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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/sites/default/files/docs/workflowtoolkit/PrescriptionRenewalRequest-ElectronicSystem.pdf
January 01, 2010 - Prescription Renewal Request - Electronic System
Prescription Renewal Request – Electronic system
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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
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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/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.
-
psnet.ahrq.gov/node/60202/psn-pdf
April 08, 2020 - This cross-
sectional study from Spain reviewed prescriptions for 593 older adults aged 65-75 years … The most frequently detected inappropriate prescriptions were for prolonged use of
benzodiazepines (
-
integrationacademy.ahrq.gov/sites/default/files/2021-04/State_of_Opioid_Use_Among_Older_Adults.pdf
January 01, 2021 - Co-
Poly- Prescribing
pharmacy/ Benzo-
Adverse Drug diazepines
Events
Yet, prescription opioid … of adults 65+
during 2017 and 2018.1 purchased four or more fills of
opioid prescriptions during … Beneficiaries
65 and older.*
For example, high daily dosages, long-term use of opioids, obtaining prescriptions … opioids can increase the risk of harm.
14,814 beneficiaries
460,000 beneficiaries obtained opioid prescriptions … beneficiaries exceeding 240 mg MED/day in 2017.3
were co-prescribed opioid and
benzodiazepine
prescriptions
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/2019-pharmacy-sops-database-report-parti-rev091721.pdf
January 01, 2019 - Communication About Prescriptions
Across Shifts
Information about prescriptions is communicated well … prescription information across shifts (B4) 84
We have standard procedures for communicating prescription … Communication About Prescriptions Across Shifts
1. … We have clear expectations about exchanging important
prescription information across shifts. … We have standard procedures for communicating
prescription information across shifts.
-
psnet.ahrq.gov/issue/opioids-and-dentistry
November 12, 2014 - The articles explore prescribing behaviors , disparities present in opioid prescribing , prescription … October 28, 2020
A machine learning-based clinical decision support system to identify prescriptions … More
Related Resources
Doctors and dentists still flooding U.S. with opioid prescriptions … April 18, 2019
Association of opioid prescriptions from dental clinicians for US adolescents
-
psnet.ahrq.gov/node/867475/psn-pdf
February 26, 2025 - At this
time, the patient’s prescription for pain control was changed from hydrocodone-acetaminophen … oxycodone is the most frequently prescribed oral opioid.2
Current guidelines recommend that opioid prescriptions … A hospital that implemented such an alert for opioid prescriptions with oral morphine
equivalent doses … 90 mg, concomitant benzodiazepine prescription, or history of opioid use
disorder, reported a 28-fold … The CDC recommends that prescribers check state prescription drug monitoring
program (PDMP) data when
-
www.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK2_T1-Suggested_Agenda_for_Meeting_on_Monitoring_Final.docx
October 01, 2016 - Examples of moderately complex measures: (1) number of antibiotic prescriptions divided by the number … Examples: Percentage of antibiotic prescriptions, number of residents receiving antibiotics, number and
-
psnet.ahrq.gov/issue/serious-threat-patient-safety-unintended-misuse-fentanyl-patches
September 24, 2010 - April 27, 2022
Alternatives to opioid education and a prescription drug monitoring program … cumulatively decreased outpatient opioid prescriptions. … January 10, 2018
The effect of opioid prescribing guidelines on prescriptions by emergency … April 22, 2015
National patterns of codeine prescriptions for children in the emergency
-
psnet.ahrq.gov/issue/impact-inpatient-electronic-prescribing-system-prescribing-error-causation-qualitative
February 16, 2022 - Analysis of 4 million outpatient prescriptions. … August 29, 2018
Quality and variability of patient directions in electronic prescriptions … incidence of medication documentation errors in a Swiss university hospital due to the handwritten prescription … label: prevalence and description of discrepancies from a cross-sectional evaluation of electronic prescriptions
-
psnet.ahrq.gov/node/41011/psn-pdf
March 04, 2015 - Nearly one in four prescriptions contained at least one error in dosing,
frequency, or patient instructions … , and a startling proportion of prescriptions had illegibility errors as well.
-
psnet.ahrq.gov/node/46940/psn-pdf
May 02, 2018 - This Canadian study found
that patients who received new opioid prescriptions in the emergency department … were more likely to have subsequent opioid complications compared to patients who received
new opioid prescriptions … cdc-guideline-prescribing-opioids-chronic-pain-united-states-2016
https://psnet.ahrq.gov/issue/emergency-department-contribution-prescription-opioid-epidemic
-
meps.ahrq.gov/data_files/publications/st515/stat515.shtml
September 01, 2018 - Only prescriptions purchased or obtained in an outpatient setting are included in these estimates. … Race/Ethnicity
Any use and frequent use of outpatient opioid prescriptions differed across some … Average annual percent of elderly adults who filled outpatient opioid 1 prescriptions in 2015–2016, … Average annual percent of elderly adults who filled outpatient opioid 1 prescriptions in 2015–2016, … Average annual percent of elderly adults who filled outpatient opioid 1 prescriptions in 2015–2016,
-
meps.ahrq.gov/data_files/publications/st516/stat516.shtml
September 01, 2018 - Only prescriptions purchased or obtained in an outpatient setting are included in these estimates. … (38.7 percent) and to fill 4 or more opioid prescriptions (21.9 percent) compared to those in other … Non-elderly adults in the West were less likely to fill any opioid prescriptions (12.2 percent) than … Average annual percent of non-elderly adults who filled outpatient opioid 1 prescriptions in 2015–2016 … Average annual percent of non-elderly adults who filled outpatient opioid 1 prescriptions in 2015–2016
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psnet.ahrq.gov/issue/2004-ashp-leadership-conference-pharmacy-practice-management-executive-summary-improving
June 16, 2019 - February 21, 2018
Expanded pharmacy technician roles: accepting verbal prescriptions … and communicating prescription transfers. … May 28, 2015
Language barriers to prescriptions for patients with limited English proficiency
-
psnet.ahrq.gov/issue/dispensing-error-rate-highly-automated-mail-service-pharmacy-practice
November 16, 2022 - The authors found an error rate of less than 1 error per 1,000 prescriptions dispensed though a mail-service … August 8, 2018
The effect of the electronic transmission of prescriptions on dispensing … errors and prescription enhancements made in English community pharmacies: a naturalistic stepped wedge … June 29, 2011
Using human error theory to explore the supply of non-prescription medicines
-
psnet.ahrq.gov/issue/appropriateness-outpatient-antibiotic-prescribing-among-privately-insured-us-patients-icd-10
January 29, 2020 - In this cross-sectional study, researchers found that 23% of the 15,455,834 outpatient antibiotic prescriptions … June 10, 2020
Prevalence of inappropriate antibiotic prescriptions among US ambulatory … 2016
Evaluation of drug utilization and prescribing errors in infants: a primary care prescription-based
-
psnet.ahrq.gov/issue/prevalence-study-errors-opioid-prescribing-large-teaching-hospital
October 19, 2022 - This cross-sectional study found that more than one quarter of opioid prescriptions at a teaching hospital … March 5, 2010
Errors and omissions in hospital prescriptions: a survey of prescription