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Electronic Prescription

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21. Pharmacy customers' experiences with the national online service for viewing electronic prescriptions in Finland. (PubMed)

Pharmacy customers' experiences with the national online service for viewing electronic prescriptions in Finland. To investigate (1) Finnish pharmacy customers' familiarity with My Kanta, the national online service for viewing electronic prescriptions (ePrescriptions), (2) how commonly My Kanta is used, (3) who the typical users are, and (4) users' experiences of the usability of My Kanta.A survey was conducted among pharmacy customers (aged ≥18) purchasing medicines for themselves (...) of the prescribed medications. Familiarity with My Kanta was associated with a higher education than basic school, regular use of prescription medicines, and sufficient information received about ePrescriptions. Men used My Kanta more often than women. Respondents aged 75 or older were less likely to be familiar with and to use the service compared to 18-34year olds.Most of the Finnish pharmacy customers were familiar with the national online service, My Kanta, for viewing ePrescriptions. Service users

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2017 International journal of medical informatics

22. Barriers and facilitators to implementing electronic prescription: a systematic review of user groups' perceptions. (PubMed)

Barriers and facilitators to implementing electronic prescription: a systematic review of user groups' perceptions. We conducted a systematic review identifying users groups' perceptions of barriers and facilitators to implementing electronic prescription (e-prescribing) in primary care.We included studies following these criteria: presence of an empirical design, focus on the users' experience of e-prescribing implementation, conducted in primary care, and providing data on barriers

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2017 Journal of the American Medical Informatics Association

23. Decision support during electronic prescription to stem antibiotic overuse for acute respiratory infections: a long-term, quasi-experimental study. (PubMed)

Decision support during electronic prescription to stem antibiotic overuse for acute respiratory infections: a long-term, quasi-experimental study. Interventions to support decision-making can reduce inappropriate antibiotic use for acute respiratory infections (ARI), but they may not be sustainable. The objective of the study is to evaluate the long-term effectiveness of a clinical decision-support system (CDSS) interposed at the time of electronic (e-) prescriptions for selected (...) antibiotics.This is a retrospective, observational intervention study, conducted within a large, statewide Veterans Affairs health system. Participants are outpatients with an initial visit for ARI. A CDSS was deployed upon e-prescription of selected antibiotics during the study period. From 01/2004 to 05/2006 (pre-withdrawal period), the CDSS targeted azithromycin and the fluoroquinolone gatifloxacin. From 05/2006 to 12/2011 (post-withdrawal period), the CDSS was retained for azithromycin but withdrawn

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2017 BMC Infectious Diseases

24. The use of electronic alerts in primary care computer systems to identify the over-prescription of short-acting beta2-agonists in people with asthma: a protocol for a systematic review. (PubMed)

The use of electronic alerts in primary care computer systems to identify the over-prescription of short-acting beta2-agonists in people with asthma: a protocol for a systematic review. 28446776 2018 11 13 2055-1010 27 1 2017 Apr 26 NPJ primary care respiratory medicine NPJ Prim Care Respir Med The use of electronic alerts in primary care computer systems to identify the over-prescription of short-acting beta 2 -agonists in people with asthma: a protocol for a systematic review. 30 10.1038

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2017 NPJ primary care respiratory medicine

25. Patient Use of Electronic Prescription Refill and Secure Messaging and Its Association With Undetectable HIV Viral Load: A Retrospective Cohort Study. (PubMed)

Patient Use of Electronic Prescription Refill and Secure Messaging and Its Association With Undetectable HIV Viral Load: A Retrospective Cohort Study. Electronic personal health records (PHRs) can support patient self-management of chronic conditions. Managing human immunodeficiency virus (HIV) viral load, through taking antiretroviral therapy (ART) is crucial to long term survival of persons with HIV. Many persons with HIV have difficulty adhering to their ART over long periods of time. PHRs (...) contribute to chronic disease self-care and may help persons with HIV remain adherent to ART. Proportionally veterans with HIV are among the most active users of the US Department of Veterans Affairs (VA) PHR, called My HealtheVet. Little is known about whether the use of the PHR is associated with improved HIV outcomes in this population.The objective of this study was to investigate whether there are associations between the use of PHR tools (electronic prescription refill and secure messaging [SM

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2017 Journal of medical Internet research

26. The impact of electronic prescriptions on medication safety in Finnish community pharmacies: A survey of pharmacists. (PubMed)

The impact of electronic prescriptions on medication safety in Finnish community pharmacies: A survey of pharmacists. The purpose was to explore pharmacists' opinions regarding the impacts of electronic prescriptions (ePrescriptions) on medication safety in Finnish community pharmacies. Further objectives were to explore how often and what kinds of ambiguities or errors pharmacists have perceived in ePrescriptions.A survey of randomly selected dispensers (n=1004) and pharmacists (n=228 (...) ) was conducted in 2014.Altogether 778 questionnaires were returned, yielding response rates of 64% (n=635) for dispensers and 65% (n=143) for pharmacists. The respondents felt that ePrescriptions improve medication safety in many areas: they lower the number of prescription forgeries, reduce the risk of dispensing errors, promote better management of the patient's overall medication, facilitate monitoring of duplicative therapy and drug interactions, and lessen the risk of incorrect interpretation

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2017 International journal of medical informatics

27. Data quality in electronic medical records in Manitoba: Do problem lists reflect chronic disease as defined by prescriptions? (PubMed)

Data quality in electronic medical records in Manitoba: Do problem lists reflect chronic disease as defined by prescriptions? To determine if the problem list (health conditions) in primary care electronic medical records (EMRs) accurately reflects the conditions for which chronic medications are prescribed in the EMR.A retrospective analysis of EMR data.Eighteen primary care clinics across rural and urban Manitoba using the Accuro EMR.Data from the EMRs of active patients seen in an 18-month (...) period (December 18, 2011, to June 18, 2013, or December 3, 2012, to June 3, 2014) were used.The likelihood of documentation in the EMR problem list of those specific chronic diseases for which drug prescriptions were documented in the EMR. Regression modeling was performed to determine the effect of clinic patient load and remuneration type on the completeness of EMR problem lists.Overall problem-list completeness was low but was highest for diabetes and lowest for insomnia. Fee-for-service clinics

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2017 Canadian Family Physician

28. PSYCHOPHARMACOLOGY IN THE AGE OF “BIG DATA”: THE PROMISES AND LIMITATIONS OF ELECTRONIC PRESCRIPTION RECORDS (PubMed)

PSYCHOPHARMACOLOGY IN THE AGE OF “BIG DATA”: THE PROMISES AND LIMITATIONS OF ELECTRONIC PRESCRIPTION RECORDS 28378158 2018 11 13 1179-1934 31 5 2017 05 CNS drugs CNS Drugs Psychopharmacology in the Age of "Big Data": The Promises and Limitations of Electronic Prescription Records. 417-419 10.1007/s40263-017-0419-y Rudorfer Matthew V MV Division of Services and Intervention Research, National Institute of Mental Health, Bethesda, MD, 20892-9629, USA. mrudorfe@mail.nih.gov. eng Z99 MH999999

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2017 CNS drugs

29. Clinical indications for antibiotic use in Danish general practice: results from a nationwide electronic prescription database (PubMed)

Clinical indications for antibiotic use in Danish general practice: results from a nationwide electronic prescription database To assess the availability and applicability of clinical indications from electronic prescriptions on antibiotic use in Danish general practice.Retrospective cohort register-based study including the Danish National Prescription Register.Population-based study of routine electronic antibiotic prescriptions from Danish general practice.All 975,626 patients who redeemed (...) indication was uncommon.Clinical indications from electronic prescriptions are accessible and available to provide an overview of drug use, in casu antibiotic prescriptions, in Danish general practice. These clinical indications may be further explored in detail to assess rational drug use and congruence with guidelines, but validation and optimisation of the system is preferable.

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2017 Scandinavian journal of primary health care

30. Impact of Internally Developed Electronic Prescription on Prescribing Errors at Discharge from the Emergency Department (PubMed)

Impact of Internally Developed Electronic Prescription on Prescribing Errors at Discharge from the Emergency Department Medication errors are common, with studies reporting at least one error per patient encounter. At hospital discharge, medication errors vary from 15%-38%. However, studies assessing the effect of an internally developed electronic (E)-prescription system at discharge from an emergency department (ED) are comparatively minimal. Additionally, commercially available electronic (...) solutions are cost-prohibitive in many resource-limited settings. We assessed the impact of introducing an internally developed, low-cost E-prescription system, with a list of commonly prescribed medications, on prescription error rates at discharge from the ED, compared to handwritten prescriptions.We conducted a pre- and post-intervention study comparing error rates in a randomly selected sample of discharge prescriptions (handwritten versus electronic) five months pre and four months post

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2017 Western Journal of Emergency Medicine

31. Electronically Generated Medication Administration and Electronic Medication Administration Records for the Prevention of Medication Transcription Errors: Review of Clinical Effectiveness and Safety

error rates are affected. Tags critical care, critical illness, drug prescriptions, drug therapy, electronic prescribing, intensive care units, life support care, medical order entry systems, medication errors, medication systems, hospital, pharmaceutical preparations, other miscellaneous topics, Medications, errors, error, Medication, Acute care Files Rapid Response Summary with Critical Appraisal Published : December 8, 2016 Follow us: © 2019 Canadian Agency for Drugs and Technologies in Health (...) Electronically Generated Medication Administration and Electronic Medication Administration Records for the Prevention of Medication Transcription Errors: Review of Clinical Effectiveness and Safety Electronically Generated Medication Administration and Electronic Medication Administration Records for the Prevention of Medication Transcription Errors: Review of Clinical Effectiveness and Safety | CADTH.ca Find the information you need Electronically Generated Medication Administration

2016 Canadian Agency for Drugs and Technologies in Health - Rapid Review

32. Risk factors for medication errors in the electronic and manual prescription (PubMed)

Risk factors for medication errors in the electronic and manual prescription to compare electronic and manual prescriptions of a public hospital of Brasilia, identifying risk factors for the occurrence of medication errors.descriptive-exploratory, comparative and retrospective study. Data collection occurred from July 2012 to January 2013, using an instrument for the review of the information contained in medical records related to the medication process. A total of 190 manual and 199 (...) electronic records composed the sample, with 2027 prescriptions each.compared to the manual prescription, a significant reduction was observed in the risk factors after implantation of the electronic prescription, in items such as "lack of the form of dilution" (71.1% to 22.3%) and "prescription with brand name" (99.5% to 31.5%). Conversely, the risk factors "no check" and "lack of CRM of the prescriber" increased. The lack of the allergy registration and the occurrences related to medication were

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2016 Revista latino-americana de enfermagem

33. Electronic Alerts with Automated Consultations Promote Appropriate Antimicrobial Prescriptions (PubMed)

Electronic Alerts with Automated Consultations Promote Appropriate Antimicrobial Prescriptions To promote appropriate antimicrobial use in bloodstream infections (BSIs), we initiated an intervention program consisting of electronic alerts and automated infectious diseases consultations in which the identification and antimicrobial susceptibility test (ID/AST) results were reported.We compared the appropriateness of antimicrobial prescriptions and clinical outcomes in BSIs before and after (...) at 24 hours after reporting, immediately after program initiation. No significant baseline trends or changes in trends were identified. There were no significant differences in time to intravenous to oral switch therapy, length of stay, and 30-day mortality rate.This novel form of stewardship program based on intervention by infectious disease specialists and information technology improved antimicrobial prescriptions in BSIs.

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2016 PloS one

34. Electronic Prescription

Electronic Prescription Electronic Prescription Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Electronic Prescription Electronic (...) Prescription Aka: Electronic Prescription , Electronic Prescribing , E-Prescribe , e-Rx From Related Chapters II. Definitions Electronic Prescription Transmission of a prescription electronically (typically via an EHR), directly to a pharmacy Meaningful use mandates as part of Stage I III. Efficacy: Safety Computerized physician order entry (CPOE) has reduced some errors (e.g. illegible handwriting) However, CPOE has introduced many new types of errors (e.g. selection list errors, default directions) IV

2018 FP Notebook

35. Modelling and extraction of variability in free-text medication prescriptions from an anonymised primary care electronic medical record research database. (PubMed)

Modelling and extraction of variability in free-text medication prescriptions from an anonymised primary care electronic medical record research database. Free-text medication prescriptions contain detailed instruction information that is key when preparing drug data for analysis. The objective of this study was to develop a novel model and automated text-mining method to extract detailed structured medication information from free-text prescriptions and explore their variability (e.g. optional (...) dosages) in primary care research databases.We introduce a prescription model that provides minimum and maximum values for dose number, frequency and interval, allowing modelling variability and flexibility within a drug prescription. We developed a text mining system that relies on rules to extract such structured information from prescription free-text dosage instructions. The system was applied to medication prescriptions from an anonymised primary care electronic record database (Clinical Practice

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2016 Medical Informatics and Decision Making

36. CREATING AND AUDITING A NEW ELECTRONIC CONTINUOUS INFUSION PRESCRIPTION CHART FOR A PAEDIATRIC CRITICAL CARE UNIT. (PubMed)

CREATING AND AUDITING A NEW ELECTRONIC CONTINUOUS INFUSION PRESCRIPTION CHART FOR A PAEDIATRIC CRITICAL CARE UNIT. Prescription errors, including continuous infusion prescriptions are one major source of concern in the paediatric population. Evidence suggests that use of an electronic or web-based calculator could minimise these errors. In our paediatric critical care unit (PCCU) we have created an electronic continuous infusion prescription chart to target errors in this area and conducted (...) an audit to assess its effect on error reduction.To create an electronic continuous infusion prescription chart and audit its effect on prescription errors.Similar electronic continuous infusion prescription charts were evaluated. A Choice of electronic formats were considered and excel was chosen for its simplicity and flexibility. The choice of medications to be included, dilution method, and dosage range was agreed between PCCU consultant, pharmacy and nursing staff. Formulas for calculating each

2016 Archives of Disease in Childhood

37. IMPLEMENTATION OF AN ELECTRONIC PRESCRIPTION CHART FOR GENTAMICIN FOR NEONATAL UNITS AND POSTNATAL WARDS. (PubMed)

IMPLEMENTATION OF AN ELECTRONIC PRESCRIPTION CHART FOR GENTAMICIN FOR NEONATAL UNITS AND POSTNATAL WARDS. Since the introduction of NICE guidance for Early Onset Neonatal Sepsis (EONS)1 in August 2012, the number of locally reported prescribing and administration errors involving gentamicin has increased. This guideline introduced a new, unfamiliar regimen to staff working on the Neonatal Units and Postnatal wards. Analysis of the errors suggested 36 hourly frequency of gentamicin contributed (...) to the errors due to the complexities of prescribing on the paper drug chart. Our aim was to reduce errors involving gentamicin through the introduction of a Microsoft Excel® based electronic prescription chart.Local medication incident reports for gentamicin were analysed from 1st September 2013 to 3rd October 2014 (prior to the introduction of the new prescription chart). The new prescription chart was introduced from 5 January 2015. Incident reports continued to be monitored until 30th July 2015

2016 Archives of Disease in Childhood

38. AN ELECTRONIC PRESCRIPTION ALERTING SYSTEM-IMPROVING THE DISCHARGE MEDICINES PROCESS. (PubMed)

AN ELECTRONIC PRESCRIPTION ALERTING SYSTEM-IMPROVING THE DISCHARGE MEDICINES PROCESS. Whilst the prescribing of both in-patient and discharge medicines is electronic, there was no automatic notification to clinical pharmacists when a discharge prescription was ready to be screened. The notification required a member of medical or nursing staff to bleep their pharmacist informing them of a prescription's availability. This manual process led to a delay in pharmacist screening which impacted (...) the email body. The email is sent to named individuals within a given distribution list. The function is scalable to support all areas using Trust eDischarge Summaries.The system was introduced in April 2015. Data from before (June 2014-January 2015) and after (June 2015) implementation was compared.Prior to the introduction of an electronic alerting system the average time from a prescriber signing a prescription to clinical pharmacist screening was 93 minutes. Three months after starting the new

2016 Archives of Disease in Childhood

39. Optimized Computerized Order Entry can Reduce Errors in Electronic Prescriptions and Associated Pharmacy Calls to Clarify (CTC) (PubMed)

Optimized Computerized Order Entry can Reduce Errors in Electronic Prescriptions and Associated Pharmacy Calls to Clarify (CTC) After implementation of a system-wide EMR within our university system, e-prescribing is now commonplace.The authors conducted a study to assess whether optimization of computerized provider order entry (CPOE) can reduce errors in these electronically transmitted prescriptions and would require less frequent interventions from pharmacists, in particular the need (...) for them to "call to clarify" (CTC) details of particular prescriptions. Secondary analysis based on cost assumptions was preformed to presume cost differences before and after optimization changes.In order to generate complete, error-free prescriptions, optimization changes were implemented in the form of in line validation messages. These messages were generated if (1) an order did not specify a provider or pharmacy; (2) the DEA requirements were not met; (3) character limits were exceeded in patient

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2016 Applied clinical informatics

40. New approaches to pharmacosurveillance for monitoring prescription frequency, diversity, and co-prescription in a large sentinel network of companion animal veterinary practices in the United Kingdom, 2014–2016 (PubMed)

; this raises important questions regarding the efficacy and safety of PAs prescribed to companion animals. This study explored new approaches for describing PA prescription, diversity and co-prescription in dogs, cats and rabbits utilising electronic health records (EHRs) from a sentinel network of 457 companion animal-treating veterinary sites throughout the UK over a 2-year period (2014-2016). A novel text mining-based identification and classification methodology was utilised to semi-automatically map (...) New approaches to pharmacosurveillance for monitoring prescription frequency, diversity, and co-prescription in a large sentinel network of companion animal veterinary practices in the United Kingdom, 2014–2016 Pharmaceutical agents (PAs) are commonly prescribed in companion animal practice in the United Kingdom. However, little is known about PA prescription on a population-level, particularly with respect to PAs authorised for human use alone prescribed via the veterinary cascade

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2018 Preventive veterinary medicine

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