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www.ahrq.gov/patient-safety/reports/engage/medlist.html
October 01, 2022 - Studies show that 5 to 7 percent of prescriptions result in a medication error. … Almost half the people in the United States have used at least one prescription in the last 30 days, … unintentionally overdosing by taking both the generic and name brand medicines, are taking outdated prescriptions … , or are taking supplements that negatively interact with their prescription medicines.
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psnet.ahrq.gov/issue/identifying-and-quantifying-medication-errors-evaluation-rapidly-discontinued-medication
February 03, 2011 - Analysis of 4 million outpatient prescriptions. … July 10, 2019
Quality and variability of patient directions in electronic prescriptions … incidence of medication documentation errors in a Swiss university hospital due to the handwritten prescription … 2014
Computerized physician order entry in the cardiac intensive care unit: effects on prescription … label: prevalence and description of discrepancies from a cross-sectional evaluation of electronic prescriptions
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/kuilboer-mm-et-al-2006
January 01, 2006 - practice; and, the average number of antihistamine, cromoglycate, deptropine, and oral bronchodilator prescriptions … peak-flow measurements, and the ratio of coded measurements increased, whereas the number of cromoglycate prescriptions … There was a "larger decrease in the average number of cromoglycate prescriptions in the [intervention
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.215_slideshow.ppt
April 01, 2010 - . http://www.ncbi.nlm.nih.gov/pubmed/7790981
*
Epidemiology
Estimated that 21% of handwritten prescriptions … contain at least one prescription-writing error
Between 2%–24% of prescriptions are dispensed erroneously … Pharmacist Counseling
States are required to establish standards governing patient counseling for prescriptions … Most states require the offer of pharmacist counseling for new prescriptions only
When offered, patients … may refuse counseling on new prescriptions
Interchange between pharmacist and
patient can provide
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/weingart-sn-et-al-2003
January 01, 2003 - They were more likely to override alerts for renewals compared with new prescriptions (OR, 17.74; 95% … Prescriptions for amoxicillin and a combination of amoxicillin and clavulanate potassium triggered 6 … In contrast, physicians overrode all 3 erythromycin allergy alerts triggered by prescriptions for azithromycin … "New prescriptions were less often written [after overriding an alert] than renewals (50.0% vs 89.6% … than for a new prescription (OR, 17.74; 95% CI, 5.60-56.18)."
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digital.ahrq.gov/ahrq-funded-projects/electronic-prescribing-and-decision-support-improve-rural-primary-care-quality/annual-summary/2010
January 01, 2010 - certification process essentially certifies that pharmacy software is capable of receiving electronic prescriptions … SureScripts certification does not address how the pharmacy software processes electronic prescriptions … efficiency gain than those required to perform more data entry when processing new electronic prescriptions … the prescription data elements as they exist in the pharmacy software. … Also, telephone calls and facsimile interruptions have decreased as more prescriptions are delivered
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psnet.ahrq.gov/node/42787/psn-pdf
January 19, 2014 - this study examined community-based
primary care providers, who actually write the bulk of ambulatory prescriptions … prescribing errors
immediately following CPOE implementation were low, with approximately 6 errors per 100 prescriptions … computerized-provider-order-entry
https://psnet.ahrq.gov/issue/effect-computerized-physician-order-entry-medication-prescription-errors-and-clinical-outcome
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psnet.ahrq.gov/node/45796/psn-pdf
June 29, 2017 - Characteristics of initial prescription episodes and
likelihood of long-term opioid use—United States … Characteristics of Initial Prescription Episodes and Likelihood of Long-Term
Opioid Use - United States … https://psnet.ahrq.gov/issue/characteristics-initial-prescription-episodes-and-likelihood-long-term-opioid … 700 mg morphine
equivalent), provided prescriptions with longer duration (more than 10 days), or given … 3 or more
prescriptions for opioids were most likely to continue to use opioid medications 1 year later
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psnet.ahrq.gov/issue/ten-ers-colorado-tried-curtail-opioids-and-did-better-expected
December 04, 2016 - Colorado Opioid Safety Collaborative, which used alternative pain control approaches to reduce opioid prescriptions … June 26, 2019
Incidence and predictors of opioid prescription at discharge after traumatic … April 22, 2015
National patterns of codeine prescriptions for children in the emergency
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psnet.ahrq.gov/issue/frequency-and-severity-harm-medication-errors-related-parenteral-nutrition-process-large
January 16, 2019 - Approximately 1 in 60 prescriptions for parenteral nutrition resulted in a medication error, most of … Analysis of 4 million outpatient prescriptions.
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digital.ahrq.gov/funding-mechanism/health-information-technology-community-tracking
January 01, 2023 - Technology Community Tracking
Transmitting and processing electronic prescriptions … Transmitting and processing electronic prescriptions: experiences of physician practices and pharmacies
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/experience/johnson-k-et-al-2006
January 01, 2006 - To facilitate the future implementation of an electronic prescribing system, this case study modeled prescription … managers, physicians and nurses, and then represented the sequence of steps carried out to complete prescriptions … Objective
"To facilitate the future implementation of an electronic prescribing system [by modeling] prescription … prescribing (e-Rx)
Workflow-Related Findings
Two distinct workflows were found, one for prescription … Workflows also varied for new prescriptions and renewals.
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psnet.ahrq.gov/node/33867/psn-pdf
October 01, 2018 - RW: In the old days, when your doctor gave you a prescription on paper or the hospital faxed a prescription … And
the numbers of prescriptions have gone up dramatically. … We're now into billions of prescriptions being filled,
something like 4 billion prescriptions each year … on a spindle that were kept in a file somewhere, and you matched the
prescription container prescription … number with the proper prescription.
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psnet.ahrq.gov/web-mm/2-week-itch
June 16, 2019 - She received a handwritten prescription for Zyrtec and Atarax. … With prescriptions for Zyprexa and Zyrtec there are many. … Therefore, including the purpose on prescriptions will reduce the likelihood of such name confusions. … Include purpose of medication on prescriptions. … Prescription errors. Legibility and drug name confusion.
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digital.ahrq.gov/ahrq-funded-projects/assessment-pediatric-look-alike-sound-alike-substitution-errors
January 01, 2023 - errors have been studied in the pediatric population, the frequency of LASA-specific errors in pediatric prescriptions … Children
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/ahrq-funded-projects/impact-office-based-e-prescribing-prescribing-processes-and-outcomes/annual-summary/2010
January 01, 2010 - Electronic prescribing (e-prescribing) is a technology that allows prescribers to write prescriptions … The project will link patients’ e-prescriptions with pharmacy claims and will generate a comprehensive … The key challenge in preparing the datasets has been linking events and individuals from the e-prescription … The final step will be linking e-prescriptions to filled claims. … In regard to e-prescription adoption, the focus groups found that the attitude of the doctors played
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psnet.ahrq.gov/node/45425/psn-pdf
December 22, 2018 - In this study, investigators used a trigger tool approach and reviewed all antibiotic prescriptions … They found that antibiotic prescriptions with overridden alerts were associated with
dosing errors.
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psnet.ahrq.gov/issue/characterization-prescribing-errors-internal-medicine-clinic
March 04, 2011 - Prior to implementation of an electronic prescription system, the investigators retrospectively analyzed … handwritten prescriptions to identify prescribing errors and their characteristics. … Analysis of 4 million outpatient prescriptions. … May 27, 2011
Effect of computerisation on the quality and safety of chemotherapy prescription
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psnet.ahrq.gov/issue/risk-factors-preventable-adverse-drug-events-pediatric-outpatients
December 15, 2011 - This study discovered that children with multiple prescriptions were at increased risk for suffering … doses of pediatric liquid medicines to parents/caregivers: a comparison of written dosing directions on prescriptions
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psnet.ahrq.gov/issue/opioid-prescribing-and-potential-overdose-errors-among-children-0-36-months-old
March 23, 2016 - These results suggest that opioid prescriptions for pediatric patients often contain potential overdose … January 23, 2019
Outpatient opioid prescriptions for children and opioid-related adverse