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Electronic Prescription

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4141. [Infancy asthma: diagnostic and therapeutic approach]. (PubMed)

treat wheezy infants?, what are the modalities of prescriptions? what is the long term outcome of wheezy infants?Electronic literature search was performed in Medline. Key-words used for the final search were "infant", "wheezing", "atopy", "asthma", "inhaled corticosteroids". We considered for analysis meta analysis, randomized controlled trials, systematic reviews, cohort studies and consensus statement reports.The diagnosis of asthma in infants is more difficult than in older children or adults

2008 La Tunisie médicale

4142. Automated Versus Conventional Hospital Discharge Summaries and Prescriptions

Automated Versus Conventional Hospital Discharge Summaries and Prescriptions Automated Versus Conventional Hospital Discharge Summaries and Prescriptions - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more (...) . Automated Versus Conventional Hospital Discharge Summaries and Prescriptions The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT00670865 Recruitment Status : Completed First Posted : May 2, 2008 Last Update Posted : April 16, 2010 Sponsor: St. Michael's Hospital, Toronto Information provided by: St

2008 Clinical Trials

4143. Atacand (Candesartan) Real Life Study

prescribed Atacand or Cozaar for hypertension by selected primary care centres. Data will be extracted anonymously from electronic medical records. In addition, data regarding morbidity and mortality will be collected by merging the cohort with the following national registries: the Hospital Discharge Register (Slutenvårdsregistret), the Cause of Death Register and the Heart Intensive Care Admission (RIKS-HIA) Condition or disease Intervention/treatment Hypertension Drug: Candesartan Cilexetil Drug (...) for eligibility information Ages Eligible for Study: 17 Years and older (Child, Adult, Older Adult) Sexes Eligible for Study: All Accepts Healthy Volunteers: No Sampling Method: Non-Probability Sample Study Population Eligible subjects are all patients found in EPS systems at the participating centres, who were prescribed candesartan (ATC-C09CA06) or losartan (C09CA01) for hypertension from 1 January 1999 - 31 December 2004 inclusive. The first found prescription is designated as index. Criteria Inclusion

2008 Clinical Trials

4144. Compliance of Antihypertensive Treatment Study (CAT Study)

treatment group) and training is performed as described below. Active training group: Electronic Pill-Boxes with SMS service 1/week, training material provided Passive training group: Electronic Pill-Boxes ,Training material provided Usual treatment group: Electronic Pill-Boxes, maintain current treatment method Secondary objective - Evaluate other factor that has effect on the compliance of antihypertensive drug. Evaluate the blood pressure lowering effect according to the compliance (...) month. There is no fixed visit date and the visits are made according to patient's periodic treatment schedules. To come up with representative and reliable nation wide statistical data, from hospitals nation wide patient who receive drugs (ACE-I, ARB, β-Blocker, CCB, Diuretic) for blood pressure lowering purpose according to the prescription patterns of investigator will be registered. Number of centers & patients: No. of centers: 20 general hospitals No. of patients: 1,062 patients Study Design Go

2008 Clinical Trials

4145. An Efficacy and Safety Study of NBI-56418 in Endometriosis

endometriosis pain and was completed at approximately the same time each day using an electronic diary (e-Diary). Participants were instructed to select a single number between 0 (No pain) and 10 (Worst pain ever) that best described their endometriosis pain at its worst over the past day. The monthly mean NRS is the average of the daily values reported during the 4 weeks prior to each visit. Secondary Outcome Measures : Change From Baseline in the Monthly Mean Numerical Rating Score (NRS) for Endometriosis (...) Pain [ Time Frame: Baseline and weeks 4 and 8 ] The NRS is an 11-point scale used to measure endometriosis pain and was completed at approximately the same time each day using an electronic diary (e-Diary). Participants were instructed to select a single number between 0 (No pain) and 10 (Worst pain ever) that best described their endometriosis pain at its worst over the past day. The monthly mean NRS is the average of the daily values reported during the 4 weeks prior to each visit. Change From

2008 Clinical Trials

4146. A Cluster Randomized Controlled Trial in Primary Oral Care

of regular attendees, and patient recordkeeping was conducted electronically. GDPs had to give their informed consent to assess and evaluate electronically patient records. Patient data were collected anonymously. Patient's inclusion criteria To be eligible for inclusion, patients should meet (fulfil) several criteria, depending on the IQual's CPG to be used (ROE or MIM): ROE: All patients regularly visiting their dentist (at least once a year) over the past three years for ROEs will be included (...) Verified: February 2008 Keywords provided by Radboud University: cluster-randomised trial routine oral examination implementation research practice based research CPG recall interval assignment for routine oral examination prescription bitewing radiographs preventive advice and feed back oral disease Additional relevant MeSH terms: Layout table for MeSH terms Tooth, Impacted Tooth Diseases Stomatognathic Diseases

2008 Clinical Trials

4147. Electronic Prescribing and Electronic Transmission of Discharge Medication Lists

-based ambulatory e-prescribing systems Other Names: WebCIS CLIMACS EpicCare Eclypsis 2 All physicians and nurse practitioners at 1 ambulatory care clinics Other: Electronic transmission of medication discharge lists Patient discharge medication lists will be transmitted upon discharge from their inpatient medical record to their outpatient medical record and their outpatient provider will be notified of this transmission. Outcome Measures Go to Primary Outcome Measures : Prescription medication (...) Electronic Prescribing and Electronic Transmission of Discharge Medication Lists Electronic Prescribing and Electronic Transmission of Discharge Medication Lists - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding

2008 Clinical Trials

4148. Treatment Of Hot Flashes/Flushes In Postmenopausal Women (WARM Study)

(lightly stained and not soaked through) and Bleeding: any vaginal flow requiring more than one sanitary napkin or tampon per day. The following information was recorded in electronic case report form: start and stop date of MPA administration as well as dates of any spotting/bleeding. Duration of spotting or bleeding is presented. Occurrence of Withdrawal Bleeding-number of Days of Spotting, Number of Days of Bleeding, Number of Days of Spotting/Bleeding Combined [ Time Frame: Up to Follow-up (Day 112 (...) per day (lightly stained and not soaked through) and Bleeding: any vaginal flow requiring more than one sanitary napkin or tampon per day. The following information was recorded in electronic case report form: start and stop date of MPA administration as well as dates of any spotting/bleeding. Duration of spotting, bleeding and also spotting/bleeding combined is presented. Mean Change in Frequency of Vasomotor Symptoms (VMS) From Baseline at Week 12 [ Time Frame: Baseline (Week 0) and Week 12

2008 Clinical Trials

4149. Multi-Center Feasibility Study of Trans-oral Endoscopic Restrictive Implant System (TERIS) for Treatment of Obesity

(NSAIDs) at least 14 days prior to a device implant or device removal procedure and continuing for 14 days post-procedure(s). Subjects undergoing chronic steroid therapy. Subjects undergoing immunosuppressive therapy. Subjects who cannot discontinue either prescription or over the counter weight loss medications for at least 30 days prior to the procedure as well as during the trial period. Subjects who have cardiac pacemakers or other electronic implantable devices. Subjects who have hiatal hernias

2008 Clinical Trials

4150. Effects of Single Oral Dose Dapagliflozin QT Study

to Brief Summary: The main purpose of this study is to examine the effect of dapagliflozin on electronic measures of heart beats in healthy males Condition or disease Intervention/treatment Phase Healthy Drug: Dapagliflozin Drug: Moxifloxacin Drug: Placebo to match moxifloxacin and dapagliflozin Phase 1 Study Design Go to Layout table for study information Study Type : Interventional (Clinical Trial) Actual Enrollment : 36 participants Allocation: Randomized Intervention Model: Crossover Assignment (...) Outcome Measures Go to Primary Outcome Measures : Electronic measures of heart beats [ Time Frame: ECGs (electronic measures of the heart) are taken at scheduled times during the 3 days after receiving each dose of study medication ] Secondary Outcome Measures : Blood levels of dapagliflozin following single 20 mg and 150 mg doses in healthy volunteers [ Time Frame: At scheduled times during the 3 day periods following dosing during each of the 4 study periods ] Safety and tolerability

2008 Clinical Trials

4151. When More Is Not Better. Treatment Intensification Among Hypertensive Patients With Poor Medication Adherence. (PubMed)

of hypertensive patients who had filled prescriptions for 1 or more blood pressure (BP) medications at Veterans' Affairs (VA) healthcare facilities in a Midwestern VA administrative region. Our sample included all patients who received at least 2 outpatient BP medication refills during 2004 and had 1 or more outpatient primary care visits with an elevated systolic BP >140 but <200 mm Hg or diastolic BP >90 mm Hg during 2005 (n=38,327). For each episode of elevated BP during 2005 (68,610 events), we used (...) electronic pharmacy refill data to examine patients' BP medication adherence over the prior 12 months and whether providers increased doses or added BP medications ("intensification"). Multivariate analyses accounted for the clustering of elevated BP events within patients and adjusted for patient age, comorbidities, number of BP medications, encounter systolic BP, and average systolic BP over the prior year. Providers intensified medications in 30% of the 68,610 elevated BP events, with almost

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2008 Circulation

4152. One in 3 prescriptions are never redeemed: Primary nonadherence in an outpatient clinic. (PubMed)

were studied. Redemptions were traced in an electronic register after 4 weeks. Exclusions were a result of identical treatments within the last 6 months or hospitalizations within 4 weeks.In all, 30.7% of the 322 eligible patients did not collect their medication. Patients with psoriasis were least adherent with nearly 50% of the prescriptions being unredeemed.Only initial prescriptions for previously untried medications issued to hospital outpatients were studied.For the clinician, primary (...) One in 3 prescriptions are never redeemed: Primary nonadherence in an outpatient clinic. Despite being essential to medication adherence, redemption of initial prescriptions (ie, primary adherence) has been investigated only sparsely.The objectives were to determine the frequency and risk factors for primary nonadherence among outpatients with dermatologic conditions.Every 15th day during 2006, all patients receiving a prescription for an initial treatment with a previously untried medication

2008 Journal of American Academy of Dermatology

4153. Emergency Department Visits for Antibiotic-Associated Adverse Events. (PubMed)

events from the National Electronic Injury Surveillance System-Cooperative Adverse Drug Event Surveillance project (2004-2006) and outpatient prescriptions from national sample surveys of ambulatory care practices, the National Ambulatory Medical Care Survey and the National Hospital Ambulatory Medical Care Survey (2004-2005).On the basis of 6614 cases, an estimated 142,505 visits (95% confidence interval [CI], 116,506-168,504 visits) annually were made to US EDs for drug-related adverse events (...) with the highest rate of ED visits (18.9 ED visits per 10,000 outpatient prescription visits [95% CI, 13.1-24.7 ED visits per 10,000 outpatient prescription visits] and 18.5 ED visits per 10,000 outpatient prescription visits [95% CI, 12.1-25.0 ED visits per 10,000 outpatient prescription visits], respectively). Compared with all other antibiotic classes, sulfonamides were associated with a significantly higher rate of moderate-to-severe allergic reactions (4.3% [95% CI, 2.9%-5.8%] vs. 1.9 % [95% CI, 1.5%-2.3

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2008 Clinical Infectious Diseases

4154. Use of physician education and computer alert to improve targeted use of gastroprotection among NSAID users. (PubMed)

% with the combination of an electronic alert and physician education (P < 0.001); among PPI-naïve patients, the rate increased from 26% to 55% (P < 0.0001). When stratified by known risk factors for GI complications of NSAIDs, the odds of receiving a gastroprotective prescription among PPI-naïve patients was 1.6 with education alone, 1.8 with electronic alert alone, and 2.9 with the combination (P < 0.0001).The combination of a computer alert and brief physician education led to an increase in the use

2008 American Journal of Gastroenterology

4155. Intensity-modulated radiation therapy dose prescription, recording, and delivery: patterns of variability among institutions and treatment planning systems. (PubMed)

Intensity-modulated radiation therapy dose prescription, recording, and delivery: patterns of variability among institutions and treatment planning systems. Intensity-modulated radiation therapy (IMRT) is a widely accepted method for radiation treatment to provide a prescribed and uniform dose to the target volume and a minimum dose to normal tissues that is dependent on the IMRT software and the treatment machine. We examined the variation in IMRT dose prescription, treatment planning, dose (...) in the electronic data management system, was extracted for each patient. The planned dose that was delivered to the patient, as represented in the dose-volume histogram, was acquired from each treatment planning system. The actual minimum, maximum, median, and isocenter doses to the target volume were normalized to the prescribed dose and analyzed for each disease site and institution.Of the 803 patients, 12% were treated for brain cancer, 26% for head and neck cancer, and 62% for prostate cancer. The recorded

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2008 Journal of the National Cancer Institute

4156. Asthma costs and utilization in a managed care organization. (PubMed)

Asthma costs and utilization in a managed care organization. Medical costs and health care utilization associated with asthma and the variation by treatment are poorly understood.To compare single controller inhaled corticosteroid (ICS) to other asthma drug regimens on medical costs and utilization.Direct medical costs and utilization were captured from administrative electronic databases from continuously enrolled members with asthma age 5 years or older with drug coverage. Asthma patients (...) were identified during 2002, categorized into 14 asthma drug groups on the basis of 2003 prescription records, and had total medical costs and utilization determined in 2004 adjusting for demographics, insurance types, asthma risk, comorbidity, and propensity scores.A total of 96,631 patients met the study eligibility criteria. Patients were (mean +/- SD) age 38 +/- 23 years and were 57% female, 14% Medicare, 4% Medicaid, and had a median family income (mean +/- SD) of $64,967 +/- $29,285. Total

2008 Journal of Allergy and Clinical Immunology

4157. Decision support increases guideline adherence for prescribing postoperative nausea and vomiting prophylaxis. (PubMed)

Decision support increases guideline adherence for prescribing postoperative nausea and vomiting prophylaxis. Guidelines for postoperative nausea and vomiting (PONV) prevention are implemented widely but their effectiveness may be limited by poor adherence. We hypothesized that the use of an electronic decision support (DS) system would significantly improve guideline adherence.Medical information of all patients undergoing elective surgery in our regional teaching hospital is routinely entered (...) , respectively. During the control period, 38% of all high-risk patients were prescribed PONV prophylaxis. This increased to 73% during the DS period and decreased to 37% in the post-DS period.Electronic DS increases guidelines adherence for the prescription of PONV prophylaxis in high-risk PONV patients.

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2008 Anesthesia and Analgesia

4158. Electronic prescribing reduced prescribing errors in a pediatric renal outpatient clinic. (PubMed)

Electronic prescribing reduced prescribing errors in a pediatric renal outpatient clinic. To assess the effect of an electronic prescribing (EP) system on the incidence and type of prescribing errors and the number of error-free visits.This was a before-and-after study conducted in a nephrology outpatient clinic at an acute tertiary care pediatric hospital.A total of 520 patients had 2242 items prescribed on 1141 prescriptions during the study period. The overall prescribing error rate was 77.4 (...) % to 73.4%) after the implementation of EP.There was a high incidence of errors using handwritten prescriptions in the outpatient setting, with an overall error rate of 77.4%. EP significantly reduced errors related to completeness of prescriptions and eliminated legibility related errors.

2008 Journal of Pediatrics

4159. How accurate are diagnoses for rheumatoid arthritis and juvenile idiopathic arthritis in the general practice research database? (PubMed)

(Group 1 = strongest evidence), based on RA/JIA medical codes. Individuals were sampled from each group and clinical and prescription data were extracted from anonymized hospital/practice correspondence and electronic records. American College of Rheumatology and International League of Associations for Rheumatology diagnostic criteria were used to validate diagnoses. A data-derived diagnostic algorithm that maximized sensitivity and specificity was identified using logistic regression.Among 223 RA (...) -coded individuals, the diagnostic algorithm classified individuals as having RA if they had an appropriate GPRD disease-modifying antirheumatic drug prescription or 3 other GPRD characteristics: >1 RA code during followup, RA diagnostic Group 1 or 2, and no later alternative diagnostic code. This algorithm had >80% sensitivity and specificity when applied to a test data set. Among 101 JIA-coded individuals, the strongest predictor of a valid diagnosis was a Group 1 diagnostic code (>90% sensitivity

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2008 Arthritis and Rheumatism

4160. The role of the electronic medical record (EMR) in care delivery development in developing countries: a systematic review. (PubMed)

The role of the electronic medical record (EMR) in care delivery development in developing countries: a systematic review. Most countries in Europe and the USA are increasingly using an electronic medical record (EMR) to help improve healthcare quality. Unfortunately, most developing countries face many challenges ranging from epidemics and civil wars to disasters: they also lack a robust healthcare infrastructure in the form of information and communications technology (ICT) to ensure (...) not published in English and six were studies on EMR in developed countries.The potential of EMR systems to transform medical care practice has been recognised over the past decades, including the enhancement of healthcare delivery and facilitation of decision-making processes. Some benefits of an EMR system include accurate medication lists, legible notes and prescriptions and immediately available charts. In spite of challenges facing the developing world such as lack of human expertise and financial

2008 Informatics in primary care

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