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digital.ahrq.gov/ahrq-funded-projects/understanding-cancelrx-impact-clinical-workflows-medication-safety-risks-and
January 01, 2023 - Research Story
The implementation of the CancelRx standard reduces the numbers of prescriptions … 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. … a provider discontinues a patient’s prescription.
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digital.ahrq.gov/sites/default/files/docs/overcoming-barriers-slides-090512.pdf
September 05, 2012 - like faxed or paper prescriptions
■ More e-prescribing vendors were being
enabled for new prescriptions … reduced manual
prescription entry at the pharmacy but
staff often had to complete or edit
certain … Launch
► “Prescription Pad” Handout
Dear Pharmacist:
My prescription … Electronic prescriptions should also save you time by giving your
prescription a head start to the pharmacy … We are also handling
prescription renewals electronically with your pharmacy.
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digital.ahrq.gov/ahrq-funded-projects/effective-use-e-prescribing-physician-practices-and-pharmacies
January 01, 2023 - This research focused specifically on e-prescribing among users who electronically send or receive prescriptions … However, electronic prescription renewal was conducted less consistently than transmission of new prescriptions … Pharmacy staff noted that although there was an overall reduction in manual prescription entry, staff … that a broad group of public stakeholders, including the Federal government, the National Council for Prescription … Transmitting and processing electronic prescriptions: experiences of physician practices and pharmacies
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digital.ahrq.gov/principal-investigator/lapane-kate
January 01, 2023 - Pharmacies
Analysis of community chain pharmacists' interventions on electronic prescriptions … Analysis of community chain pharmacists' interventions on electronic prescriptions. … Physicians and Community Pharmacies
Patient perceptions regarding electronic prescriptions … Patient perceptions regarding electronic prescriptions: is the geriatric patient ready?
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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). … Information
In the multispecialty health system located north of Seattle, approximately 2.5 million prescriptions … 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/ncpdp
January 01, 2023 - SCRIPT Standard - used to transmit electronic prescriptions from a physician or prescriber to the pharmacy … 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 … NPI is a unique identifier assigned to all prescribers and pharmacists electronically transmitting prescriptions … or prescription related information between prescribers and dispensers."
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/randomised-trial-monitoring
February 26, 2000 - study: Not Available Study Design: Randomized trial Outcomes: Depression scores, anti-depressant prescriptions … Evaluation Method: Blinded interviews by telephone 3 and 6 months after the initial prescription using … Visits, prescriptions, and healthcare use were assessed from computerized records. … Description: Computerized pharmacy records which included antidepressant dosage and repeat prescriptions … Changes in healthcare costs: Total depression treatment costs (including antidepressant prescriptions
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digital.ahrq.gov/sites/default/files/docs/AHRQ_Webinar_Aug_2009_Med_Mgmt.pdf
January 01, 2009 - 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 … of project is to develop and
test interfacing of the e-prescribing system with
the Massachusetts Prescription … allowing EPCS
– CA, MA, NY: laws allow for EPCS pending
DEA regulations
– FL law requires written prescription
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digital.ahrq.gov/sites/default/files/docs/June_2009_Webinar_Final%20(1).pdf
January 01, 2009 - “How do e-prescriptions compare with other methods
of receiving and processing prescription orders in … filled at other Pharmacies
• Prescriptions sent to Mail Order dispensing
• Prescriptions sent to “Specialty … SureScripts®
SureScripts®
Prescription Routing
Key Statistics:
• Prescriptions routed electronically … • In December 2008, the rate of prescriptions routed electronically, as a
percentage of prescriptions … All Other
“How do e-prescriptions compare with other methods of receiving and processing prescription
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digital.ahrq.gov/sites/default/files/docs/QA_06232009.pdf
June 23, 2009 - Finally, prescriptions are sometimes contingent on other factors; for example, to be filled only if the … Rupp): Clearly, the improved legibility of e-prescriptions alone is a huge advance in inherent safety … when compared to hand-written prescriptions. … How are pharmacy systems ensuring a
correct patient match with incoming prescriptions? … Just as with legend prescriptions, some
controlled-drug prescriptions will still be delivered on paper
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digital.ahrq.gov/sites/default/files/docs/page/NJ-EPAC%20Pilot%20Testing%20of%20Electronic%20Prescribing%20Standards_0.pdf
April 01, 2008 - The
deterministic simulation model considered four variants of basic prescription processes: new prescriptions … with traditional prescribing, new prescriptions with electronic prescribing, renewal prescriptions … and/or prescription renewals. … and 8% for renewal prescriptions. … with the other two,
which found matches for 9236 prescriptions (94.4%) and 9270 prescriptions (94.7%
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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/sites/default/files/docs/page/prescribing-patterns-of-cost-effective-drugs-quick-reference-guide.pdf
April 01, 2009 - Patterns of Cost-Effective Drugs
Prescribing Patterns of
CostEffective Drugs
Evaluating the costs of prescription … per
person in 2007 for a total of $202 billion in
medication expenditures.1 As prescription drug … The average cost per new
prescription was $4.16 lower (p= .02) in the
intervention group, and the … average cost for new and
refilled prescriptions was $4.99 lower (p=.01). … Further, the 6month savings from new prescriptions
and their refills were estimated to be $3,450 (95%
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digital.ahrq.gov/sites/default/files/docs/20071102%20Outcomes%20of%20eRX%20Pilots.pdf
November 02, 2007 - Ten percent of the prescriptions
were changed due to some interaction warning, and 15,000 prescriptions … So again, that’s about 24 electronic prescriptions for
every 100 prescription claims total for that … I have to do some written prescriptions.” … Not all clinicians will use e-prescriptions with all of their prescriptions, their types of
prescriptions … Those e-prescriptions represented about two-thirds of the total e-prescriptions for
UHMP as an organization
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/prescribing-costs-when-computers
July 01, 1989 - Prescribing costs when computers are used to issue all prescriptions
Authors: Donald JB Journal … Settings: This study was performed in a Scottish general practice which implemented computers for repeat prescriptions
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digital.ahrq.gov/ahrq-funded-projects/effective-use-e-prescribing-physician-practices-and-pharmacies/annual-summary/2010
January 01, 2010 - To gain the benefits from electronic transmission of prescriptions, both physician practices and pharmacies … interviews was to explore the effects of e-prescribing among users who electronically send or receive prescriptions … facilitators of and barriers to their use, and the effects of e-prescribing on pharmacies ability to process prescriptions … a second on physician practices’ and pharmacies’ experiences transmitting and processing electronic prescriptions
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digital.ahrq.gov/sites/default/files/docs/activity/2011_017151_fischer_pdf_3.pdf
January 01, 2011 - Electronic prescribing (e-prescribing), which allows prescribers to write prescriptions electronically … Ninety-seven percent of respondents reported that they were able to send prescriptions electronically … least half of physicians said that their
use of e-prescribing made it easier for them to take care of prescription … refills themselves, have staff take
care of refills, batch process refills, write an initial prescription … those using
e-prescribing for more than three years averaged 33 e-prescriptions per week.
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digital.ahrq.gov/sites/default/files/docs/page/tool-7-4-sample-md-pharmacy-outreach.docx
May 27, 2015 - Partner:
We would like to let you know that physicians at our practice are now able to send electronic prescriptions … Our physicians can also send new prescriptions directly to the computers at these pharmacies without … faxing, phoning, or writing a paper prescription. … This connection will ensure that you can receive new prescriptions on your computer as well as the ability
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digital.ahrq.gov/ahrq-funded-projects/effective-use-e-prescribing-physician-practices-and-pharmacies/annual-summary/2011
January 01, 2011 - To gain the benefits from electronic transmission of prescriptions, both physician practices and pharmacies … team found that practices and pharmacies generally were satisfied with electronic transmission of new prescriptions … While e-prescribing reduced manual prescription entry, pharmacy staff frequently had to complete or edit … The research team concluded that electronic transmission of new prescriptions has matured but that barriers … to e-renewals, mail-order pharmacy connectivity, and pharmacy processing of e-prescriptions remain.
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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.