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Electronic Prescription

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81. Low-Value Proton Pump Inhibitor Prescriptions Among Older Adults at a Large Academic Health System. (PubMed)

currently prescribed any PPI using the electronic health record (EHR) medication list (current defined as September 1, 2018). A geriatrician, a gastroenterologist, a QI expert, and two primary care physicians (PCPs) created multidisciplinary PPI appropriateness criteria based on evidenced-based guidelines. Supervised by a gastroenterologist and PCP, two internal medicine residents conducted manual chart reviews in a random sample of 399 patients prescribed PPIs. We considered prescriptions potentially (...) Low-Value Proton Pump Inhibitor Prescriptions Among Older Adults at a Large Academic Health System. Older adults are particularly vulnerable to complications from proton pump inhibitor (PPI) drugs. We sought to characterize the prevalence of potentially low-value PPI prescriptions among older adults to inform a quality improvement (QI) intervention.We created a cohort of patients, aged 65 years or older, receiving primary care at a large academic health system in 2018. We identified patients

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2019 Journal of the American Geriatrics Society

82. A new OPIATE (Optimizing Positive Ibuprofen and Acetaminophen Treatment Expectations) model: A brief comment on "Concurrent and lagged associations of prescription opioid use with pain and negative affect in the daily lives of chronic pain patients" (Carp (PubMed)

A new OPIATE (Optimizing Positive Ibuprofen and Acetaminophen Treatment Expectations) model: A brief comment on "Concurrent and lagged associations of prescription opioid use with pain and negative affect in the daily lives of chronic pain patients" (Carp This commentary expands upon the clinical implications arising from the Carpenter et al. (2019) negative reinforcement model of opioid use. A new model called OPIATE-which stands for Optimizing Positive Ibuprofen and Acetaminophen Treatment (...) and acetaminophen. These strategies are (a) altering defaults in electronic medical record systems; (b) highlighting appropriate descriptive social norms to patients; (c) improving the quality of interactions during discharges between patients and their physicians, nurses, and pharmacists; and (d) priming patients to have positive expectations regarding ibuprofen and acetaminophen involving careful selection of language to describe these medications.Instead of creating alternative pharmaceuticals, efforts

2019 Journal of Consulting and Clinical Psychology

83. Effectiveness and safety of electronically delivered prescribing feedback and decision support on antibiotic use for respiratory illness in primary care: REDUCE cluster randomised trial. (PubMed)

electronically, supported by a local practice champion nominated for the trial.Primary outcome was the rate of antibiotic prescriptions for respiratory tract infections from electronic health records. Serious bacterial complications were evaluated for safety. Analysis was by Poisson regression with general practice as a random effect, adjusting for covariates. Prespecified subgroup analyses by age group were reported.The trial included 41 AMS practices (323 155 patient years) and 38 usual care practices (259 (...) Effectiveness and safety of electronically delivered prescribing feedback and decision support on antibiotic use for respiratory illness in primary care: REDUCE cluster randomised trial. To evaluate the effectiveness and safety at population scale of electronically delivered prescribing feedback and decision support interventions at reducing antibiotic prescribing for self limiting respiratory tract infections.Open label, two arm, cluster randomised controlled trial.UK general practices

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2019 BMJ Controlled trial quality: predicted high

84. Identification of patients with hemoglobin SS/Sβ0 thalassemia disease and pain crises within electronic health records (PubMed)

Identification of patients with hemoglobin SS/Sβ0 thalassemia disease and pain crises within electronic health records Electronic health records (EHRs) are a source of big data that provide opportunities for conducting population-based studies and creating learning health systems, especially for rare conditions such as sickle cell disease (SCD). The objective of our study is to validate algorithms for accurate identification of patients with hemoglobin (Hb) SS/Sβ0 thalassemia and acute care (...) encounters for pain among SCD patients within EHR warehouse. We used data for children receiving care at Children's Hospital of Wisconsin from 2013 to 2016 to test the accuracy of the 2 algorithms. The algorithm for genotype identification used composite information (blood test results, transcranial Doppler) along with diagnoses codes. Acute pain encounters were identified using diagnoses codes and further refined by using prescription of IV pain medications. Sensitivities and specificities were

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2018 Blood advances

85. Electronic prescribing: risk of potentially harmful errors

physician order entry, CPOE). Some of these errors are similar to those seen with handwritten prescriptions, while others are specific to electronic prescribing and arise through complex mechanisms. Software bugs, computer failure and unreliable or slow internet connections can lead to errors and data loss. The way information is displayed on the screen, often too dense, is also a source of errors. Inputting text outside a field subject to checks – which is often used to bypass a problem – runs the risk (...) Electronic prescribing: risk of potentially harmful errors Prescrire IN ENGLISH - Spotlight ''Electronic prescribing: risk of potentially harmful errors'', 1 July 2016 {1} {1} {1} | | > > > Electronic prescribing: risk of potentially harmful errors Spotlight Every month, the subjects in Prescrire’s Spotlight. 100 most recent :  |   |   |   |   |   |   |   |   |  Spotlight Electronic prescribing: risk of potentially harmful

2016 Prescrire

86. Development of a Web-Based Clinical Decision Support System for Drug Prescription: Non-Interventional Naturalistic Description of the Antipsychotic Prescription Patterns in 4345 Outpatients and Future Applications. (PubMed)

Development of a Web-Based Clinical Decision Support System for Drug Prescription: Non-Interventional Naturalistic Description of the Antipsychotic Prescription Patterns in 4345 Outpatients and Future Applications. The emergence of electronic prescribing devices with clinical decision support systems (CDSS) is able to significantly improve management pharmacological treatments. We developed a web application available on smartphones in order to help clinicians monitor prescription and further (...) propose CDSS.A web application (www.MEmind.net) was developed to assess patients and collect data regarding gender, age, diagnosis and treatment. We analyzed antipsychotic prescriptions in 4345 patients attended in five Psychiatric Community Mental Health Centers from June 2014 to October 2014. The web-application reported average daily dose prescribed for antipsychotics, prescribed daily dose (PDD), and the PDD to defined daily dose (DDD) ratio.The MEmind web-application reported that antipsychotics

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2016 PLoS ONE

87. NHMRC CEO Statement: Electronic cigarettes (e-cigarettes)

NHMRC CEO Statement: Electronic cigarettes (e-cigarettes) CEO Statement: Electronic cigarettes | NHMRC NHMRC Tagline NHMRC Tagline Publication date Publication date Content type Filtered by: All Publications News Page Search Quick links Toggle navigation Main navigation Funding One researcher has the potential to improve millions of lives. We provide funding for research through our grant system, with a transparent peer-review process to determine how funding is allocated. May 07 2018 May 07 (...) researchers and help them protect intellectual property. Jun 14 2018 Jul 25 2018 About us At NHMRC we are excited by the huge potential benefits of the research we fund and by the opportunities we have to ensure Australians have access to evidence-based, authoritative health advice. We create pathways to a healthier future through our research funding, our health guidelines and the ethical standards we set and uphold. Jul 25 2018 Jul 25 2018 CEO Statement: Electronic cigarettes CEO Statement: Electronic

2015 National Health and Medical Research Council

88. Electronic Health Records (EHRs)

Electronic Health Records (EHRs) Evidence Summary: Electronic Health Records (EHRs) To the Chief Information Officer of the Champlain LHIN Prepared by the CIHR-funded Knowledge to Action research group: Sara Khangura, Jeremy Grimshaw, David Moher This report covers a broad collection of recent literature and evidence around the electronic health record (EHR). Evidence summarized from systematic reviews is highlighted in blue boxes, like this one. Systematic review evidence is generally favoured (...) . Key challenges identified by health practitioners who have implemented EHRs b. Proposed Solutions 10. EHRs: More Research? Background • In 1991, the Institute of Medicine released a landmark report recommending that electronic health records (EHRs) be implemented in health systems within 10 years 1 ; • Almost 20 years later, only a small proportion of health providers have implemented EHRs. 2 3 • A meta-analysis of diffusion rates of EHRs in the U.S. shows that uptake has slowed in recent years

2014 OHRI Knowledge to Action

89. Factors associated with physicians’ prescriptions for rheumatoid arthritis drugs not filled by patients (PubMed)

Factors associated with physicians’ prescriptions for rheumatoid arthritis drugs not filled by patients This study estimated the extent and predictors of primary nonadherence (i.e., prescriptions made by physicians but not initiated by patients) to methotrexate and to biologics or tofacitinib in rheumatoid arthritis (RA) patients who were newly prescribed these medications.Using administrative claims linked with electronic health records (EHRs) from multiple healthcare provider organizations (...) in the USA, RA patients who received a new prescription for methotrexate or biologics/tofacitinib were identified from EHRs. Claims data were used to ascertain filling or administration status. A logistic regression model for predicting primary nonadherence was developed and tested in training and test samples. Predictors were selected based on clinical judgment and LASSO logistic regression.A total of 36.8% of patients newly prescribed methotrexate failed to initiate methotrexate within 2 months; 40.6

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2018 Arthritis research & therapy

90. Social Media on Prescription for Colorectal Cancer Patients

Social Media on Prescription for Colorectal Cancer Patients Social Media on Prescription for Colorectal Cancer Patients - 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. Social Media on Prescription (...) Not Applicable Detailed Description: This is a prospective randomized parallel group design. Consecutive patients will be recruited from participating hospitals and randomized to either "prescribed participation" or just receiving information about the platform but with no prescription. All patients are also receiving standard care. After treatment all patients will receive information about the platform and the aim with the platform. A short demonstration of the platform will also be provided. The platform

2018 Clinical Trials

91. Building interpretable models for polypharmacy prediction in older chronic patients based on drug prescription records (PubMed)

from drug prescription records for newly diagnosed chronic patients. We evaluate the models' performance with a strong focus on interpretability of the results.A centrally collected nationwide dataset of prescription records was used to perform electronic phenotyping of patients for the following two chronic conditions: type 2 diabetes mellitus (T2D) and cardiovascular disease (CVD). In addition, a hospital discharge dataset was linked to the prescription records. A regularized regression model (...) Building interpretable models for polypharmacy prediction in older chronic patients based on drug prescription records Multimorbidity presents an increasingly common problem in older population, and is tightly related to polypharmacy, i.e., concurrent use of multiple medications by one individual. Detecting polypharmacy from drug prescription records is not only related to multimorbidity, but can also point at incorrect use of medicines. In this work, we build models for predicting polypharmacy

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2018 PeerJ

92. Predicting the need for a reduced drug dose, at first prescription (PubMed)

Predicting the need for a reduced drug dose, at first prescription Prescribing the right drug with the right dose is a central tenet of precision medicine. We examined the use of patients' prior Electronic Health Records to predict a reduction in drug dosage. We focus on drugs that interact with the P450 enzyme family, because their dosage is known to be sensitive and variable. We extracted diagnostic codes, conditions reported in clinical notes, and laboratory orders from Stanford's clinical

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2018 Scientific reports

93. The Prescription of Mobile Apps by Primary Care Teams: A Pilot Project in Catalonia (PubMed)

The Prescription of Mobile Apps by Primary Care Teams: A Pilot Project in Catalonia In Catalonia, the Fundació TIC Salut Social's mHealth Office created the AppSalut Site to showcase to mobile apps in the field of health and social services. Its primary objective was to encourage the public to look after their health. The catalogue allows primary health care doctors to prescribe certified, connected apps, which guarantees a safe and reliable environment for their use. The generated data can (...) be consulted by health care professionals and included in the patient's clinical history. This document presents the intervention and the major findings following a five-month pilot project conducted in the Barcelona area.The objective of the pilot study was to test, in a real, controlled environment, the implementation of AppSalut. Specifically, we tested whether (1) the procedures corresponding to the prescription, transmission, and evaluation of the data functions correctly, (2) users interact

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2018 JMIR mHealth and uHealth

94. By Default: The Effect of Prepopulated Prescription Quantities on Opioid Prescribing in the Emergency Department (PubMed)

By Default: The Effect of Prepopulated Prescription Quantities on Opioid Prescribing in the Emergency Department Opioid prescribing patterns have come under increasing scrutiny with the recent rise in opioid prescriptions, opioid misuse and abuse, and opioid-related adverse events. To date, there have been limited studies on the effect of default tablet quantities as part of emergency department (ED) electronic order entry. Our goal was to evaluate opioid prescribing patterns before and after (...) the removal of a default quantity of 20 tablets from ED electronic order entry.We performed a retrospective observational study at a single academic, urban ED with 58,000 annual visits. We identified all adult patients (18 years or older) seen in the ED and discharged home with prescriptions for tablet forms of hydrocodone and oxycodone (including mixed formulations with acetaminophen). We compared the quantity of tablets prescribed per opioid prescription 12 months before and 10 months after

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2018 Western Journal of Emergency Medicine

95. Optimal Implementation of Prescription Drug Monitoring Programs in the Emergency Department (PubMed)

Optimal Implementation of Prescription Drug Monitoring Programs in the Emergency Department The opioid epidemic is the most significant modern-day, public health crisis. Physicians and lawmakers have developed methods and practices to curb opioid use. This article describes one method, prescription drug monitoring programs (PDMP), through the lens of how to optimize use for emergency departments (ED). EDs have rapidly become a central location to combat opioid abuse and drug diversion. PDMPs (...) can provide emergency physicians with comprehensive prescribing information to improve clinical decisions around opioids. However, PDMPs vary tremendously in their accessibility and usability in the ED, which limits their effectiveness at the point of care. Problems are complicated by varying state-to-state requirements for data availability and accessibility. Several potential solutions to improving the utility of PDMPs in EDs include integrating PDMPs with electronic health records, implementing

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2018 Western Journal of Emergency Medicine

96. Worldwide Steroid Prescription for Acute Spinal Cord Injury (PubMed)

Worldwide Steroid Prescription for Acute Spinal Cord Injury Cross-sectional study.To continue the line of a previous publication using steroid for acute spinal cord injury (SCI) by spine surgeons from Latin America (LA) and assess the current status of methylprednisolone (MP) prescription in Europe (EU), Asia Pacific (AP), North America (NA), and Middle East (ME) to determine targets for educational activities suitable for each region.The English version of a previously published questionnaire (...) was used to evaluate opinions about MP administration in acute SCI in LA, EU, AP, NA, and ME. This Internet-based survey was conducted by members of AOSpine. The questionnaire asked about demographic features, background with management of spine trauma patients, routine administration of MP in acute SCI, and reasons for MP administration.A total of 2659 responses were obtained for the electronic questionnaire from LA, EU, AP, NA, and ME. The number of spine surgeons that treat SCI was 2206 (83

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2018 Global spine journal

97. Prevalence of medication errors in primary health care at Bahrain Defence Force Hospital – prescription-based study (PubMed)

and frequency of the different types of errors that exist in this hospital. Understanding the different types of errors could help future studies explore the causes of specific errors and develop interventions to reduce them. Further research should be conducted to understand the causes of these errors and demonstrate whether the introduction of electronic prescriptions has an effect on patient outcomes. (...) Prevalence of medication errors in primary health care at Bahrain Defence Force Hospital – prescription-based study One of the important activities that physicians - particularly general practitioners - perform is prescribing. It occurs in most health care facilities and especially in primary health care (PHC) settings.This study aims to determine what types of prescribing errors are made in PHC at Bahrain Defence Force (BDF) Hospital, and how common they are.This was a retrospective study

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2018 Drug, healthcare and patient safety

98. Antibiotic prescription for the prevention and treatment of postoperative complications after routine dental implant placement. A cross-sectional study performed in Spain (PubMed)

Antibiotic prescription for the prevention and treatment of postoperative complications after routine dental implant placement. A cross-sectional study performed in Spain As there are no established guidelines for antibiotic prescription after dental implant placement a study was made to determine the current prescribing habits of several groups of practitioners regarding antibiotics to prevent and/or treat postoperative complications - early failures and infections - in relation to routine (...) dental implant placement.An electronic survey was sent to postgraduate students and professionals with experience in routine dental implant placement who practice in Spain. The questions asked were related to whether antibiotics were routinely prescribed either pre- or postoperatively to prevent and/or treat postoperative complications during routine dental implant placement, and, if so, what antibiotics, dosage, frequency, and duration were used. Descriptive and bivariate analyses of the data were

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2018 Journal of clinical and experimental dentistry

99. Patterns of Antibiotic Prescription in Children: Tirana, Albania Region (PubMed)

use of broad-spectrum antibiotics for common respiratory tract infection in children less than 6 years old. We would recommend the creation of an electronic database of patient's record in order to monitor the quality of prescription and education of the healthcare professionals and patient of risks related to antibiotic resistance. (...) Patterns of Antibiotic Prescription in Children: Tirana, Albania Region Antibiotics (abx) constitute the most prescribed therapeutic agent in the world. There is little data regarding antibiotic consumption by young children in Albania.This study aims to evaluate antibiotic prescription in children in quantitative and qualitative terms, and therefore, propose recommendations to improve overall clinical outcomes.A retrospective, cross-sectional drug utilisation study was conducted based

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2018 Open access Macedonian journal of medical sciences

100. Physical Activity on Prescription with Counsellor Support: A 4-Year Registry-Based Study in Routine Health Care in Sweden (PubMed)

Physical Activity on Prescription with Counsellor Support: A 4-Year Registry-Based Study in Routine Health Care in Sweden Background: Public health gains from physical activity on prescription (PAP) depend on uptake in routine care. We performed an evaluation of the implementation, in a Swedish county council, of counsellors who give personalized support to PAP recipients aimed at facilitating PAP delivery. The aim was to compare characteristics between PAP recipients and the health care (...) population as well as between PAP recipients who used and did not use counsellor support. We also investigated professional belonging and health care setting of health care professionals who prescribed PAP. Methods: All patients’ ≥18 years who received PAP during 2009–2012 in primary and secondary care in the County Council of Kronoberg were included (n = 4879). Data were retrieved from electronic medical records. Main outcome measures were patient and professional characteristics. Results

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2018 Healthcare

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