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Electronic Prescription

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4561. Evaluating Patient Information Prescriptions

general information in response to patient information needs; 3) Documentation of the questions and the information service provided in response to these in the patient's Electronic Patient Record for review by providers as needed; and, 4) Triage of patient's/parents clinical questions to providers. Other Name: Information prescriptions or IRx Outcome Measures Go to Primary Outcome Measures : Patient Satisfaction [ Time Frame: 4 years ] Secondary Outcome Measures : provider perceptions and behavior (...) Evaluating Patient Information Prescriptions Evaluating Patient Information 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. Evaluating Patient Information Prescriptions The safety

2006 Clinical Trials

4562. Antibiotic prescription and cost patterns in a general intensive care unit Full Text available with Trip Pro

Antibiotic prescription and cost patterns in a general intensive care unit Antibiotic prescription habits, cost pattern, and the prospective intervention in an Intensive Care Unit were analyzed.Data on antibiotic utilization and costs were collected prospectively from individual electronic charts from August 2003 to January 2004, and retrospectively from August to December 2002.A total of 180 and 107 patients were surveyed in 2002 and 2003. In 2002, Piperacillin-Tazobactam (13.8%) and Imipenem (...) on promoting infectious control with rational antibiotic prescription aimed at minimizing the future emergence of bacterial resistance and futile expenses.

2007 Pharmacy Practice

4563. Integrating Targeted MedlinePlus Health Prescriptions Into Clinic Practice Workflow

Integrating Targeted MedlinePlus Health Prescriptions Into Clinic Practice Workflow Integrating Targeted MedlinePlus Health Prescriptions Into Clinic Practice Workflow - 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. Integrating Targeted MedlinePlus Health Prescriptions Into Clinic Practice Workflow 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: NCT00634608 Recruitment Status : Completed First Posted : March 13, 2008 Last Update Posted : September 30, 2016 Sponsor: University of Missouri-Columbia

2008 Clinical Trials

4564. Using Outpatient Prescription Claims to Evaluate Medication Adherence In An Acute Myocardial Infarction Population Full Text available with Trip Pro

Using Outpatient Prescription Claims to Evaluate Medication Adherence In An Acute Myocardial Infarction Population We have previously shown that using computerized alerts and academic detailing results in significant improvement in physician adherence to secondary prevention guidelines for acute myocardial infarction. However, information about patient medication adherence after hospital discharge was not previously available. Using electronic outpatient prescription claims data, medication

2005 AMIA Annual Symposium Proceedings

4565. Drug-Age Alerting for Outpatient Geriatric Prescriptions: A Joint Study using Interoperable Drug Standards Full Text available with Trip Pro

Drug-Age Alerting for Outpatient Geriatric Prescriptions: A Joint Study using Interoperable Drug Standards For more than a decade, the Beers criteria have identified specific medications that should generally be avoided in the geriatric population. Studies that have shown high prevalence rates of these potentially inappropriate medications have used disparate methodologies to identify these medications and hence are difficult to replicate and generalize. In an effort to improve prescribing (...) behavior, we are building a drug-age alerting system utilizing standard drug coding systems for use in our Electronic Health Record (EHR) systems.

2005 AMIA Annual Symposium Proceedings

4566. Bariatric surgery: shedding the monetary weight of prescription costs in the managed care arena. (Abstract)

Bariatric surgery: shedding the monetary weight of prescription costs in the managed care arena. Prescription costs for treatment of comorbidities associated with morbid obesity is a considerable annual health-care expenditure. This study addressed the effect of Roux-en-Y gastric bypass (RYGBP) on diabetic and anti-hypertensive pharmaceutical utilization and cost savings at our institution.Retrospective data from the electronic database of 51 consecutive patients, who underwent RYGBP from March (...) 2001 to May 2002 were studied. Patients had BMI >40 associated with obesity-related diabetes and hypertension. Prescription medications utilized by this cohort were reviewed preoperatively and at 3- and 9-month intervals postoperatively. Significance was analyzed by paired t-test.Prevalence of diabetes and hypertension was 55.7% (29/53) and 44.3% (24/53) respectively, and 34% (18/53) patients had both co-morbidities. Preoperatively, patients were on an average of 2.44 +/- 1.86 medications at a cost

2004 Obesity Surgery

4567. Oral methadone for chronic noncancer pain: a systematic literature review of reasons for administration, prescription patterns, effectiveness, and side effects. (Abstract)

Oral methadone for chronic noncancer pain: a systematic literature review of reasons for administration, prescription patterns, effectiveness, and side effects. To assess the indications, prescription patterns, effectiveness, and side effects of oral methadone for the treatment of chronic noncancer pain.We conducted searches of several electronic databases, textbooks and reference lists for controlled or uncontrolled studies in humans. Effectiveness was assessed using a dichotomous (...) meaningful in 59% of the patients in the uncontrolled studies. The randomized trial demonstrated a statistically significant improvement in pain for methadone (20 mg/day) compared to placebo. Side effects were considered minor.Oral methadone is used for various noncancer pain syndromes, at different settings and with no prescription pattern that could be identifiable. Starting, maintenance, and maximum doses showed great variability. The figure of 59% effectiveness of methadone should be interpreted very

2005 Clinical Journal of Pain

4568. Restructuring the electronic medical record to incorporate full digital signature capability. Full Text available with Trip Pro

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

2001 Proceedings of the AMIA Symposium

4569. Effects of an automated electronic reminder in changing the antiplatelet drug-prescribing behavior among Italian general practitioners in diabetic patients: an intervention trial. (Abstract)

Effects of an automated electronic reminder in changing the antiplatelet drug-prescribing behavior among Italian general practitioners in diabetic patients: an intervention trial. To evaluate whether an electronic reminder integrated into a routine computer system increases the use of antiplatelet drugs for diabetic patients among Italian general practitioners (GPs).A randomized controlled trial was carried out among 300 GPs and their patients selected from the Health Search Database. Among (...) these, 150 GPs (intervention group) received instructions to activate an electronic reminder plus a letter summarizing the beneficial effects of antiplatelet drugs in diabetic patients with at least one additional cardiovascular risk factor ("high risk"), whereas the other 150 GPs (control group) received only the letter. The electronic reminder, integrated into a standard software system for the management of the daily clinical practice, was displayed when every participating GP opened the medical

2003 Diabetes Care Controlled trial quality: uncertain

4570. Compliance with inhaled medications: the relationship between diary and electronic monitor. (Abstract)

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 Controlled trial quality: uncertain

4571. Work patterns of ambulatory care pharmacists with access to electronic guideline-based treatment suggestions. Full Text available with Trip Pro

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

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

4572. Acceptance and performance by clinicians using an ambulatory electronic medical record in an HMO. Full Text available with Trip Pro

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

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

4573. The diabetes audit and research in Tayside Scotland (DARTS) study: electronic record linkage to create a diabetes register. DARTS/MEMO Collaboration. Full Text available with Trip Pro

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

1997 BMJ : British Medical Journal

4574. Evaluation of Standardized Tasks for Primary Care Physicians Using the MOXXI Electronic Prescribing and Integrated Drug Management System Full Text available with Trip Pro

Evaluation of Standardized Tasks for Primary Care Physicians Using the MOXXI Electronic Prescribing and Integrated Drug Management System The Medical Office for the Twenty First Century (MOXXI) is a research project testing the potential benefits of an electronic prescription and drug management system for primary care physicians. This system includes a dynamic electronic pad for prescription entry with fields for treatment indications; a drug profiler with a graphic representation of the list (...) of prescription medications purchased in the last year; a refill compliance calculator; dates of emergency room visits and hospital admissions; cost of drugs dispensed; and an alert system that detects interactions among drugs, treatment duplications, and contraindications with certain allergies or specific diseases. One concern expressed by physicians that could influence uptake and acceptability is the increased time that may be required to use the system. User abilities are a factor in this process

2003 AMIA Annual Symposium Proceedings

4575. Using the electronic medical record to enhance the use of combination drugs. (Abstract)

Using the electronic medical record to enhance the use of combination drugs. The objective of this study was to increase combination drug prescriptions through the use of electronic point-of-care reminders, thereby maintaining quality while decreasing medication costs. The electronic medical record (EMR) was used to identify all patients who were potential candidates for one of the following 3 currently available combination drugs: fluticasone-salmeterol, amlodipine-benazepril, or glyburide (...) -metformin. Point-of-care electronic reminders were attached to the medication record of the EMR for each patient, and providers were asked to consider using the available combination medication. Of the patients who had electronic reminders attached to their charts and were seen at the clinic during the study period, 47 of 175 were switched to a combination medication. A cost-savings analysis showed a total annual savings of dollars 6,159.30. Point-of-care reminders are a simple and effective tool

2003 American Journal of Medical Quality

4576. Improving diagnostic testing and reducing overuse of antibiotics for children with pharyngitis: a useful role for the electronic medical record. (Abstract)

Improving diagnostic testing and reducing overuse of antibiotics for children with pharyngitis: a useful role for the electronic medical record. Because of rising resistance to antibiotics, appropriate use of antibiotics is an important measure of quality of care. The purpose of this study was to use an electronic medical record (EMR) to assess use of diagnostic testing and of antibiotics for pharyngitis in a pediatric outpatient setting and to target areas for improvement.Using data retrieved (...) from the EMR, we analyzed visits from March 1, 2001 to February 28, 2002 for children 3 to 18 years old diagnosed with pharyngitis. We determined the proportion of episodes with a diagnostic test for group A streptococci, the proportion for which a prescription for an antibiotic was dispensed and factors that predicted prescribing and testing.Of 391 episodes of pharyngitis, a test was ordered for 303 (78%). Antibiotics were prescribed for 90 (23%); for 76 of 90 (84%) a test was ordered. Clinicians

2003 Pediatric Infectious Dsease Journal

4577. Predicting the risk of gastrointestinal bleeding due to nonsteroidal antiinflammatory drugs: NSAID electronic assessment of risk. (Abstract)

Predicting the risk of gastrointestinal bleeding due to nonsteroidal antiinflammatory drugs: NSAID electronic assessment of risk. To validate that, using patient demographics and other risk factors readily obtained from computerized databases, one can predict a priori the risk for developing a nonsteroidal antiinflammatory drug (NSAID) associated gastrointestinal (GI) bleed prior to exposing patients to therapy.We conducted a retrospective cohort analysis using computer-stored information from (...) a large group-model health maintenance organization. All patients who received one or more prescriptions for a single NSAID over a 9 month period were eligible. Historical and risk factor data was obtained for age, sex, prior GI bleeds, use of GI medications, prednisone use, and use of disease modifying antirheumatic drugs (DMARD). We tested a model (eSCORE) that is based on a previous risk stratification method. The primary outcome was a hospital admission for a GI bleed (GI event).A total of 303,211

2003 Journal of Rheumatology

4578. Promotion of prescription drugs to consumers. (Abstract)

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

4579. 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

4580. [Clinical and experimental research on a kidney-tonifying prescription in preventing and treating children's hearing-loss induced by aminoglycoside antibiotic ototoxicity]. (Abstract)

[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

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