/citation/adverse-and
January 01, 2023 - Adverse and hypersensitivity reactions to prescription nonsteroidal anti-inflammatory agents in a large … Adverse and hypersensitivity reactions to prescription nonsteroidal anti-inflammatory agents in a large
-
digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/clinical-value-computerized
May 01, 1996 - results in the following categories: Diagnostic test use and preventive services 87%, The number of drug prescriptions
-
digital.ahrq.gov/ahrq-funded-projects/understanding-cancelrx-impact-clinical-workflows-medication-safety-risks-and/citation/pharmacy
January 01, 2023 - Pharmacy e-prescription dispensing before and after CancelRx implementation. … Pharmacy e-prescription dispensing before and after CancelRx implementation.
-
digital.ahrq.gov/ahrq-funded-projects/value-new-drug-labeling-knowledge-e-prescribing/citation/evaluation-vakp
January 01, 2023 - Evaluation of the VA/KP problem list subset of SNOMED as a clinical terminology for electronic prescription … Evaluation of the VA/KP problem list subset of SNOMED as a clinical terminology for electronic prescription
-
digital.ahrq.gov/sites/default/files/docs/page/an-e-prescribing-implementation-toolset.pdf
June 03, 2010 - implementation
Example Tools
• Chapter 10: Launch
Dear Pharmacist:
My prescription … My doctor uses electronic prescribing for both
my new prescriptions and for renewals. … If your pharmacy is enabled for electronic prescribing, please check
your computer system for my prescriptions … visit
• Interview key staff about e-prescribing and any changes made using
the Toolset
• Observe prescription
-
digital.ahrq.gov/sites/default/files/docs/activity/assessing_the_impact_of_the_patient_centered_medical_home_2010_pdf__2.pdf
January 01, 2010 - 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
-
digital.ahrq.gov/sites/default/files/docs/activity/r21hs019726-kahn-annual-summary-2012.pdf
January 01, 2012 - December 2013
AHRQ Funding Amount: $190,455
Summary: In ambulatory care, there are two major forms of prescription … This study strives to extend what occurs at the pharmacy level to include additional information on
prescriptions … finding significant inconsistencies with
fulfillment records and seeing a much greater rate of new prescriptions
-
digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/Workflow_Assessment_Checklist.pdf
June 01, 2005 - Add additional questions he
Prescriptions
Does the MD ask if refills are needed? … Exam
Prescriptions
Lab
How is the loop closed?
Lab – cont.
Referrals
Check out process
-
digital.ahrq.gov/ahrq-funded-projects/understanding-cancelrx-impact-clinical-workflows-medication-safety-risks-and/citation/understanding
January 01, 2023 - 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
-
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.
-
digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/medical-groups-adoption
August 16, 2021 - of systems included the following capabilities: patient demographics, visit notes, medication lists/prescriptions
-
digital.ahrq.gov/ahrq-funded-projects/buddy-technology
January 01, 2023 - One interface allowed for the customization of PocketBuddy, for example entering new or revised prescriptions
-
digital.ahrq.gov/ahrq-funded-projects/improving-healthcare-quality-user-centric-patient-portals/citation/first
January 01, 2023 - First opioid prescription and subsequent high-risk opioid use: a national study of privately insured … First opioid prescription and subsequent high-risk opioid use: a national study of privately insured