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Electronic Prescription

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101. Interstate data sharing of prescription drug monitoring programs and associated opioid prescriptions among patients with non-cancer chronic pain. (Abstract)

with bordering states was associated with prescriptions of opioids. This was a cross-sectional study that included patients with non-cancer chronic pain from the 2014 National Ambulatory Medical Care Survey (weighted N = 66,198,751; unweighted N = 2846). Multinomial logistic regression was performed to examine the association between PDMP interstate data sharing status and patients' being prescribed opioids for pain treatment, controlling for covariates guided by the Eisenberg's model of physician decision (...) -making. Findings indicated that patients residing in states with interstate PDMP data sharing with all or partial bordering states were not less likely to be prescribed opioids compared to those living in states without interstate data sharing. Other factors such as patient age, health insurance type, new patient status, and physician adoption of electronic medical records were associated with the likelihood of patients' being prescribed opioids. This study concluded that current practice

2018 Preventive Medicine

102. New approaches to pharmacosurveillance for monitoring prescription frequency, diversity, and co-prescription in a large sentinel network of companion animal veterinary practices in the United Kingdom, 2014–2016 Full Text available with Trip Pro

; this raises important questions regarding the efficacy and safety of PAs prescribed to companion animals. This study explored new approaches for describing PA prescription, diversity and co-prescription in dogs, cats and rabbits utilising electronic health records (EHRs) from a sentinel network of 457 companion animal-treating veterinary sites throughout the UK over a 2-year period (2014-2016). A novel text mining-based identification and classification methodology was utilised to semi-automatically map (...) New approaches to pharmacosurveillance for monitoring prescription frequency, diversity, and co-prescription in a large sentinel network of companion animal veterinary practices in the United Kingdom, 2014–2016 Pharmaceutical agents (PAs) are commonly prescribed in companion animal practice in the United Kingdom. However, little is known about PA prescription on a population-level, particularly with respect to PAs authorised for human use alone prescribed via the veterinary cascade

2018 Preventive veterinary medicine

103. By Default: The Effect of Prepopulated Prescription Quantities on Opioid Prescribing in the Emergency Department Full Text available with Trip Pro

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

2018 Western Journal of Emergency Medicine

104. Measuring prevalence, reliability and variation in high-risk prescribing in general practice using multilevel modelling of observational data in a population database Full Text available with Trip Pro

Measuring prevalence, reliability and variation in high-risk prescribing in general practice using multilevel modelling of observational data in a population database Measuring prevalence, reliability and variation in high-risk prescribing in general practice using multilevel modelling of observational data in a population database Journals Library An error occurred retrieving content to display, please try again. >> >> >> Page Not Found Page not found (404) Sorry - the page you requested could (...) divided by five? * Identifier Title Responses to this report No responses have been published. If you would like to submit a response to this publication, please do so using the form below: Comments submitted to the NIHR Journals Library are electronic letters to the editor. They enable our readers to debate issues raised in research reports published in the Journals Library. We aim to post within 2 working days all responses that contribute substantially to the topic investigated, as determined

2015 NIHR HTA programme

105. Using Default Options Within the Electronic Health Record to Increase the Prescribing of Generic-Equivalent Medications: A Quasi-experimental Study. Full Text available with Trip Pro

Using Default Options Within the Electronic Health Record to Increase the Prescribing of Generic-Equivalent Medications: A Quasi-experimental Study. Low-value services, such as prescribing brand-name medications that have existing generic equivalents, contribute to unnecessary health care spending.To evaluate the association of an intervention by using the electronic health record with provider prescription of generic-equivalent medications.Quasi-experimental study.General internal medicine (IM (...) ) (n = 2) and family medicine (FM) (n = 2) clinics at the University of Pennsylvania from June 2011 to September 2012.Attending physicians (IM, n = 38; FM, n = 17) and residents (IM, n = 166; FM, n = 34).In January 2012, the default in the electronic health record was changed for IM providers from displaying brand and generic medications to displaying initially only generics, with the ability to opt out.Monthly prescriptions of brand-name and generic-equivalent β-blockers, statins, and proton-pump

2014 Annals of Internal Medicine

106. Axxent electronic brachytherapy system for early stage breast cancer

Axxent electronic brachytherapy system for early stage breast cancer Axx Axxent electronic br ent electronic brach achyther ytherap apy system for early y system for early stage breast cancer stage breast cancer Medtech innovation briefing Published: 24 August 2016 nice.org.uk/guidance/mib76 pathways Summary Summary The technology technology described in this briefing is the Axxent electronic brachytherapy (eBx) system. It delivers single-dose intraoperative radiotherapy (SD-IORT) during breast (...) of which is to spare surrounding tissues from radiation exposure. Standard EBRT is delivered to the whole breast. Furthermore, because it is a mobile platform, Axxent eBx can be used to deliver SD-IORT in multiple hospitals, including those that do not have specialist radiotherapy centres. Axxent electronic brachytherapy system for early stage breast cancer (MIB76) © NICE 2018. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 2

2016 National Institute for Health and Clinical Excellence - Advice

107. A hidden reason for electronic prescribing of controlled substances

A hidden reason for electronic prescribing of controlled substances A hidden reason for electronic prescribing of controlled substances A hidden reason for electronic prescribing of controlled substances | | July 18, 2017 160 Shares As of July 1, pharmacies in Maine cannot honor paper or telephone prescriptions for controlled substances, from OxyContin down to Valium, Lyrica, and Tylenol with codeine. EPCS, or electronic prescribing of controlled substances, is a double security step (...) in the prescription process built into EMRs, electronic medical records. It involves another password entry and the use of one-time passwords from a small number generator issued to each prescriber. It has been said that this will prevent fraudulent prescriptions via phone or on stolen prescription pads, as well as altering of legitimate prescriptions. But there is another reason that doesn’t get much mention: EPCS is going to prevent doctors from prescribing controlled substances for friends and relatives

2017 KevinMD blog

108. Effects of an Electronic Software Prompt With Health Care Professional Training on Cardiovascular and Renal Complications in a Multiethnic Population With Type 2 Diabetes and Microalbuminuria (the GP-Prompt Study): Results of a Pragmatic Cluster-Randomize

Effects of an Electronic Software Prompt With Health Care Professional Training on Cardiovascular and Renal Complications in a Multiethnic Population With Type 2 Diabetes and Microalbuminuria (the GP-Prompt Study): Results of a Pragmatic Cluster-Randomize Effects of an Electronic Software "Prompt" With Health Care Professional Training on Cardiovascular and Renal Complications in a Multiethnic Population With Type 2 Diabetes and Microalbuminuria (The GP-Prompt Study): Results of a Pragmatic (...) Buttons Yes No Email: ( ) Frequency: Which day? Which day? Report format: Send at most: Send even when there aren't any new results Optional text in email: Save Cancel Create a file for external citation management software Create file Cancel Your RSS Feed Name of RSS Feed: Number of items displayed: Create RSS Cancel RSS Link Copy Actions Cite Share Permalink Copy Page navigation Diabetes Care Actions . 2020 May 19;dc192243. doi: 10.2337/dc19-2243. Online ahead of print. Effects of an Electronic

2020 EvidenceUpdates

109. Use of an electronic decision support tool to reduce polypharmacy in elderly people with chronic diseases: cluster randomised controlled trial. Full Text available with Trip Pro

Use of an electronic decision support tool to reduce polypharmacy in elderly people with chronic diseases: cluster randomised controlled trial. To evaluate the effects of a computerised decision support tool for comprehensive drug review in elderly people with polypharmacy.Pragmatic, multicentre, cluster randomised controlled trial.359 general practices in Austria, Germany, Italy, and the United Kingdom.3904 adults aged 75 years and older using eight or more drugs on a regular basis, recruited (...) by their general practitioner.A newly developed electronic decision support tool comprising a comprehensive drug review to support general practitioners in deprescribing potentially inappropriate and non-evidence based drugs. Doctors were randomly allocated to either the electronic decision support tool or to provide treatment as usual.The primary outcome was the composite of unplanned hospital admission or death by 24 months. The key secondary outcome was reduction in the number of drugs.3904 adults were

2020 BMJ

110. Short-Term Prescription Refills for Patients Receiving Chronic Drug Therapy

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: Short-Term Prescription Refills for Patients (...) prescribed medication for chronic disease in the English National Health Service: a qualitative study. BMC Health Serv Res [Internet]. 2013 [cited 2015 May 21];13:192. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3671153 PubMed: PM23705866 Cost Studies Alternate Refill Periods 6. Khandelwal N, Duncan I, Rubinstein E, Ahmed T, Pegus C. Community pharmacy and mail order cost and utilization for 90-day maintenance medication prescriptions. J Manag Care Pharm. 2012 Apr;18(3):247-55. PubMed

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

111. Changes in Provider Prescribing Patterns After Implementation of an Emergency Department Prescription Opioid Policy. (Abstract)

used the electronic medical record to analyze the number and type of opioid discharge prescriptions during the study period from 2006-2014, before and after the prescribing guidelines were instituted in the ED.The number of patients discharged with a prescription for opioids decreased 39.6% (25.7% to 15.6%; absolute decrease 10.2%; 95% confidence interval [CI] 9.6-10.7; p < 0.001) after the intervention. The improvements were sustained 2.5 years after the intervention. Decreases were seen in all (...) Changes in Provider Prescribing Patterns After Implementation of an Emergency Department Prescription Opioid Policy. Prescription opioid-associated abuse and overdose is a significant cause of morbidity and mortality in the United States. Opioid prescriptions generated from emergency departments (EDs) nationwide have increased dramatically over the past 20 years, and opioid-related overdose deaths have become an epidemic, according to the Centers for Disease Control and Prevention.Our aim

2017 Journal of Emergency Medicine

112. What do Australian consumers, pharmacists and prescribers think about documenting indications on prescriptions and dispensed medicines labels?: A qualitative study. Full Text available with Trip Pro

What do Australian consumers, pharmacists and prescribers think about documenting indications on prescriptions and dispensed medicines labels?: A qualitative study. Documenting the indication on prescriptions and dispensed medicines labels is not standard practice in Australia. However, previous studies that have focused on the content and design of dispensed medicines labels, have suggested including the indication as a safety measure. The aim of this study was to investigate the perspectives (...) of Australian consumers, pharmacists and prescribers on documenting the indication on prescriptions and dispensed medicines labels.Semi-structured interviews were conducted and mock-up of dispensed medicines labels were designed for participants. Consumers (n = 19) and pharmacists (n = 7) were recruited by convenience sample at community pharmacies in Sydney (Australia) and prescribers (n = 8), including two medical students, were recruited through snowballing.Thirty-four participants were interviewed. Most

2017 BMC health services research

113. Evaluation of a targeted prescriber education intervention on emergency department discharge oxycodone prescribing. (Abstract)

appropriate post-discharge follow up and (iii) written general practitioner notification that oxycodone had been prescribed were determined pre- and post-intervention, through review of electronic patient records and structured patient telephone interviews conducted 3-7 days after ED attendance. Secondary outcomes included total amount prescribed and use of non-OA therapies. ED OA prescribers were surveyed to evaluate perceived effectiveness and intervention acceptability.A total of 30 ED OA prescribers (...) received the 5-min intervention. Pre- and post-intervention, 80 and 81 patients were interviewed, respectively. Percentage of patients given written OA information increased from 10% to 22% (P = 0.04) and those receiving follow-up advice increased from 61 to 94% (P < 0.01). General practitioner notification of OA prescription increased from 15% to 88% (P < 0.01). Risk ratio for achieving all three end-points was 7.5 (95% confidence interval 1.8-32, P = 0.01). Median total amount of oxycodone prescribed

2017 Emergency medicine Australasia

114. Antibiotic prescribing for upper respiratory infections among children in rural China: a cross-sectional study of outpatient prescriptions Full Text available with Trip Pro

Antibiotic prescribing for upper respiratory infections among children in rural China: a cross-sectional study of outpatient prescriptions Overuse of antibiotics contributes to the development of antimicrobial resistance.This study aims to assess the condition of antibiotic use at health facilities at county, township and village levels in rural Guangxi, China.We conducted a cross-sectional study of outpatient antibiotic prescriptions in 2014 for children aged 2-14 years with upper respiratory (...) infections (URI). Twenty health facilities were randomly selected, including four county hospitals, eight township hospitals and eight village clinics. Prescriptions were extracted from the electronic records in the county hospitals and paper copies in the township hospitals and village clinics.The antibiotic prescription rate was higher in township hospitals (593/877, 68%) compared to county hospitals (2736/8166, 34%) and village clinics (96/297, 32%) (p < 0.001). Among prescriptions containing

2017 Global health action

115. Trends in opioid prescribing before and after implementation of an emergency department opioid prescribing policy Full Text available with Trip Pro

Trends in opioid prescribing before and after implementation of an emergency department opioid prescribing policy 28760380 2018 11 15 2018 11 15 1532-8171 36 2 2018 Feb The American journal of emergency medicine Am J Emerg Med Trends in opioid prescribing before and after implementation of an emergency department opioid prescribing policy. 329-331 S0735-6757(17)30616-2 10.1016/j.ajem.2017.07.068 Beaudoin Francesca L FL The Department of Emergency Medicine, Alpert Medical School of Brown (...) University, Providence, RI, United States. Electronic address: Francesca_Beaudoin@brown.edu. Janicki Adam A The Department of Emergency Medicine, Alpert Medical School of Brown University, Providence, RI, United States; The Department of Emergency Medicine, University of Pittsburg, Pittsburg, PA, United States. Zhai Wanting W The Department of Biostatistics, Brown University, Providence, RI, United States. Choo Esther K EK The Department of Emergency Medicine, Alpert Medical School of Brown University

2017 The American journal of emergency medicine

116. Outcomes of prescription opioid dose escalation for chronic pain: results from a prospective cohort study. (Abstract)

diagnosis and were receiving a stable dose of long-term opioid therapy at baseline. Participants completed self-report measures of pain, disability, depression, and potential adverse effects at baseline and every 6 months for 2 years. We reviewed electronic health record data weekly to identify episodes of prescription opioid dose escalation; participants who had increases in their dose were seen for additional research visits within 1 month of dose escalation. Over 2 years, 19.5% of participants had (...) no significant changes in the full sample on pain disability, sleep functioning, or experiencing a fall. In summary, patients prescribed stable doses of long-term opioid therapy may demonstrate small changes in key pain-related outcomes over time, but prescription opioid dose escalation status is unrelated to clinical outcomes.

2020 Pain

117. Perioperative Prescribing Practices of Extended-Release Opioids in Noncancer Surgical Patients, 2015-2018. (Abstract)

assessed perioperative prescribing practices of ER opioids in noncancer surgical patients stratified by type of opioid exposure prior to admission and examined predictors of postoperative opioid administration in oral morphine equivalents (OME).This was a retrospective cohort study using the University of California San Francisco Medical Center electronic health record data. This study included 25,396 adult noncancer patients undergoing elective surgery under general anesthesia in the period 2015-2018 (...) Perioperative Prescribing Practices of Extended-Release Opioids in Noncancer Surgical Patients, 2015-2018. Extended-release (ER) opioids are indicated for the management of persistent moderate to severe pain in patients requiring around-the-clock opioid analgesics for an extended period of time. Concerns have been raised regarding safety of ER opioids due to its potential for abuse and dependence. However, little is known about perioperative prescribing practices of ER opioids. This study

2020 Anesthesia and Analgesia

118. Inappropriate antibiotic prescriptions among pediatric inpatients in different type hospitals. Full Text available with Trip Pro

Inappropriate antibiotic prescriptions among pediatric inpatients in different type hospitals. To investigate the situation of antibiotic consumption and to assess the inappropriate use on pediatric inpatients of different types hospitals in Sichuan, China.A cross-sectional survey of antibiotic prescriptions among hospitalized children aged 1month -14years were conducted from April 2018 to June 2018 in southwestern China. Antibiotic prescriptions were extracted from electronic records during (...) tract infection (LRTI) was the leading reason for antibiotic consumption in pediatric wards (56.8%), followed by upper respiratory tract infection (URTI) (22.2%). For children with LRTI, Cephalosporins were heavy prescribed, especially broad-spectrum third-generation Cephalosporins (60.3%). The antibiotic prescription proportion of URTI in general hospitals and non-tertiary children hospitals (more than 18%) was higher than TC (8.1%) (P < .001).There was inappropriate use of antibiotic

2020 Medicine

119. Surveillance of Opioid Prescribing as a Public Health Intervention: Washington State Bree Collaborative Opioid Metrics. Full Text available with Trip Pro

Surveillance of Opioid Prescribing as a Public Health Intervention: Washington State Bree Collaborative Opioid Metrics. To address risks associated with prescription opioid medications, guidelines recommend lower dose, shorter duration of use, and avoidance of concurrent sedatives. Monitoring opioid-prescribing practices is critical for assessing guideline impact, comparing populations, and targeting interventions to reduce risks.To describe development of Washington (WA) State opioid (...) -prescribing metrics, provide purpose and definitions, and apply metrics to prescription data for WA health care organizations.We describe the development and testing of opioid-prescribing metrics by the WA State Bree Collaborative opioid work group.Washington State.Kaiser Permanente of Washington (KPW) Integrated Group Practice, KPW-contracted care providers, and WA Medicaid.Set of 6 strategic metrics tested across 3 different health systems adopted by WA State in 2017 for uniform tracking of opioid

2020 Journal of Public Health Management and Practice

120. Effect of Chinese medicine prescription on nephrotic syndrome: A protocol for systematic review and meta-analysis. Full Text available with Trip Pro

Effect of Chinese medicine prescription on nephrotic syndrome: A protocol for systematic review and meta-analysis. Nephrotic syndrome (NS) is a common chronic recurrent kidney disease. Many trials have shown that Chinese medicine prescription (CMP) can effectively treat NS. The program aims to evaluate the efficacy and safety of CMP for NS.This systematic evaluation will entail an electronic and manual search of all CMP for NS from inception to February, 2020, regardless of the publication

2020 Medicine

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