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Electronic Prescription

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4201. Rates of retrieval of self-injectable epinephrine prescriptions: a descriptive report. (PubMed)

was a retrospective review of electronic medical records of patients prescribed SIE at a large military medical center in a 1-year period. Rates of prescription retrieval were determined, and patient demographic information was collected. Additional information recorded included the number of devices prescribed per prescription, the International Classification of Diseases, Ninth Revision, code associated with each prescription, and the ambulatory care setting associated with the patient encounter resulting (...) Rates of retrieval of self-injectable epinephrine prescriptions: a descriptive report. Some studies have demonstrated poor patient compliance with carrying and administering self-injectable epinephrine (SIE). No study has attempted to define the number or characteristics of patients who are prescribed SIE and subsequently do not retrieve the prescription.To determine fill rates of SIE prescriptions and to provide a descriptive report of patients who do not fill those prescriptions.This

2006 Asthma & Immunology

4202. Promotion of prescription drugs to consumers. (PubMed)

Promotion of prescription drugs to consumers. Spending on prescription drugs is the fastest growing component of the health care budget. There is public concern about the possibility that direct-to-consumer advertising of prescription drugs will result in inappropriate prescribing and higher costs of care. Guidelines issued in 1997 by the Food and Drug Administration (FDA) regarding advertising to consumers through electronic media are considered by some to be responsible for unleashing a flood (...) of direct-to-consumer advertising.Using data on spending for promotional purposes and sales of prescription drugs, we examined industrywide trends for various types of promotion. We also tracked the relation between promotional efforts and sales over time. Finally, we documented the variation in direct-to-consumer advertising among and within five therapeutic classes of drugs and compared the variation in the intensity of such advertising with variation in the intensity of promotion to health care

2002 NEJM

4203. Acceptance and performance by clinicians using an ambulatory electronic medical record in an HMO. (PubMed)

Acceptance and performance by clinicians using an ambulatory electronic medical record in an HMO. The Northwest Region of Kaiser Permanente implemented a comprehensive clinical information system in two sites between February and December 1994. By year end 46 primary care clinicians and 95 supporting personnel used the system on a daily basis to provide patient care. Clinicians use the product to select coded diagnoses, and directly order laboratory, imaging, and other tests, internal referrals (...) , and prescriptions. They enter progress notes into the system, and use it to generate patient focused visit summaries. Clinicians took approximately 2 minutes longer, on average, to complete patient visits post-implementation. Most of this time was spent performing "orders and diagnosis" work, which included new required elements in the post-implementation period. Clinicians worked approximately 30 days before reaching their baseline visit rate and "lost" approximately 48 hours of productivity during

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1995 Proceedings of the Annual Symposium on Computer Application in Medical Care

4204. The diabetes audit and research in Tayside Scotland (DARTS) study: electronic record linkage to create a diabetes register. DARTS/MEMO Collaboration. (PubMed)

prescriptions, 72% had attended the mobile eye screening unit, and 48% had biochemical results diagnostic of diabetes. A further 701 patients had isolated hyperglycaemia (plasma glucose > 11.1 mmol/l) but were not considered diabetic by general practitioners. Validation against the eight general practices (636 diabetic patients) showed electronic linkage to have a sensitivity of 0.96 and a positive predictive value of 0.95 for ascertainment of known diabetes. General practice lists had a sensitivity of 0.91 (...) The diabetes audit and research in Tayside Scotland (DARTS) study: electronic record linkage to create a diabetes register. DARTS/MEMO Collaboration. To identify all patients with diabetes in a community using electronic record linkage of multiple data sources and to compare this method of case ascertainment with registers of diabetic patients derived from primary care.Electronic capture-recapture linkage of records included data on all patients attending hospital diabetes clinics, all encashed

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1997 BMJ : British Medical Journal

4205. Restructuring the electronic medical record to incorporate full digital signature capability. (PubMed)

of cryptography and authentication certificate archives. Digital signatures will need to accommodate changes in data storage formats when information is transported between EMR systems using XML or other transaction standards because the original signatures will not validate if the data storage format changes. The costs of adding digital signature to EMR mandates serious examination of the business case for digital signature within an EMR as compared with transactions such as electronic prescriptions (...) Restructuring the electronic medical record to incorporate full digital signature capability. The security of Electronic Medical Records can be enhanced by the addition of digital signatures that guarantee data integrity, authenticate the signer, and establish non-repudiation through the use of public key encryption. The task is complicated by the contribution of multiple providers to an encounter and the entry of data at multiple points in time Dividing encounters into an episode of care

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2001 Proceedings of the AMIA Symposium

4206. Work patterns of ambulatory care pharmacists with access to electronic guideline-based treatment suggestions. (PubMed)

Work patterns of ambulatory care pharmacists with access to electronic guideline-based treatment suggestions. The effects of the electronic display of guideline-based, patient-specific treatment suggestions on pharmacist work patterns were studied. A total of 28 pharmacists at a hospital-based ambulatory care pharmacy were randomly assigned to intervention and control groups. The intervention group had access to electronic treatment suggestions for heart failure, ischemic heart disease (...) spent significantly more of their time discussing information, advising and informing, and solving problems than pharmacists in the control group but significantly less of their time checking and filling prescriptions. Pharmacists in both groups completed a majority of their work alone, but pharmacists in the intervention group worked significantly less by themselves and significantly more with other pharmacy personnel, patients, and physicians and nurses than control-group pharmacists. The delivery

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1999 American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists

4207. Compliance with inhaled medications: the relationship between diary and electronic monitor. (PubMed)

Compliance with inhaled medications: the relationship between diary and electronic monitor. Self-report is a frequently-used method of assessing compliance with prescribed medications in patients with chronic illnesses. Most researchers agree, however, that self-report misrepresents patient adherence to regimen prescription. In this randomized, controlled study evaluating inhaler medication compliance, diary data was compared to electronic monitoring in 55 adults with asthma. Subjects (...) randomized to the treatment group received a six-week self-management program. An electronic monitor, the MDI Chronolog, was used in this study to assess inhaler use. The MDI Chronolog records the date and time of each inhaled activation. The self-report measure used was a daily asthma diary. Subjects were asked to use their inhaled medications as usual and record the date and time they administered their medication over a one-week period. Moderate correlations (rs = .55, Mdnd = 95.8, Mdnc = 91.6) were

1998 Annals of behavioral medicine : a publication of the Society of Behavioral Medicine

4208. [Clinical and experimental research on a kidney-tonifying prescription in preventing and treating children's hearing-loss induced by aminoglycoside antibiotic ototoxicity]. (PubMed)

[Clinical and experimental research on a kidney-tonifying prescription in preventing and treating children's hearing-loss induced by aminoglycoside antibiotic ototoxicity]. This paper reports 30 cases of hearing-loss induced by aminoglycoside antibiotic ototoxicity treated mainly with Kidney-tonifying herbs such as Herba Epimedii, Rhizoma Drynariae, Rhizoma Polygonati, Radix Polygoni Multiflori, Magnetitum and Rhizoma Acori Graminei, etc. After three month's treatment, the authors found that 19 (...) cases had improved their hearing more than 15 db, among which there are 8 cases who had improved 15 db and 11 cases 30 db. The patients' hearing of pre-treatment and post-treatment were determined by BAR V-wave hearing threshold. In order to further prove that Kidney-tonifying prescription can antagonize the aminoglycoside antibiotic ototoxicity, animal experiments had been made. The authors chose guinea pigs for experimental animals, which were randomly divided into three groups: Kanamycin group

1989 Zhong xi yi jie he za zhi = Chinese journal of modern developments in traditional medicine / Zhongguo Zhong xi yi jie he yan jiu hui (chou), Zhong yi yan jiu yuan, zhu ban

4209. Evaluation of the VA/KP Problem List Subset of SNOMED as a Clinical Terminology for Electronic Prescription Clinical Decision Support (PubMed)

Evaluation of the VA/KP Problem List Subset of SNOMED as a Clinical Terminology for Electronic Prescription Clinical Decision Support A standardized terminology for medical indications is essential for building e-prescription applications with decision support. The FDA has adopted the Veteran Administration and Kaiser Permanente (VA/KP) Problem List Subset of SNOMED as the terminology to represent indications in electronic labels. In this paper, we evaluate the ability of this subset

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2007 AMIA Annual Symposium Proceedings

4210. Electronic transfer of prescription-related information. (PubMed)

Electronic transfer of prescription-related information. 12879842 2003 10 03 2008 11 21 0960-1643 53 489 2003 Apr The British journal of general practice : the journal of the Royal College of General Practitioners Br J Gen Pract Electronic transfer of prescription-related information. 328-9 Quinn Bennett B eng Letter England Br J Gen Pract 9005323 0960-1643 IM Confidentiality Drug Prescriptions Humans Informed Consent Medical Records Systems, Computerized 2003 7 26 5 0 2003 10 4 5 0 2003 7 26 5

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2003 The British Journal of General Practice

4211. Concordance Between Medication Histories and Outpatient Electronic Prescription Claims in Patients Hospitalized With Heart Failure (PubMed)

Concordance Between Medication Histories and Outpatient Electronic Prescription Claims in Patients Hospitalized With Heart Failure Using an electronic prescription claims database and electronic hospital records, we retrospectively compared outpatient heart failure (HF) prescriptions dispensed with reported use obtained during medication histories taken at hospital admission. We found significant disagreement between each source for all but one HF medication class.

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2005 AMIA Annual Symposium Proceedings

4212. Electronic transfer of prescription-related information: comparing views of patients, general practitioners, and pharmacists. (PubMed)

Electronic transfer of prescription-related information: comparing views of patients, general practitioners, and pharmacists. The National Health Service (NHS) intends to introduce a system of electronic transfer of prescription-related information between general practitioners (GPs) and community pharmacies. The NHS Plan describes how this will be achieved.To gather opinions of patients, GPs, and community pharmacists on the development of a system of electronic transfer of prescription (...) selected from the electoral roll, GPs, and community pharmacists.The corrected postal response rates were: 69% (patients); 74% (GPs); and 74% (community pharmacists). All three groups were generally supportive of electronic transfer of prescription-related information. Different aspects appealed to each group: patients anticipated improved convenience; GPs, better repeat prescribing; and pharmacists, an enhanced professional role. Security of patient-identifiable information was the main concern. All

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2003 The British Journal of General Practice

4213. A Snapshot of the Electronic Transmission and Processing of Prescriptions project in the Iranian Social Security Organization (PubMed)

A Snapshot of the Electronic Transmission and Processing of Prescriptions project in the Iranian Social Security Organization Iranian Social Security Organization (ISSO) is going to enable the sharing of health related information in a secure environment by means of reliable data in the right time to improve health of insured people throughout the country. There are around 7000 pharmacy throughout the country that ISSO contracted with them in order to deliver seamless services to 30 million (...) insured people. The management of the huge amount of prescriptions based on a scientific basis with considering the financial issues of rising the cost of medicaments certainly needs a sophisticated business process re-engineering using ICT; the work that is going to be completed in the ISSO in next few months.

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2006 AMIA Annual Symposium Proceedings

4214. Patient perceptions regarding electronic prescriptions: is the geriatric patient ready? (PubMed)

Patient perceptions regarding electronic prescriptions: is the geriatric patient ready? To evaluate the extent to which electronic prescribing (e-prescribing) alters communication about medication use between geriatric patients and their clinicians, as well as geriatric patients' perceptions regarding e-prescribing.Cross-sectional.Thirty-five physician practices in six states using e-prescribing.Convenience sample of patients (n=244) aged 65 and older.Patient perceptions regarding discussions (...) with their doctors regarding medication costs, adherence, and potential side effects, as well as expectations about and satisfaction with e-prescribing collected on a voluntary survey.Of patients at e-prescribing practices, 53% reported ever receiving e-prescriptions. Patients who reported having e-prescriptions were more likely to feel favorably toward the electronic method, whereas most of those who reported never receiving e-prescriptions preferred paper prescriptions. Patients reporting use of e

2007 Journal of the American Geriatrics Society

4215. An electronic chart prompt to decrease proprietary antibiotic prescription to self-pay patients. (PubMed)

An electronic chart prompt to decrease proprietary antibiotic prescription to self-pay patients. Emergency physicians unaware of patients' insurance status may prescribe expensive proprietary antibiotics for patients who cannot afford them. The objective of this study was to develop a clinical decision support system to display patient insurance status before prescription writing for outpatient conditions.This was a 26-week "before-and-after" trial at an urban emergency department (ED (...) ) with 78,000 visits/year treating a medically underserved population. Sixty-one prescribers, including attending physicians, residents, and physician assistants, participated. All patients older than 18 years of age discharged from the ED receiving antibiotic prescriptions were eligible. The electronic ED chart is linked to prescription-writing software, which includes a menu of 74 antibiotics. The system was programmed so that when an emergency physician accessed the prescription menu, a prompt appeared

2005 Academic Emergency Medicine

4216. Development of an electronic prescription processing option: an aid for general practice. (PubMed)

Development of an electronic prescription processing option: an aid for general practice. An interactive computer-supported prescription processing system has been developed as an add-on to existing general practitioner information systems. The aim of the system is to improve the clarity, efficiency and economy of drug treatment choices and prescription writing. It enables the doctor to choose the best treatment from the system's formulary according to the patient's complaint, symptom (...) or diagnosis. The selections are based on complaints and diagnoses from the International classification of primary care (ICPC). A prescription is printed and the potential exists for individualized patient instruction leaflets to be printed. Furthermore, the system may prove useful for retrospective and prospective statistical and epidemiological studies. This implies continuous adaptation, which is also necessary to keep the system updated. As well as an aid in daily general practice, the system is also

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1991 The British Journal of General Practice

4217. Methodology for security development of an electronic prescription system. (PubMed)

Methodology for security development of an electronic prescription system. Data security is an essential requirement in all health care applications. Developers of medical information systems should utilize the existing security development and evaluation methods to foresee as many of the technical and human factors that may endanger data security as possible and apply appropriate precautions. Modern smart card technology facilitates the building of robust security framework (...) for interorganizational shared care systems. In this article, we describe the way we utilized the existing security evaluation criteria in developing the security concept of our electronic prescription system.

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1998 Proceedings of the AMIA Symposium

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