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digital.ahrq.gov/sites/default/files/docs/activity/2011_2900500073_grossman_pdf_2.pdf
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 … 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/health-it-tools-and-resources/health-it-costs-and-benefits-database/influence-simple-computerized
June 01, 1986 - Influence of simple computerized feedback on prescription charges in an ambulatory clinic. … Outcomes: Cost of the intervention and prescription cost. … Evaluation Method: Costs of prescriptions and number of prescriptions per patients along with a survey … Changes in healthcare costs: The mean charge per prescription and the mean pharmacy charge per patient … There was a 6.5% reduction in mean charge per prescription and a 9.7% reduction for total charge per
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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/sites/default/files/docs/activity/effective_use_of_e_prescribing_in_physician_practices_and_pharmacies_2010_pdf__2.pdf
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 … 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/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/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/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/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/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/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/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
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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/weissman-joel
January 01, 2023 - , and Cost
Primary medication non-adherence: analysis of 195,930 electronic prescriptions … Primary medication non-adherence: analysis of 195,930 electronic prescriptions.
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digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/PrescriptionRenewalRequest-ElectronicSystem.pdf
January 01, 2010 - Prescription Renewal Request - Electronic System
Prescription Renewal Request – Electronic system
P … ha
rm
ac
y
N
ur
si
ng
S
ta
ff
P
ro
vi
de
r
P
at
ie
nt Call pharmacy
requesting prescription … Yes
No Approve or decline renewal request
Forward
prescription
renewal
request to
provider
Approve … renewal
Go to pharmacy to
pick up
prescription
renewal
Renewal
request
approved? … Prescription Renewal Request - Electronic system.
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digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/PrescriptionRenewalRequest-PaperSystem.pdf
January 01, 2010 - Prescription Renewal Request - Paper System
Prescription Renewal Request – Paper system
P
ha
rm
ac … dm
in
is
tra
tiv
e
S
ta
ff
or
M
A
P
ro
vi
de
r
P
at
ie
nt Call pharmacy
requesting
prescription … request
declined
No
Yes
Inform patient
renewal request
approved
Go to pharmacy to
pick up
prescription … renewal
Fill prescription
renewal
tthuemling
Text Box
Carayon P, Karsh B-T, Cartmill RS, et al. … Prescription Renewal Request - Paper system.
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/randomized-controlled-trial-0
February 01, 2001 - of study: Not Available Study Design: Randomized control trial Outcomes: Proportion of antibiotic prescriptions … for otitis media with duration < 10 days, frequency of antibiotic prescriptions for otitis media.
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/factors-related-physicians
train, and change prescribing behavior; and uncertainty about which local pharmacies accpet electronic prescriptions … productivity: Less than half of MDs believed that electronic prescribing would save time in writing prescriptions
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/outpatient-prescribing-errors
September 01, 2005 - Description: Basic computerized prescribing (one commercial system, one home-grown) that provided printed prescriptions … Quality of Care and Patient Safety Outcome: 7.6% of 1879 prescriptions contained a prescribing error