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41. Pharmacy Customers' Experiences With Electronic Prescriptions: Cross-Sectional Survey on Nationwide Implementation in Finland. Full Text available with Trip Pro

Pharmacy Customers' Experiences With Electronic Prescriptions: Cross-Sectional Survey on Nationwide Implementation in Finland. One of the forerunners in electronic health, Finland has introduced electronic prescriptions (ePrescriptions) nationwide by law. This has led to significant changes for pharmacy customers. Despite the worldwide ambition to develop ePrescription services, there are few reports of nationally adopted systems and particularly on the experiences of pharmacy customers.The aim (...) of this study was to investigate Finnish pharmacy customers' (1) experiences with purchasing medicines with ePrescriptions; (2) experiences with renewing ePrescriptions and acting on behalf of someone else at the pharmacy; (3) ways in which customers keep up to date with their ePrescriptions; and (4) overall satisfaction with ePrescriptions.Questionnaires were distributed to 2913 pharmacy customers aged ≥18 years purchasing prescription medicines for themselves with an ePrescription in 18 community

2018 Journal of medical Internet research

42. In Data We Trust? Comparison of Electronic Versus Manual Abstraction of Antimicrobial Prescribing Quality Metrics for Hospitalized Veterans With Pneumonia. Full Text available with Trip Pro

In Data We Trust? Comparison of Electronic Versus Manual Abstraction of Antimicrobial Prescribing Quality Metrics for Hospitalized Veterans With Pneumonia. Electronic health records provide the opportunity to assess system-wide quality measures. Veterans Affairs Pharmacy Benefits Management Center for Medication Safety uses medication use evaluation (MUE) through manual review of the electronic health records.To compare an electronic MUE approach versus human/manual review for extraction (...) of antibiotic use (choice and duration) and severity metrics.Retrospective.Hospitalizations for uncomplicated pneumonia occurring during 2013 at 30 Veterans Affairs facilities.We compared summary statistics, individual hospitalization-level agreement, facility-level consistency, and patterns of variation between electronic and manual MUE for initial severity, antibiotic choice, daily clinical stability, and antibiotic duration.Among 2004 hospitalizations, electronic and manual abstraction methods showed

2018 Medical Care

43. Modifying emergency department electronic prescribing for outpatient opioid analgesia. (Abstract)

Modifying emergency department electronic prescribing for outpatient opioid analgesia. The aim of this study was to examine how changing the electronic ordering sequences for opioid analgesics affected ED outpatient prescribing, and subsequent unused opioid tablets remaining in the community available for diversion.A descriptive before and after study in adult patients prescribed an opioid analgesic by an ED prescriber for use in the outpatient setting. The hospital electronic prescribing (...) system (FirstNet™) was modified to include smaller quantities of opioid analgesics for discharge. The change in quantity of opioid prescribed and change in quantity of opioid analgesic remaining in the community at follow up was measured pre- and post-intervention using a structured telephone interview.Pre- and post-intervention, 102 and 106 patients were interviewed, respectively. Percentage of prescriptions for oxycodone quantity five tablets increased from 3% to 32% and for quantity 20 tablets

2018 Emergency medicine Australasia

44. Using electronic health records to characterize prescription patterns: focus on antidepressants in nonpsychiatric outpatient settings Full Text available with Trip Pro

Using electronic health records to characterize prescription patterns: focus on antidepressants in nonpsychiatric outpatient settings To characterize nonpsychiatric prescription patterns of antidepressants according to drug labels and evidence assessments (on-label, evidence-based, and off-label) using structured outpatient electronic health record (EHR) data.A retrospective analysis was conducted using deidentified EHR data from an outpatient practice at a New York City-based academic medical (...) center. Structured "medication-diagnosis" pairs for antidepressants from 35 325 patients between January 2010 and December 2015 were compared to the latest drug product labels and evidence assessments.Of 140 929 antidepressant prescriptions prescribed by primary care providers (PCPs) and nonpsychiatry specialists, 69% were characterized as "on-label/evidence-based uses." Depression diagnoses were associated with 67 233 (48%) prescriptions in this study, while pain diagnoses were slightly less common

2018 Jamia Open

45. The effects of prescribing varenicline on two‐year health outcomes: an observational cohort study using electronic medical records Full Text available with Trip Pro

The effects of prescribing varenicline on two‐year health outcomes: an observational cohort study using electronic medical records To investigate whether smokers prescribed varenicline had lower risks of serious ill-health during the 4 years following treatment compared with those prescribed nicotine replacement therapy (NRT).Observational cohort study of electronic medical records.A total of 370 UK general practices sampled from the Clinical Practice Research Datalink.A total of 126 718 (...) within 2 years of first prescription. Risk differences and 95% confidence intervals were estimated by multivariable adjusted regression and propensity score matched regression. We used instrumental variable analysis to overcome residual confounding.People prescribed varenicline were healthier at baseline than those prescribed NRT in almost all characteristics, highlighting the potential for residual confounding. Our instrumental variable analysis results found that people prescribed varenicline had

2018 Addiction (Abingdon, England)

46. Development of an algorithm to link electronic health record prescriptions with pharmacy dispense claims. Full Text available with Trip Pro

Development of an algorithm to link electronic health record prescriptions with pharmacy dispense claims. Medication adherence is an important aspect of chronic disease management. Electronic health record (EHR) data are often not linked to dispensing data, limiting clinicians' understanding of which of their patients fill their medications, and how to tailor care appropriately. We aimed to develop an algorithm to link EHR prescribing to claims-based dispensing data and use the results (...) to quantify how often patients with diabetes filled prescribed chronic disease medications.We developed an algorithm linking EHR prescribing data (RxNorm terminology) to claims-based dispensing data (NDC terminology), within sample of adult (19-64) community health center (CHC) patients with diabetes from a network of CHCs across 12 states. We demonstrate an application of the method by calculating dispense rates for a set of commonly prescribed diabetes and cardio-protective medications. To further

2018 Journal of the American Medical Informatics Association

47. Analysis of medication therapy discontinuation orders in new electronic prescriptions and opportunities for implementing CancelRx. Full Text available with Trip Pro

Analysis of medication therapy discontinuation orders in new electronic prescriptions and opportunities for implementing CancelRx. To illustrate the need for wider implementation of the CancelRx message by quantifying and characterizing the inappropriate usage of new electronic prescription (NewRx) messages for communicating discontinuation instructions to pharmacies.A retrospective analysis on a nationally representative random sample of 1 400 000 NewRx messages transmitted over 7 days (...) containing prescription cancellation instructions with 78.5% observed in the Notes field; 35.3% of identified NewRxs were associated with high-alert or LASA medications. The most prevalent cancellation instruction types were medication strength or dosage changes (39.3%) and alternative therapy replacement orders (39.0%).While the incidence of prescribers using the NewRx to transmit cancellation instructions was low, their transmission in NewRx fields not intended to accommodate such information can

2018 Journal of the American Medical Informatics Association

48. Feedback and Training to Improve Use of an Electronic Prescribing System: A Randomised Controlled Trial. (Abstract)

Feedback and Training to Improve Use of an Electronic Prescribing System: A Randomised Controlled Trial. Excessive presentation of alerts in electronic prescribing systems (ePS) results in 'alert fatigue' which reduces alert effectiveness and frustrates users. Previous research at our study site showed high rates of duplication alerts, some of which were the result of doctors not using available short-cut functions in the ePS. This study aimed to improve uptake of short-cut functions and so (...) had a significant impact on duplication alert rate (Feedback: 80.8% vs. 77.8% of orders, Training: 77.5% vs. 76.5% of orders; all p>0.05). We identified a number of factors related to the intervention, ePS and prescribing environment that contributed to this result. Rather than focusing on changing prescribing behaviour, we suggest a more effective and appropriate approach is to redesign the ePS so that fewer and more meaningful alerts are presented.

2018 Studies in health technology and informatics Controlled trial quality: uncertain

49. Defining electronic-prescribing and infusion-related medication errors in paediatric intensive care - a Delphi study. Full Text available with Trip Pro

Defining electronic-prescribing and infusion-related medication errors in paediatric intensive care - a Delphi study. The use of health information technology (HIT) to improve patient safety is widely advocated by governmental and safety agencies. Electronic-prescribing and smart-pump technology are examples of HIT medication error reduction strategies. The introduction of new errors on HIT implementation is, however, also recognised. To determine the impact of HIT interventions, clear (...) participants, comprising of doctors, nurses and pharmacists. Consensus was reached to define as errors all reported smart-pump scenarios (n = 6) and those pertaining to the pre-electronic process of prescribing weight-based paediatric infusions (n = 4). Of 7 electronic-prescribing scenarios, 4 were defined as errors, 2 were deemed not to be and consensus could not be achieved for the last. Some differences in scoring between healthcare professionals were found, but were only significant (p < 0.05) for two

2018 Medical Informatics and Decision Making

50. Qualitative study exploring the phenomenon of multiple electronic prescribing systems within single hospital organisations. Full Text available with Trip Pro

Qualitative study exploring the phenomenon of multiple electronic prescribing systems within single hospital organisations. A previous census of electronic prescribing (EP) systems in England showed that more than half of hospitals with EP reported more than one EP system within the same hospital. Our objectives were to describe the rationale for having multiple EP systems within a single hospital, and to explore perceptions of stakeholders about the advantages and disadvantages of multiple

2018 BMC health services research

51. SUPPORT‐AF: Piloting a Multi‐Faceted, Electronic Medical Record‐Based Intervention to Improve Prescription of Anticoagulation Full Text available with Trip Pro

SUPPORT‐AF: Piloting a Multi‐Faceted, Electronic Medical Record‐Based Intervention to Improve Prescription of Anticoagulation Background Only 50% of eligible atrial fibrillation ( AF ) patients receive anticoagulation ( AC ). Feasibility and effectiveness of electronic medical record (EMR)-based interventions to profile and raise provider AC percentage is poorly understood. The SUPPORT-AF (Supporting Use of AC Through Provider Profiling of Oral AC Therapy for AF) study aims to improve (...) rates of adherence to AC guidelines by developing and delivering supportive tools based on the EMR to providers treating patients with AF. Methods and Results We emailed cardiologists and community-based primary care providers affiliated with our institution reports of their AC percentage relative to peers. We also sent an electronic medical record-based message to these providers the day before an appointment with an atrial fibrillation patient who was eligible but not receiving AC . The electronic

2018 Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease

52. Prescribing safely under COVID-19

Diagnosis - can you make a diagnosis based on the information you have collated or do you need to see the patient (you may choose to treat with less information than you would do normally to avoid seeing a patient face to face both for their safety and yours) Treat - Give clear instructions on any treatment recommended including when and how to take medication if you issue a prescription. Prescriptions can be sent to a nominated pharmacy via Electronic Prescribing systems, or if this is not available (...) Prescribing safely under COVID-19 COVID-19 Remote prescribing | Medicines Management | Royal College of Nursing We use cookies to ensure that we give you the best experience on our website. Continue submit Membership Employment & Pay Professional Development Clinical Library Get Involved Get Help News & Events About Quick links × × × × × × × × × × submit Prescribing safely under COVID-19 You are here: / / / Prescribing safely under COVID19 This guidance has been developed to support nurses

2020 Royal College of Nursing

53. Guidance on Prescribing, Dispensing, Supplying and Administration of Medicines

Guidance on Prescribing, Dispensing, Supplying and Administration of Medicines Guidance on Prescribing, Dispensing, Supplying and Administration of Medicines| Royal College of Nursing We use cookies to ensure that we give you the best experience on our website. Continue submit Membership Employment & Pay Professional Development Clinical Library Get Involved Get Help News & Events About Quick links × × × × × × × × × × submit Guidance on Prescribing, Dispensing, Supplying and Administration (...) of Medicines You are here: / / / Guidance on Prescribing, Dispensing, Supplying and Administration of Medicines Published: 06/03/2020 Publication code: 009 013 Please select This publication provides information on the Royal College of Nursing and Royal Pharmaceutical Society’s position on the prescribing, dispensing, supplying and administration of medicines pdf Some of our publications are also available in hard copy, but this may entail a small charge. For more information and to order a hard copy

2020 Royal College of Nursing

54. Prescription Drug Monitoring Programs: A Rapid Qualitative Review

(prescribers and dispensers) who prescribe monitored drugs use prescription drug monitoring programs? What are their perspectives on and preferences for prescription drug monitoring programs, including specific design and administrative features? Key Message Health care providers found prescription drug monitoring programs (PDMPs) useful for their practice in most instances however not routinely. PDMP use was either subjective, prompted by a concerning interaction with a patient about controlled substances (...) authentication); and timely updates of the PDMP system which may lead to incomplete or inaccurate information. Suggestions for increased adoption and sustained PDMP use included better integrating PDMPs into clinical workflows, integrating PDMPs into existing electronic health record systems or developing a national linked system. Suggestions for specific design features include real time updating of prescription information; stronger user-friendly display to ensure the most relevant information is available

2019 Canadian Agency for Drugs and Technologies in Health - Rapid Review

55. Respiratory tract infections (self-limiting) – reducing antibiotic prescribing

and the NICE Guideline Development Group 10 Guideline Review and Contextualisation Group 10 NICE Guideline Development Group 10 NICE Internal Clinical Guidelines Technical Team 10 NICE Guideline contextualisation quality assurance team 10 About this guideline 11 Recommendations from NICE CG69 that have been contextualised 12 Respiratory tract infections (self-limiting) – reducing antibiotic prescribing ISBN 978-0-473-34454-2 (Print) ISBN 978-0-473-34455-9 (Electronic) Copyright © National Institute (...) are associated with higher rates of complications. Therefore, much of the historically high volume of prescribing to prevent complications may be inappropriate. The level of antibiotic prescribing in New Zealand is considerably higher than the levels of prescribing in most northern European countries. Many people presenting in primary care with an acute uncomplicated RTI may still receive an antibiotic prescription – with many doctors and patients believing that this is the right thing to do. 2 There may

2019 Best Practice Advocacy Centre New Zealand

56. Prescribing and Dispensing Policies to Address Harms Associated With Prescription Drug Abuse

-resistant prescription pads or electronic PDMPs. Some Canadian, US, and New Zealand jurisdictions have payer incentives for pharmacist activities that address suspected misuse and abuse, such as refusing to fill a prescription. Some jurisdictions also restrict patients to a limited number of pharmacies or prescribers for accessing opioids, stimulants, and benzodiazepines. Prescription Drug–Monitoring Programs Most Canadian jurisdictions have some form of PDMP, or have programs in development. 1 (...) Prescribing and Dispensing Policies to Address Harms Associated With Prescription Drug Abuse Prescribing and Dispensing Policies to Address Harms Associated With Prescription Drug Abuse | CADTH.ca Find the information you need Prescribing and Dispensing Policies to Address Harms Associated With Prescription Drug Abuse Prescribing and Dispensing Policies to Address Harms Associated With Prescription Drug Abuse Published on: October 28, 2015 Project Number: ES0291-000 Product Line: Research Type

2015 Canadian Agency for Drugs and Technologies in Health - Environmental Scanning

57. Secure Prescription Pads for Prescribing of Medications Prone to Abuse and Misuse

study only. It may not be copied, posted on a web site, redistributed by email or stored on an electronic system without the prior written permission of CADTH or applicable copyright owner. Links: This report may contain links to other information available on the websites of third parties on the Internet. CADTH does not have control over the content of such sites. Use of third party sites is governed by the owners’ own terms and conditions. TITLE: Secure Prescription Pads for Prescribing (...) Secure Prescription Pads for Prescribing of Medications Prone to Abuse and Misuse Disclaimer: The Rapid Response Service is an information service for those involved in planning and providing health care in Canada. Rapid responses are based on a limited literature search and are not comprehensive, systematic reviews. The intent is to provide a list of sources of the best evidence on the topic that CADTH could identify using all reasonable efforts within the time allowed. Rapid responses should

2015 Canadian Agency for Drugs and Technologies in Health - Rapid Review

58. Pharmacy customers' experiences with the national online service for viewing electronic prescriptions in Finland. Full Text available with Trip Pro

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

2017 International journal of medical informatics

59. Patient Use of Electronic Prescription Refill and Secure Messaging and Its Association With Undetectable HIV Viral Load: A Retrospective Cohort Study. Full Text available with Trip Pro

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

2017 Journal of medical Internet research

60. Prescribing of Electronic Activity Monitors in Cardiometabolic Diseases: Qualitative Interview-Based Study. Full Text available with Trip Pro

Prescribing of Electronic Activity Monitors in Cardiometabolic Diseases: Qualitative Interview-Based Study. The prevalence of noncommunicable diseases, including those such as type 2 diabetes, obesity, dyslipidemia, and hypertension, so-called cardiometabolic diseases, is high and is increasing worldwide. Strong evidence supports the role of physical activity in management of these diseases. There is general consensus that mHealth technology, including electronic activity monitors, can (...) potentially increase physical activity in patients, but their use in clinical settings remains limited. Practitioners' requirements when prescribing electronic activity monitors have been poorly described.The aims of this qualitative study were (1) to explore how specialist physicians prescribe electronic activity monitors to patients presenting with cardiometabolic conditions, and (2) to better understand their motivation for and barriers to prescribing such monitors.We conducted qualitative

2017 Journal of medical Internet research

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