How to Trip Rapid Review

Step 1: Select articles relevant to your search (remember the system is only optimised for single intervention studies)

Step 2: press

Step 3: review the result, and maybe amend the or if you know better! If we're unsure of the overall sentiment of the trial we will display the conclusion under the article title. We then require you to tell us what the correct sentiment is.

7,961 results for

Electronic Prescription

by
...
Latest & greatest
Alerts

Export results

Use check boxes to select individual results below

SmartSearch available

Trip's SmartSearch engine has discovered connected searches & results. Click to show

7861. Prescribed Active Learning Increases Performance in Introductory Biology Full Text available with Trip Pro

Prescribed Active Learning Increases Performance in Introductory Biology We tested five course designs that varied in the structure of daily and weekly active-learning exercises in an attempt to lower the traditionally high failure rate in a gateway course for biology majors. Students were given daily multiple-choice questions and answered with electronic response devices (clickers) or cards. Card responses were ungraded; clicker responses were graded for right/wrong answers or participation (...) for right/wrong answers versus participation, although this improvement did not translate into increased scores on exams. In this course, achievement increases when students get regular practice via prescribed (graded) active-learning exercises.

2007 CBE— Life Sciences Education

7862. 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 (...) /Cilastin (11.2%) were the most prescribed medications; while, in 2003, Vancomycin (12.6%) and Imipenem/Cilastin (11.3%) were prescribed, respectively. Total defined daily dose (DDD) and Drug Utilization 90% (DU90%) index for 2002 and 2003 were 2031.15 and 2325.90 DDDs (p>0.1) and 1777.57 and 2079.61 DU90%, respectively (p>0.1). The Median Total Cost /100 admission days (CI 95%) were NIS13,310 (11,110;18,420) and NIS13,860 (6,710;18,020) (p=0.66), respectively.Interventional programs should focus

2007 Pharmacy Practice

7863. Building Physician Connectivity for e-Prescribing Full Text available with Trip Pro

Building Physician Connectivity for e-Prescribing 18769646 2009 01 06 2015 11 19 1934-1997 10 7 2008 Jul 18 Medscape journal of medicine Medscape J Med Building physician connectivity for e-prescribing. [An interview by George D. Lundberg with Kevin Hutchinson]. 168 Hutchinson Kevin K Prematics, Inc, 8230 Leesburg Pike, Suite 700, Vienna, Virginia 22182, USA. eng Interview 2008 07 18 United States Medscape J Med 101462763 1934-1997 IM Electronic Prescribing Health Care Sector trends Marketing

2008 The Medscape Journal of Medicine

7864. 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

7865. 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

7866. Implementing Renal Impairment and Geriatric Decision Support in Ambulatory e-Prescribing Full Text available with Trip Pro

Implementing Renal Impairment and Geriatric Decision Support in Ambulatory e-Prescribing An advanced decision support system for prescribing to patients with renal impairment and geriatric patients was successfully implemented in an ambulatory electronic medical record (EMR) system.

2005 AMIA Annual Symposium Proceedings

7867. Point-of-Service reminders for prescribing cardiovascular medications. (Abstract)

identified from electronic data in a managed care organization and randomly assigned into 2 groups. Physicians seeing outpatients in the intervention group were faxed a sheet with pertinent patient data, including a recommendation to prescribe the indicated medication. In the control group, the data sheet did not include the recommendation. Dispensed prescriptions were compared between groups.More than 4000 visits were observed for each medication type. Angiotensin-converting enzyme inhibitors (...) Point-of-Service reminders for prescribing cardiovascular medications. To provide physicians with evidence-based recommendations for care at the point of service, using an automated system, and to evaluate its effectiveness in promoting prescriptions to prevent cardiovascular events.Randomized controlled trial.Patients at risk for cardiovascular events who might benefit from angiotensin-converting enzyme inhibitors or 3-hydroxy-3-methylglutaryl coenzyme A reductase inhibitors (statins) were

2005 The American journal of managed care Controlled trial quality: uncertain

7868. Prescribing a website. (Abstract)

Prescribing a website. To assess the value of directing the attention of patients to sources of medical information on the internet.Prospective qualitative study in an orthopaedic outpatient clinic.253 patients agreed to complete electronic questionnaires before and after reviewing information relevant to their conditions on the internet. Patients were allocated randomly into two groups; one group was given indications of general sites and the other recommended specific non-commercial sites (...) represented the best source of patient education.Increasing numbers of patients are familiar with the internet. Most of our patients felt that the internet was, on balance, helpful in providing information. The main difficulties with the internet are the sheer volume of information, the potential for misleading and the danger of misunderstanding. We feel that there is a real place for the specific prescription of an internet site by a clinician who has personally reviewed it to a patient thought

2005 Scottish medical journal Controlled trial quality: uncertain

7869. Effect of intervention through a pharmaceutical care program on patient adherence with prescribed once-daily atorvastatin. (Abstract)

Effect of intervention through a pharmaceutical care program on patient adherence with prescribed once-daily atorvastatin. Correct execution of prescribed dosing regimen(s) is essential for patients to benefit from lipid lowering treatments. The objective of this study was to estimate the effect of a pharmaceutical care program on the adherence of once-daily atorvastatin treatment in patients with elevated cholesterol levels.In both linguistic regions of Belgium, two districts were randomized (...) between usual care and a supportive intervention program. Eligible patients included hyperlipemic subjects taking atorvastatin for at least 3 months. 'Adherence' was defined as the proportion of days during which the electronic device record showed that the patient had taken the daily dose. 'Persistence' quantifies how long the treatment is executed.A total of 392 patients from 35 pharmacies were included in the intent-to-treat (ITT) analysis of the data (194 patients received intervention and 198

2006 Pharmacoepidemiology and drug safety Controlled trial quality: uncertain

7870. Randomized controlled trial of an informatics-based intervention to increase statin prescription for secondary prevention of coronary disease. Full Text available with Trip Pro

Randomized controlled trial of an informatics-based intervention to increase statin prescription for secondary prevention of coronary disease. Suboptimal treatment of hyperlipidemia in patients with coronary artery disease (CAD) is well documented. We report the impact of a computer-assisted physician-directed intervention to improve secondary prevention of hyperlipidemia.Two hundred thirty-five patients under the care of 14 primary care physicians in an academically affiliated practice (...) with an electronic health record were enrolled in this proof-of-concept physician-blinded randomized, controlled trial. Each patient with CAD or risk equivalent above National Cholesterol Education Program-recommended low-density lipoprotein (LDL) treatment goal for greater than 6 months was randomized, stratified by physician and baseline LDL. Physicians received a single e-mail per intervention patient. E-mails were visit independent, provided decision support, and facilitated "one-click" order writing.The

2006 Journal of General Internal Medicine Controlled trial quality: uncertain

7871. A cluster randomized clinical trial to improve prescribing patterns in ambulatory pediatrics. Full Text available with Trip Pro

A cluster randomized clinical trial to improve prescribing patterns in ambulatory pediatrics. Having shown previously that an electronic prescription writer and decision support system improved pediatric prescribing behavior for otitis media in an academic clinic setting, we assessed whether point-of-care delivery of evidence could demonstrate similar effects for a wide range of other common pediatric conditions.Cluster randomized controlled trial.A teaching clinic/clinical practice site (...) and a primary care pediatric clinic serving a rural and semi-urban patient mix.A total of 36 providers at the teaching clinic/practice site and eight providers at the private primary pediatric clinic.An evidence-based message system that presented real-time evidence to providers based on prescribing practices for acute otitis media, allergic rhinitis, sinusitis, constipation, pharyngitis, croup, urticaria, and bronchiolitis.The proportion of prescriptions dispensed in accordance with evidence.The proportion

2007 PLoS clinical trials Controlled trial quality: predicted high

7872. Legislative barriers to outpatient e-prescribing in a randomized trial. (Abstract)

Legislative barriers to outpatient e-prescribing in a randomized trial. Newer outpatient electronic prescribing software programs produce typewritten paper prescriptions with electronically created signatures. Current Canadian federal legislation forbids static (unchanging) signature images on prescriptions. We conducted a randomized trial of electronic prescribing in outpatients at a university-affiliated hospital. The application was a wireless Palm-based system that creates a prescription (...) that is either printed and given to the patient or faxed to a pharmacy. Using the software, the physician creates a unique signature image for each prescription. We successfully overcame challenges related to wireless network reliability, local printer availability and physician training. However, to comply with federal legislation and provincial regulations, we were required to design workarounds to create acceptable prescribing processes. Our experience suggests that the legality of the electronic

2007 Healthcare quarterly (Toronto, Ont.) Controlled trial quality: uncertain

7873. Randomised trial of standard 2D radiotherapy (RT) versus intensity modulated radiotherapy (IMRT) in patients prescribed breast radiotherapy. (Abstract)

Randomised trial of standard 2D radiotherapy (RT) versus intensity modulated radiotherapy (IMRT) in patients prescribed breast radiotherapy. Radiation dose distributions created by two dimensional (2D) treatment planning are responsible for partial volumes receiving >107% of the prescribed dose in a proportion of patients prescribed whole breast radiotherapy after tumour excision of early breast cancer. These may contribute to clinically significant late radiation adverse effects.To test three (...) dimensional (3D) intensity modulated radiotherapy (IMRT) against 2D dosimetry using standard wedge compensators in terms of late adverse effects after whole breast radiotherapy.Three hundred and six women prescribed whole breast radiotherapy after tumour excision for early stage cancer were randomised to 3D IMRT (test arm) or 2D radiotherapy delivered using standard wedge compensators (control arm). All patients were treated with 6 or 10MV photons to a dose of 50Gy in 25 fractions to 100% in 5 weeks

2007 Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology Controlled trial quality: predicted high

7874. Instantaneous preference was a stronger instrumental variable than 3- and 6-month prescribing preference for NSAIDs. Full Text available with Trip Pro

between different IV measures with exposure.In an ambulatory electronic medical record database of university-based physicians, we compared correlations with exposure among three measures of prescriber preference: instantaneous preference, and the proportion of that prescriber's prescriptions in the past 3 and 6 months that were for an NSAID.We identified 37,934 initial NSAID/COX-2 prescriptions. The correlation with exposure was 0.283 (95% confidence interval 0.274-0.292) for instantaneous preference (...) Instantaneous preference was a stronger instrumental variable than 3- and 6-month prescribing preference for NSAIDs. Prescriber preference has been used as an instrumental variable (IV) in a prior study of nonselective nonsteroidal anti-inflammatory drugs (NSAIDs) vs. selective cyclooxygenase-2 (COX-2) inhibitors, with preference expressed as the drug constituting the immediately preceding prescription by the same prescriber (instantaneous preference). We sought to compare the correlations

2008 Journal of Clinical Epidemiology

7875. Overdose rate of drugs requiring renal dose adjustment: data analysis of 4 years prescriptions at a tertiary teaching hospital. Full Text available with Trip Pro

was useful to analyze the vast amount of electronic hospital data. Drug overdose is quite common among inpatients with renal insufficiency. Only a few drugs are responsible for most of drug overdoses. The physicians' clinical experience, workload of prescriptions, and patients' renal function are correlated with drug overdose. (...) Overdose rate of drugs requiring renal dose adjustment: data analysis of 4 years prescriptions at a tertiary teaching hospital. To determine the overdose rate of drugs that require renal dose adjustment and factors related with overdose.Total of 23,635,210 records of prescriptions and laboratory data of inpatients at a tertiary teaching hospital for the period from January 2002 to December 2005.A clinical data mart was constructed. A knowledge base containing dose adjusting information about 56

2008 Journal of General Internal Medicine

7876. A mixed method study of the merits of e-prescribing drug alerts in primary care. Full Text available with Trip Pro

A mixed method study of the merits of e-prescribing drug alerts in primary care. The objective of this paper was to describe primary care prescribers' perspectives on electronic prescribing drug alerts at the point of prescribing.We used a mixed-method study which included clinician surveys (web-based and paper) and focus groups with prescribers and staff.Prescribers (n = 157) working in one of 64 practices using 1 of 6 e-prescribing technologies in 6 US states completed the quantitative survey (...) interactions for medications prescribed by others. However, they noted that alerts are too sensitive and often unnecessary. Participant suggestions included: (1) run drug alerts on an active medication list and (2) allow prescribers to set the threshold for severity of alerts.Primary care prescribers recognize the patient safety value of drug prescribing alerts embedded within electronic prescribing software. Improvements to increase specificity and reduce alert overload are needed.

2008 Journal of General Internal Medicine

7877. Adherence to black box warnings for prescription medications in outpatients. Full Text available with Trip Pro

Adherence to black box warnings for prescription medications in outpatients. Few data are available regarding the prevalence of potentially dangerous drug-drug, drug-laboratory, and drug-disease interactions among outpatients. Our objectives were to determine how frequently clinicians prescribe drugs in violation of black box warnings for these issues and to determine how frequently such prescribing results in harm.In an observational study of 51 outpatient practices using an electronic health (...) record, we measured the frequency with which patients received prescriptions in violation of black box warnings for drug-drug, drug-laboratory, and/or drug-disease interactions. We performed medical record reviews in a sample of patients to detect adverse drug events. Multivariate analysis was conducted to assess the relationship of prescribing in violation of black box warnings to patient and clinician characteristics, adjusting for potential confounders and clustering.Of 324 548 outpatients who

2006 Archives of Internal Medicine

7878. 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

7879. Antibiotics for anthrax: patient requests and physician prescribing practices during the 2001 New York City attacks. Full Text available with Trip Pro

Antibiotics for anthrax: patient requests and physician prescribing practices during the 2001 New York City attacks. Little is known about patient encounters with primary care physicians and prescribing practices during the 2001 US anthrax attacks.We retrospectively reviewed the electronic medical record of outpatient telephone and clinic visits at a large primary care practice in New York City from September 11 to December 31, 2001, to identify physician- and patient-related factors that were (...) associated with prescribing antibiotics for anthrax prophylaxis.Average daily patient volume from October to December was higher in 2001 (221.2 patients per day) compared with 2000 (199.1; P<.01) and 2002 (215.8; P = .14). Patient-initiated discussion about anthrax or smallpox were involved in 244 patient contacts with 63 physicians, including 92 (0.6%) of 14917 telephone contacts and 152 (1.0%) of 15 539 office visits. Fifty patients (21%) requested antibiotics or vaccines and 52 (22%) received

2004 Archives of Internal Medicine

7880. Barriers to accepting e-prescribing in the U.S.A. (Abstract)

the prescription to a mail order company for fulfillment. Electronic prescribing (e-prescribing) has the ability not only to streamline the prescription writing process, but also to reduce the number of errors that may be incurred with hand-written prescriptions. The purpose of this paper is to investigate these phenomena in the U.S.A.A number of hypotheses were tested using principal-components analysis (PCA) and factor analyses. As a result, a total of 55 fully employed, professional and semi-professional (...) of pharmacies today are building their IT-infrastructures to accept electronic prescriptions and it may soon be the preferred method for physicians to write prescriptions. It is with great anticipation that this technology will also enhance the prescription-writing abilities of prescribing physicians globally, giving them electronic access to patient medical records and resources that will assist them in prescribing the correct drug for the patient.

2006 International journal of health care quality assurance

To help you find the content you need quickly, you can filter your results via the categories on the right-hand side >>>>