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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/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/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/page/tool-7-4-sample-md-pharmacy-outreach.docx
June 16, 2021 - 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/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/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/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/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
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/wogen-s-et
January 01, 2023 - Wogen S et al. 2003 "Improving the efficiency of the prescription process and promoting plan adherence … Improving the efficiency of the prescription process and promoting plan adherence. … Objective
To "describe the impact of introducing an automated electronic prescription process in large … The use of home delivery of prescriptions increased 10 percent. … control group)
Study Participants
The 14 physicians in the practice and their patients receiving prescriptions
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017157-carrow-final-report-2012.pdf
January 01, 2012 - for reconciling e-prescribed and dispensed controlled
substances prescriptions. … Prescription fraud, other forms of drug diversion and the resulting abuse and misuse of
prescription … In many cases the prescription was ready when the patient arrived at the
pharmacy.
6. … No
adjustment was made for prescriptions transmitted but not picked up. … substances prescriptions presented electronically.
2.
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017151-fischer-final-report-2011.pdf
January 01, 2011 - Quantitative evaluation included e-prescription data
and medical claims data for physicians and patients … We
asked respondents about the effect of their e-prescribing system on taking care of
prescription … Evaluation of e-prescriptions
We obtained data on e-prescriptions written with the Zix PocketScripte … We also obtained records of alerts that were issued in the process of
issuing an e-prescription. … The rates were very similar across prescriptions
that were completed and prescriptions that were cancelled
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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 … Two clinical pharmacists independently evaluated each
prescription. … Each prescription was evaluated for the presence of an error. … The prescription was the unit of analysis. … At this juncture, we are evaluating 0.29% of
prescriptions (29 in 10,000 prescriptions) in our dataset
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digital.ahrq.gov/ahrq-funded-projects/physicians-experiences-using-commercial-e-prescribing-systems
January 01, 2023 - While e-prescribing has advantages to paper prescriptions, adoption has been slow and implementation … medication lists, using clinical decision support, obtaining formulary data, and electronically transmitting prescriptions … electronic communication between the medical practices and pharmacies and pharmacy benefit managers to send prescriptions
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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 … 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/chan-ws-et-al-2008-do
January 01, 2008 - (3) "minimal users", who only ever used the computer at the end of the consultation mostly to issue prescriptions … Workflow-Related Findings
One physician was a minimal user of the system and mainly used it "for printing prescriptions … their consulations, either for reviewing notes, typing in patient's problems, typing letters and making prescriptions … still in the consulting room...They tended to type of notes with the patient at hand before making out prescriptions
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digital.ahrq.gov/sites/default/files/docs/page/forging-pathway-for-electronic-prescribing-of-controlled-substances.pdf
March 01, 2014 - As a result, prescribing has become a fractured system,
comprising a combination of electronic prescriptions … and demon-
stration project to develop a system that electronically
created and securely transmitted prescriptions … and
e-prescribing networks (i.e., the technology system
that receives and transmits an electronic prescription … • Reconciliation of prescriptions sent via EPCS is
feasible via a State prescription monitoring pro … Electronic Prescriptions for Controlled Substances; Final Rule 21 CFR Parts 1300, 1304, 1306, and 1311
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017029-kaushal-final-report-2011.pdf
January 01, 2011 - Methods: We conducted detailed prescription reviews over time to identify errors made by
providers … Prescriptions written by residents were
excluded. … We limited review to 3 prescriptions per patient
to minimize clustering of errors. … EHR), 1331
prescriptions at 3 months, 1303 prescriptions at 1 year, and 1885 prescriptions at 2 years … at baseline versus 3.7 errors per 100
prescriptions at 2 years, p<0.001).
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digital.ahrq.gov/principal-investigator/basco-william
January 01, 2023 - Using pharmacy data to screen for look-alike, sound-alike substitution errors in pediatric prescriptions … Using pharmacy data to screen for look-alike, sound-alike substitution errors in pediatric prescriptions