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Electronic Prescription

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4621. Selective Serotonin Reuptake Inhibitor (SSRI) Antidepressants in Pregnancy and Congenital Anomalies: Analysis of Linked Databases in Wales, Norway and Funen, Denmark. Full Text available with Trip Pro

).Three population-based EUROCAT congenital anomaly registries- Norway (2004-2010), Wales (2000-2010) and Funen, Denmark (2000-2010)-were linked to the electronic healthcare databases holding prospectively collected prescription information for all pregnancies in the timeframes available. We included 519,117 deliveries, including foetuses terminated for congenital anomalies, with data covering pregnancy and the preceding quarter, including 462,641 with data covering pregnancy and one year either side (...) Selective Serotonin Reuptake Inhibitor (SSRI) Antidepressants in Pregnancy and Congenital Anomalies: Analysis of Linked Databases in Wales, Norway and Funen, Denmark. Hypothesised associations between in utero exposure to selective serotonin reuptake inhibitors (SSRIs) and congenital anomalies, particularly congenital heart defects (CHD), remain controversial. We investigated the putative teratogenicity of SSRI prescription in the 91 days either side of first day of last menstrual period (LMP

2016 PLoS ONE

4622. Study of Total Skin Electron Beam Therapy (TSEBT) in Stage IB-IIIA Mycosis Fungoides

Study of Total Skin Electron Beam Therapy (TSEBT) in Stage IB-IIIA Mycosis Fungoides Study of Total Skin Electron Beam Therapy (TSEBT) in Stage IB-IIIA Mycosis Fungoides - 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. Study of Total Skin Electron Beam Therapy (TSEBT) in Stage IB-IIIA Mycosis Fungoides 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: NCT01073267 Recruitment Status : Completed First Posted : February 23, 2010 Results First Posted : December 31, 2015 Last Update Posted : December 31, 2015

2010 Clinical Trials

4623. Caregivers and Electronic Medication Monitoring in Chronic Kidney Disease

Pillbox Monitoring System Usual care plus receive use of the wireless electronic pillbox and medication monitoring system Device: Electronic Pillbox Monitoring System Daily exposure for six months Other Name: MedMinder Outcome Measures Go to Primary Outcome Measures : medication adherence [ Time Frame: 6 months ] We will calculate the proportion of days over a six month follow up period. We will calculate quantity dispensed on all chronic prescriptions filled to measure the number of days a patient (...) Caregivers and Electronic Medication Monitoring in Chronic Kidney Disease Caregivers and Electronic Medication Monitoring in Chronic Kidney Disease - 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. Caregivers

2010 Clinical Trials

4624. Readiness of the Belgian network of sentinel general practitioners to deliver electronic health record data for surveillance purposes: results of survey study. Full Text available with Trip Pro

Readiness of the Belgian network of sentinel general practitioners to deliver electronic health record data for surveillance purposes: results of survey study. In order to proceed from a paper based registration to a surveillance system that is based on extraction of electronic health records (EHR), knowledge is needed on the number and representativeness of sentinel GPs using a government-certified EHR system and the quality of EHR data for research, expressed in the compliance rate with three (...) criteria: recording of home visits, use of prescription module and diagnostic subject headings.Data were collected by annual postal surveys between 2005 and 2009 among all sentinel GPs. We tested relations between four key GP characteristics (age, gender, language community, practice organisation) and use of a certified EHR system by multivariable logistic regression. The relation between EHR software package, GP characteristics and compliance with three quality criteria was equally measured

2010 BMC Family Practice

4625. Real-Time Surveillance for Tuberculosis Using Electronic Health Record Data from an Ambulatory Practice in Eastern Massachusetts Full Text available with Trip Pro

Real-Time Surveillance for Tuberculosis Using Electronic Health Record Data from an Ambulatory Practice in Eastern Massachusetts Electronic health records (EHRs) have the potential to improve completeness and timeliness of tuberculosis (TB) surveillance relative to traditional reporting, particularly for culture-negative disease. We report on the development and validation of a TB detection algorithm for EHR data followed by implementation in a live surveillance and reporting system.We used (...) structured electronic data from an ambulatory practice in eastern Massachusetts to develop a screening algorithm aimed at achieving 100% sensitivity for confirmed active TB with the highest possible positive predictive value (PPV) for physician-suspected disease. We validated the algorithm in 16 years of retrospective electronic data and then implemented it in a real-time EHR-based surveillance system. We assessed PPV and the completeness of case capture relative to conventional reporting in 18 months

2010 Public Health Reports

4626. Patient Panel of Underserved Populations and Adoption of Electronic Medical Record Systems by Office-Based Physicians Full Text available with Trip Pro

Patient Panel of Underserved Populations and Adoption of Electronic Medical Record Systems by Office-Based Physicians To examine the association between patient panels of underserved populations and adoption of electronic medical records (EMRs) among office-based physicians.Two thousand three hundred and twenty-six office-based physicians who responded and saw patients in the 2005 and 2006 National Ambulatory Medical Care Surveys.This study used a cross-sectional design. The unit of analysis (...) was the office-based physician. EMR adoption was defined based on functionalities (No EMR, Limited, or Comprehensive). An EMR was considered to have "comprehensive" functionalities if it included computerized orders for prescriptions and tests, test results, and clinical notes by physicians. Patient panels of underserved populations were measured as proportions of racial/ethnic minorities, Medicaid recipients, or self-pay/no charge/charity care patients treated by a physician using the reported

2010 Health Services Research

4627. Quality of congestive heart failure care: Assessing measurement of care using electronic medical records Full Text available with Trip Pro

Quality of congestive heart failure care: Assessing measurement of care using electronic medical records To study the feasibility of using electronic medical record (EMR) data from the Deliver Primary Healthcare Information (DELPHI) database to measure quality of care for patients with congestive heart failure (CHF) in primary care and to determine the percentage of patients with CHF receiving the recommended care.Items listed on the Ontario Ministry of Health and Long-Term Care Heart Failure (...) ; 32.2% had echocardiograms; 30.5% were prescribed angiotensin-converting enzyme inhibitors; 20.9% were prescribed β-blockers; and 15.8% were prescribed angiotensin II receptor blockers.Low frequencies of recommended care items for patients with CHF were recorded in the EMR. Physicians explained that CHF care was documented in areas of the EMR that contained patient identifiers, such as the encounter notes, and was therefore not part of the DELPHI database. Extractable information from the EMR does

2010 Canadian Family Physician

4628. Electronic monitoring of scoliosis brace wear compliance Full Text available with Trip Pro

Electronic monitoring of scoliosis brace wear compliance Accurate evaluation of patient compliance with scoliosis brace usage has been a challenge for physicians treating patients with adolescent idiopathic scoliosis. This inability to accurately measure compliance has resulted in difficulty in determining brace treatment efficacy. This prospective study was performed to demonstrate the efficacy of using a new electronic brace compliance monitor, the Cricket.The Cricket is a small encased (...) circuit that can be attached to the brace and, by means of a temperature sensor, can record brace wear times. This study included ten subjects with adolescent idiopathic scoliosis who were prescribed the Wilmington scoliosis brace (thoraco-lumbo-sacral orthosis) into which the Cricket sensor was incorporated. Subjects kept a diary of brace wear times.Comparisons of data for the Cricket, subject diaries, and prescribed brace wear were evaluated. The mean error between the diary times and Cricket

2010 Journal of children's orthopaedics

4629. Electronic health record-based decision support to improve asthma care: a cluster-randomized trial. (Abstract)

Electronic health record-based decision support to improve asthma care: a cluster-randomized trial. Asthma continues to be 1 of the most common chronic diseases of childhood and affects approximately 6 million US children. Although National Asthma Education Prevention Program guidelines exist and are widely accepted, previous studies have demonstrated poor clinician adherence across a variety of populations. We sought to determine if clinical decision support (CDS) embedded in an electronic (...) in the EHR. Outcomes of interest were the proportion of children with at least 1 prescription for controller medication, an up-to-date asthma care plan, and the performance of office-based spirometry.Increases in the number of prescriptions for controller medications, over time, was 6% greater (P = .006) and 3% greater for spirometry (P = .04) in the intervention urban practices. Filing an up-to-date asthma care plan improved 14% (P = .03) and spirometry improved 6% (P = .003) in the suburban practices

2010 Pediatrics Controlled trial quality: uncertain

4630. Assessing medication adherence simultaneously by electronic monitoring and pill count in patients with mild-to-moderate hypertension. Full Text available with Trip Pro

Assessing medication adherence simultaneously by electronic monitoring and pill count in patients with mild-to-moderate hypertension. Poor adherence to antihypertensive medication is one of the major problems in the treatment of hypertension. Electronic monitoring is currently considered to be the gold standard for assessing adherence, but it may trigger patients to open the pill bottle without taking medication or to take out more than prescribed. In adjunct to electronic monitoring, pill (...) with correct dosing; median adherence according to MEMS was lower than median adherence according to pill count (91.6 vs. 96.1; P < 0.001). Both methods agreed in defining patients as adherent in 107 (47%) and nonadherent in 33 (14%) patients. Thirty-one (14%) patients were adherent only by MEMS and 59 (25%) patients only by pill count. At the end of the study, patients in the four categories reached comparable blood pressure values and reductions.Pill count could be a useful adjunct to electronic

2010 American journal of hypertension Controlled trial quality: uncertain

4631. Electronic health records and adverse drug events after patient transfer. Full Text available with Trip Pro

Electronic health records and adverse drug events after patient transfer. Our objective was to examine the frequencies of medication error and adverse drug events (ADEs) at the time of patient transfer in a system with an electronic health record (EHR) as compared with a system without an EHR. It was hypothesised that the frequencies of these events would be lower in the EHR system because of better information exchange across sites of care.469 patients transferred between seven nursing homes (...) and three hospitals in New York and Connecticut between 1999 and 2005 were followed retrospectively. Two groups of patients were compared: US Veterans Affairs (VA) patients, with an EHR, and non-VA patients, without an EHR, on the following measures: (1) medication prescribing discrepancies at nursing home/hospital transfer, (2) high-risk medication discrepancies and (3) ADEs caused by medication discrepancies according to structured medical record review by pairs of physician and pharmacist raters.The

2010 Quality and Safety in Health Care

4632. The use of electronic reporting to aid surveillance of ADRs in children: a proof of concept study. (Abstract)

paediatricians and paediatric pharmacists in Scotland. For 8 months respondents received a postal card, after which half were selected to report electronically via an email card for a further 6 months and half continued with the postal card. Reports of paediatric ADRs severe enough to warrant hospital admission or to delay discharge of hospitalised patients or resulting from an outpatient prescription were followed up. A postal questionnaire evaluated the system at the end of the study.Following a 2-month (...) The use of electronic reporting to aid surveillance of ADRs in children: a proof of concept study. To investigate: (1) the feasibility of establishing active paediatric surveillance for adverse drug reactions (ADRs), (2) whether electronic reporting is effective and (3) whether such a system could complement the Medicines and Healthcare products Regulatory Agency (MHRA) yellow card system.Between January 2006 and February 2007 ADRs in children under 16 were reported each month by consultant

2010 Archives of Disease in Childhood

4633. Data-driven approach for creating synthetic electronic medical records. Full Text available with Trip Pro

Data-driven approach for creating synthetic electronic medical records. New algorithms for disease outbreak detection are being developed to take advantage of full electronic medical records (EMRs) that contain a wealth of patient information. However, due to privacy concerns, even anonymized EMRs cannot be shared among researchers, resulting in great difficulty in comparing the effectiveness of these algorithms. To bridge the gap between novel bio-surveillance algorithms operating on full EMRs (...) by a medical expert revealed problems in fewer than 3% of these background patient EMRs and the errors were subsequently rectified.A data-driven method was developed for generating fully synthetic EMRs. The method is general and can be applied to any data set that has similar data elements (such as laboratory and radiology orders and results, clinical activity, prescription orders). The pilot synthetic outbreak records were for tularemia but our approach may be adapted to other infectious diseases

2010 Medical Informatics and Decision Making

4634. A knowledge-based taxonomy of critical factors for adopting electronic health record systems by physicians: a systematic literature review. Full Text available with Trip Pro

that manage and process the data in the electronic health record have been considered, i.e.: computerized physician prescription, electronic medical records, and electronic capture of clinical data. Our review was conducted with the purpose of obtaining a taxonomy of the physicians main barriers for adopting electronic health records, that can be addressed by means of information and communication technology; in particular with the information technology roles of the knowledge management processes. Which (...) A knowledge-based taxonomy of critical factors for adopting electronic health record systems by physicians: a systematic literature review. The health care sector is an area of social and economic interest in several countries; therefore, there have been lots of efforts in the use of electronic health records. Nevertheless, there is evidence suggesting that these systems have not been adopted as it was expected, and although there are some proposals to support their adoption, the proposed

2010 Medical Informatics and Decision Making

4635. Investigating concordance in diabetes diagnosis between primary care charts (electronic medical records) and health administrative data: a retrospective cohort study. Full Text available with Trip Pro

Investigating concordance in diabetes diagnosis between primary care charts (electronic medical records) and health administrative data: a retrospective cohort study. Electronic medical records contain valuable clinical information not readily available elsewhere. Accordingly, they hold important potential for contributing to and enhancing chronic disease registries with the goal of improving chronic disease management; however a standard for diagnoses of conditions such as diabetes remains (...) to be developed. The purpose of this study was to establish a validated electronic medical record definition for diabetes.We constructed a retrospective cohort using health administrative data from the Institute for Clinical Evaluative Sciences Ontario Diabetes Database linked with electronic medical records from the Deliver Primary Healthcare Information Project using data from 1 April 2006-31 March 2008 (N = 19,443). We systematically examined eight definitions for diabetes diagnosis, both established

2010 BMC Health Services Research

4636. Recommendations for use of hypofractionated radiotherapy for early (operable) breast cancer

?of?brachial?plexopathy?among?these?women. START?A?reported?that?the?decision?to?administer?regional?nodal?radiotherapy?was?made?pre-randomisation?and?was used?in?approximately?14%?of?patients. 10 One?patient?developed?mild?symptoms?of?brachial?plexopathy?but?it?was not?reported?if?the?patient?received?regional?nodal?radiotherapy.?In?two?patients?randomised?to?the?41.6?Gy?arm?and prescribed?radiotherapy?to?the?breast?and?supraclavicular?fossa,?the?total?dose?was?reduced?to?39?Gy?because?of concerns (...) nodes?with?or?without?the?axillary?nodes. 7,?10,?12 Four?trials?reported?that?the?maximum?dose?to?the?breast?on?the?central?axis?was?no?less?than?93%?to?95%?and?no more?than?105%?to?107%?of?the?prescribed?dose. 6-7,?9-12 The?Canadian?trial?excluded?patients?whose?separation along?the?central?axis?exceeded?25cm;?however?the?other?trials?used?higher?energy?x-rays?for?patients?with?larger breasts?to?achieve?acceptable?dose?homogeneity. 6-7,?10-12 RMH/GOC?and?Canadian?trials?reported?the?use?of?wedge

2011 Cancer Australia

4637. Recommendations for use of Bisphosphonates

?to?commencing?bisphosphonates?should?be considered Edwards, 14 Ruggiero 15 Women?taking?bisphosphonates?should?be?routinely?informed?of?the?need?for good?oral?health?and?monitored?for?osteonecrosis?of?the?jaw Khosla 16 The?serum?creatinine?levels?of?women?taking?intravenous?zoledronic?acid should?be?monitored?for?renal?toxicity?at?baseline,?before?each?infusion?and?at the?final?visit Z-FAST, 17 ZO-FAST 18 Clinicians?should?conduct?a?bone?mineral?density?scan prior?to?prescribing bisphosphonates Clinicians (...) ?should?be?aware?of?baseline?tests?(biochemistry?including?creatinine, serum?calcium?and?vitamin?D)?and?contraindications?prior?to?prescribing bisphosphonates Women?taking?bisphosphonates?should?be?reviewed?regularly?and?monitored for?adverse?events?by?clinicians?familiar?with?the?use?of?bisphosphonates a The?upfront?groups?received?intravenous?zoledronic?acid?immediately?after?random?assignment. b The?delayed?groups?received?intravenous?zoledronic?acid?when?either?post-baseline?lumbar?spine?or?total

2011 Cancer Australia

4638. Workplace health: long-term sickness absence and incapacity to work

of prescribing time away from work and the potential long-term disadvantages for the patient. Agreement has been reached with the person experiencing sickness absence or receiving incapacity benefit about what confidential information can be shared with whom and for what purpose. The person experiencing sickness absence or incapacity and the employer are in regular contact and work together to plan and put into practice any agreed activities. The person experiencing sickness absence or incapacity has

2009 National Institute for Health and Clinical Excellence - Clinical Guidelines

4639. Service responses to people with learning disabilities and epilepsy

with intellectual disabilities with epilepsy. This study looked into service responses to people with intellectual disabilities and epilepsy. Method The authors performed electronic searches on a variety of databases including Medline, ClinicalTrials.gov and Clinical Trials Gateway. Reference lists of articles, authors personal collections and network contacts (such as IASSIDD) were also used as a means of searching for relevant articles. In order to be included, articles had to be peer reviewed, in English (...) ensure medication compliance and prevent false beliefs about epilepsy. Evaluations of initiatives in services – studies reviewed included a number of initiatives such as psychiatric care for people with learning disabilities, care plans, information booklets and decision trees. The benefits of these initiatives included reduced seizure frequency and reduced polypharmacy. Prescribing practices – polypharmacy was found to be common, with variations including different medications given in NHS and non

2015 The Learning Disabilities Elf

4640. Salicylate-containing rubefacients for musculoskeletal pain in adults

medication and are applied to body surfaces such as the skin. Some of these products contain rubefacients. These are drugs that cause irritation and reddening of the skin due to increased blood flow. They are believed to relieve pain in musculoskeletal conditions and are available on prescription and in over-the-counter remedies. The Elf wondered if there is any evidence that these are effective? The authors of a recently updated Cochrane review looked for evidence about the usefulness of topical (...) rubefacients containing salicylate a commonly used rubefacient. Let’s see what they found. Here’s what they did They searched electronic databases (to August 2014) for studies in any language for randomised controlled trials using the Oxford Quality Score as the basis for inclusion, limiting inclusion to studies that were randomised and double-blind as a minimum. Authors reviewed studies independently. They defined musculoskeletal pain as acute painful conditions like strains and sprains, or chronic

2015 The Musculoskeletal Elf

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