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.

7,867 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

141. Improving antibiotic prescribing for uncomplicated acute respiratory tract infections

The best evidence supports the use of specific education interventions for patients/parents and clinicians, procalcitonin in adults, and electronic decision support to reduce overall antibiotic prescribing (and in some cases improve appropriate prescribing) for acute RTIs without causing adverse consequences, although the reduction in prescribing varied widely. Other interventions also reduced prescribing, but evidence on adverse consequences was lacking, insufficient, or mixed. Future studies should (...) use a complex intervention framework and better evaluate measures of appropriate prescribing, adverse consequences such as hospitalization, sustainability, resource use, and the impact of potential effect modifiers. Final publication URL Indexing Status Subject indexing assigned by CRD MeSH Acute Disease; Anti-Bacterial Agents; Humans; Prescriptions; Respiratory Tract Infections Language Published English Country of organisation United States English summary An English language summary

2016 Health Technology Assessment (HTA) Database.

142. Measuring prevalence, reliability and variation in high-risk prescribing in general practice using multilevel modelling of observational data in a population database

and Delivery Research 2015; 3(42) Authors' objectives To create prescribing safety indicators usable in existing electronic clinical data and to examine (1) variation in high-risk prescribing between patients, GPs and practices including reliability of measurement and (2) changes over time in high-risk prescribing prevalence and variation between practices. Authors' conclusions High-risk prescribing is common and varies moderately between practices. High-risk prescribing at GP level cannot be easily (...) 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 Measuring prevalence, reliability and variation in high-risk prescribing in general practice using multilevel modelling of observational data in a population

2015 Health Technology Assessment (HTA) Database.

143. Interventions to improve appropriate antibiotic prescribing for uncomplicated acute respiratory tract infections

antibiotic use for acute respiratory tract infections (RTIs) in adults and children. Authors' conclusions . The best evidence supports the use of specific education interventions for patients/parents and clinicians, procalcitonin in adults, and electronic decision support to reduce overall antibiotic prescribing (and in some cases improve appropriate prescribing) without causing adverse consequences, although the reduction in prescribing varied widely. Other interventions also reduced prescribing (...) but evidence on adverse consequences was lacking, insufficient, or mixed. Future studies should use a complex intervention framework and better evaluate measures of appropriate prescribing, adverse consequences such as hospitalization, sustainability, and resource use and the impact of potential effect modifiers. Final publication URL Indexing Status Subject indexing assigned by CRD MeSH Anti-Bacterial Agents; Clinical Trial; Humans; Prescriptions; Respiratory Tract Infections Language Published English

2015 Health Technology Assessment (HTA) Database.

144. Evaluating the implementation of RxNorm in ambulatory electronic prescriptions. Full Text available with Trip Pro

Evaluating the implementation of RxNorm in ambulatory electronic prescriptions. RxNorm is a standardized drug nomenclature maintained by the National Library of Medicine that has been recommended as an alternative to the National Drug Code (NDC) terminology for use in electronic prescribing. The objective of this study was to evaluate the implementation of RxNorm in ambulatory care electronic prescriptions (e-prescriptions).We analyzed a random sample of 49 997 e-prescriptions that were (...) received by 7391 locations of a national retail pharmacy chain during a single day in April 2014. The e-prescriptions in the sample were generated by 37 801 ambulatory care prescribers using 519 different e-prescribing software applications.We found that 97.9% of e-prescriptions in the study sample could be accurately represented by an RxNorm identifier. However, RxNorm identifiers were actually used as drug identifiers in only 16 433 (33.0%) e-prescriptions. Another 431 (2.5%) e-prescriptions

2015 Journal of the American Medical Informatics Association

145. The effect of electronic medical record system use on communication between pharmacists and prescribers. Full Text available with Trip Pro

The effect of electronic medical record system use on communication between pharmacists and prescribers. The Electronic Medical Record (EMR) is becoming increasingly common in health care settings. Research shows that EMRs have the potential to reduce instances of medication errors and improve communication between pharmacists and prescribers; however, more research is required to demonstrate whether this is true. This study aims to determine the effect of a newly implemented EMR system (...) on the volume of communication between pharmacists and prescribers. The amount of clarification requests and incorrect dosing communications decreased after EMR implementation. This suggests that EMRs improve prescribing safety. The increased amount of refills accepted and new prescription requests post EMR implementation suggests that the EMR is capable of changing prescription patterns.

2015 BMC Family Practice

146. The impact of electronic prescribing systems on pharmacists' time and workflow: protocol for a time-and-motion study in English NHS hospitals. Full Text available with Trip Pro

The impact of electronic prescribing systems on pharmacists' time and workflow: protocol for a time-and-motion study in English NHS hospitals. Electronic prescribing (ePrescribing) systems are rapidly being introduced into National Health Systems (NHS) hospitals in England following their widespread earlier adoption into primary care settings. Such systems require substantial changes in the way pharmacists organise their work and perform their roles. There is however as yet limited evidence

2015 BMJ open

147. Postoperative analgesia for Enhanced recovery in Joint replacement: Audit of a new electronic prescribing order set Full Text available with Trip Pro

standardisation, where clinically appropriate, in the prescription of an evidence based postoperative analgesia protocol. Enhanced recovery following joint replacement has been used at this institution since 2011. An order set for the postoperative analgesia protocol was introduced to the in house electronic prescribing system in August 2014 (JAC Medicines Management; JAC Computer Services Ltd., Basildon, UK). An audit was performed to follow the effect of the new system on compliance with the postoperative (...) Postoperative analgesia for Enhanced recovery in Joint replacement: Audit of a new electronic prescribing order set Enhanced recovery in joint replacement has been shown to reduce length of inpatient stay, reduce re-admission rates, and can improve early functional recovery. Postoperative analgesia is an important component of the group of interventions required to form a holistic enhanced recovery protocol. The introduction of electronic prescribing provides the opportunity to introduce some

2015 BMJ Quality Improvement Reports

148. Improving antimicrobial prescribing in Irish primary care through electronic data collection and surveillance: a feasibility study Full Text available with Trip Pro

Improving antimicrobial prescribing in Irish primary care through electronic data collection and surveillance: a feasibility study The increase in the spread of antimicrobial resistance (AMR) in bacterial pathogens and limited availability of new antimicrobials places immense pressure on general practitioners (GPs) to prescribe appropriately. Currently, electronic antimicrobial prescribing data is not routinely collected from GPs in Ireland for surveillance purposes to assess regional specific (...) is integrated within the practice patient management software system and permitted the extraction of anonymised patient prescriptions for a one year period, from October 2012 to October 2013. The quality of antimicrobial prescribing was evaluated using the twelve ESAC drug specific quality indicators using the defined daily dose (DDD) per 1,000 inhabitants per day (DID) methodology. National and European prescribing surveillance data (based on total pharmacy sales) was obtained for a comparative

2015 BMC family practice

149. The effects of introducing an electronic prescription system with no copayments Full Text available with Trip Pro

The effects of introducing an electronic prescription system with no copayments To examine the impact of introducing an electronic prescription system with no copayments on the number of prescriptions, the size of prescriptions, and the number of visits and phone calls to primary physicians.Fixed regression models using monthly data on per capita prescriptions claims and consultations between 2009 and 2013 at the municipality level, before and after the introduction of the electronic (...) prescription system.The electronic prescription system with no copayment increased the number of prescriptions by between 6.0 and 8.1 %. It decreased the average size of each prescription, but it did not decrease the number of consultations.The reduced direct and indirect costs of obtaining prescriptions after the introduction of the electronic prescription system changed the financial incentives facing the patients and physicians. This led to significant changes in the level and size of prescriptions

2015 Health economics review

150. Challenges to the implementation of a nationwide electronic prescribing network in primary care: a qualitative study of users' perceptions. Full Text available with Trip Pro

Challenges to the implementation of a nationwide electronic prescribing network in primary care: a qualitative study of users' perceptions. The objective of this study was to identify physicians' and pharmacists' perceptions of the challenges and benefits to implementing a nationwide electronic prescribing network linking medical clinics and community pharmacies in Quebec, Canada.Forty-nine people (12 general practitioners, 2 managers, 33 community pharmacists, and 2 pharmacy staff members (...) ) from 40 points of care (10 primary care clinics (42% of all the connected sites) and 30 community pharmacies (44%)) were interviewed in 2013. Verbatim transcripts were analyzed using thematic analysis.A low level of network use was observed. Most pharmacists processed e-prescriptions by manual entry instead of importing electronically. They reported concerns about potential errors generated by importing e-prescriptions, mainly due to the instruction field. Paper prescriptions were still perceived

2015 Journal of the American Medical Informatics Association

151. Prescription Errors Before and After Introduction of Electronic Medication Alert System in a Pediatric Emergency Department. Full Text available with Trip Pro

Prescription Errors Before and After Introduction of Electronic Medication Alert System in a Pediatric Emergency Department. Prescription errors occur frequently in pediatric emergency departments (PEDs).The effect of computerized physician order entry (CPOE) with electronic medication alert system (EMAS) on these is unknown. The objective was to compare prescription errors rates before and after introduction of CPOE with EMAS in a PED. The hypothesis was that CPOE with EMAS would significantly (...) % to 58.5%). Prescribers modified 20% of the dosing alerts, resulting in the error not reaching the patient. Conversely, 11% of true dosing alerts for medication errors were overridden by the prescribers: 88 (11.3%) resulted in medication errors, and 684 (88.6%) were false-positive alerts.A CPOE with EMAS was associated with a decrease in overall prescription errors in our PED. Further system refinements are required to reduce the high false-positive alert rates.© 2015 by the Society for Academic

2015 Academic Emergency Medicine

152. Quality of Co-Prescribing NSAID and Gastroprotective Medications for Elders in The Netherlands and Its Association with the Electronic Medical Record Full Text available with Trip Pro

Quality of Co-Prescribing NSAID and Gastroprotective Medications for Elders in The Netherlands and Its Association with the Electronic Medical Record To assess guideline adherence of co-prescribing NSAID and gastroprotective medications for elders in general practice over time, and investigate its potential association with the electronic medical record (EMR) system brand used.We included patients 65 years and older who received NSAIDs between 2005 and 2010. Prescription data were extracted (...) from EMR systems of GP practices participating in the Dutch NIVEL Primary Care Database. We calculated the proportion of NSAID prescriptions with co-prescription of gastroprotective medication for each GP practice at intervals of three months. Association between proportion of gastroprotection, brand of electronic medical record (EMR), and type of GP practice were explored. Temporal trends in proportion of gastroprotection between electronic medical records systems were analyzed using a random

2015 PloS one

153. Electronic Prescribing: Improving the Efficiency and Accuracy of Prescribing in the Ambulatory Care Setting Full Text available with Trip Pro

Electronic Prescribing: Improving the Efficiency and Accuracy of Prescribing in the Ambulatory Care Setting Electronic prescribing (e-prescribing) is an important part of the nation's push to enhance the safety and quality of the prescribing process. E-prescribing allows providers in the ambulatory care setting to send prescriptions electronically to the pharmacy and can be a stand-alone system or part of an integrated electronic health record system. The methodology for this study followed (...) the basic principles of a systematic review. A total of 47 sources were referenced. Results of this research study suggest that e-prescribing reduces prescribing errors, increases efficiency, and helps to save on healthcare costs. Medication errors have been reduced to as little as a seventh of their previous level, and cost savings due to improved patient outcomes and decreased patient visits are estimated to be between $140 billion and $240 billion over 10 years for practices that implement e

2014 Perspectives in Health Information Management

154. A survey of perceptions and attitudes about direct-to-consumer advertising of prescription drugs among college students in South Korea. Full Text available with Trip Pro

by the Korean government, and prescription drugs should not be advertised through the Internet. It is recommended that the Korean government cautiously examine whether DTCA of prescription drugs should be permitted, after considering the current marketing strategies of pharmaceutical companies on the Internet and the effects of online electronic-DTCA on Korean consumers. (...) A survey of perceptions and attitudes about direct-to-consumer advertising of prescription drugs among college students in South Korea. Direct-to-consumer advertising (DTCA) of prescription drugs can be both beneficial and harmful to healthcare consumers. Therefore, DTCA for prescription drugs is a topic that should be considered crucially, at this point, when the interests of patients as well as pharmaceutical companies in DTCA of prescription drugs are growing in South Korea. The goals

2018 PLoS ONE

155. Standardizing Dose Prescriptions: An ASTRO White Paper

Force limited the scope of this effort to a limited number of central prescription items concerning how prescribed dose is specified. All but 2 of these items can be expressed numerically. We specifically differentiate the “key ele- ments” of the prescription from the other components of the radiation therapy prescription (eg, simulation orders, treatment planning objectives, the approved treatment plans, imaging orders, patient instructions for treatment) that are not addressed in detail here (...) vaginal cylinder,” or “Cobalt-60, Gamma Knife.” Standard dose prescriptions white paper e375 Practical Radiation Oncology: November-December 2016than LT CW w/IM). The prescribing radiation oncologist should take care to name the treatment site in a manner that allows others to readily understand which portion of the body is to be treated (eg, “left tonsil and bilateral neck” is preferred over “PTV1”). Laterality should always be included in accordance with current standards, including the recently

2016 American Society for Radiation Oncology

156. Electronic Pill Bottles or Bidirectional Text Messaging to Improve Hypertension Medication Adherence (Way 2 Text): a Randomized Clinical Trial Full Text available with Trip Pro

with electronic pill bottles nor bidirectional text messaging about medication adherence improved blood pressure control. Adherence to prescribed medications was not improved enough to affect BP control or it was not the primary driver of poor control.clinicaltrials.gov (NCT02778542). (...) Electronic Pill Bottles or Bidirectional Text Messaging to Improve Hypertension Medication Adherence (Way 2 Text): a Randomized Clinical Trial Poor medication adherence contributes to inadequate control of hypertension. However, the value of adherence monitoring is unknown.To evaluate the impact of monitoring adherence with electronic pill bottles or bidirectional text messaging on improving hypertension control.Three-arm pragmatic randomized controlled trial.One hundred forty-nine primary care

2019 EvidenceUpdates

157. Perceptions among Alberta Healthcare Professionals of Prescription Drug Misuse

of Prescription Drug Misuse Executive Summary The Issue Although prescription drugs such as opioids, stimulants, sedatives and tranquillizers are legal and prescribed for therapeutic purposes, there are a number of harms associated with their use. The addiction, withdrawal, injury, overdose and death associated with prescription drugs have been identified as a significant public health and safety concern across North America. For example, nearly one in every eight deaths were opioid-related among individuals (...) to the other drug classes. There were no differences in suspected youth misuse of any of the prescription drug classes. Healthcare professionals reported that the following patient actions were strong indicators of PDM: • Altering the delivery method of a prescription drug; • Forging prescriptions; • Double doctoring; • Doctor shopping; and/or • Using medications differently than were prescribed. The expression by family members or caregivers of worry about prescription drug use was also a strong indicator

2015 Canadian Centre on Substance Abuse

158. Identification of patients with hemoglobin SS/Sβ0 thalassemia disease and pain crises within electronic health records Full Text available with Trip Pro

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

2018 Blood advances

159. Demand for health services and drug prescriptions among overweight or obese preschool children. (Abstract)

Demand for health services and drug prescriptions among overweight or obese preschool children. To evaluate the association between excess weight and the demand of health services in preschool children compared with healthy weight.The data come from the Longitudinal Study of Childhood Obesity cohort (1884 4-year-old children, residing in the Madrid region, Spain) who provided information through telephone questionnaire, physical examination and electronic medical records. We defined overweight (...) , general and abdominal obesity based on body mass index, waist circumference and waist-to-height ratio. Using mixed models of multivariable negative binomial regression we calculated the incidence rate ratio (IRR) regarding primary care (PC) doctor visits, drug prescriptions and hospital admissions by weight status at the end of the 2-year follow-up.Childhood general obesity was associated with a higher demand for PC services related to psychological problems (IRR=1.53; 95% CI 1.02 to 2.28

2019 Archives of Disease in Childhood

160. Factors Associated With Opioid Prescribing for Distal Upper Extremity Fractures at a Pediatric Emergency Department. (Abstract)

reduction in the ED [odds ratio (OR), 1.73; 95% CI, 1.20-2.50], received an opioid in the ED (OR, 2.13; 95% CI, 1.43-3.20), or received their prescription from an emergency medicine resident (OR, 2.8; 95% CI, 1.44-5.74).Opioid prescribing differs based on patient- and provider-related factors. Given the variability in prescribing patterns, changing suggested opioid prescriptions in the electronic medical record may lead to more consistent practice and therefore decrease unnecessary prescribing while (...) Factors Associated With Opioid Prescribing for Distal Upper Extremity Fractures at a Pediatric Emergency Department. The aims of this study were to describe the prescribing patterns of oxycodone for patients with distal upper extremity fractures and to evaluate factors that influence the quantity of oxycodone prescribed at discharge.We retrospectively studied oxycodone prescriptions for patients with upper extremity fractures presenting to a single center tertiary pediatric emergency department

2019 Pediatric Emergency Care

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