193 results on '"Electronic Prescriptions"'
Search Results
2. A systematic review on blockchain in electronic prescriptions and electronic medical records using PRISMA methodology in databases
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Leonardo Juan Ramirez Lopez, Paula Alejandra Buitrago Pineda, Juan Manuel Perez Rincon, and Wilson Mauro Rojas Reales
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Blockchain in healthcare ,Electronic medical records ,Electronic prescriptions ,Medication traceability ,Medication errors ,Computer applications to medicine. Medical informatics ,R858-859.7 - Abstract
This study offers a comprehensive review of the impact of blockchain technology on healthcare, focusing on electronic medical records, electronic prescriptions, and the issue of medication errors. The implementation of blockchain guarantees the traceability and authenticity of medications, improving security in delivery to patients and preventing the introduction of fake products. The security and privacy of medical records and prescriptions using blockchain is highlighted, with examples such as VIDwallet highlighting the protection of patient privacy. To support these claims, the PRISMA methodology is adopted in an analysis of articles from various databases, such as Scopus, Web of Science Group, Plos One and ScienceDirect. Inclusion and exclusion criteria are applied, prioritizing review type documents and considering the distribution of publications by authors, subject areas and years. This rigorous methodological approach contributes to the reliability and validity of the results presented in the review.
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- 2024
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3. Implementation outcomes of the Structured and Codified SIG format in electronic prescription directions.
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Lester, Corey A, Flynn, Allen J, Marshall, Vincent D, Rochowiak, Scott, and Bagian, James P
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Objective: To determine the extent of implementation, completeness, and accuracy of Structured and Codified SIG (S&C SIG) directions on electronic prescriptions (e-prescriptions).Materials and Methods: A retrospective analysis of a random sample of 3.8 million e-prescriptions sent from electronic prescribing (e-prescribing) software to outpatient pharmacies in the United States between 2019 and 2021. Natural language processing was used to identify direction components, including action verb, dose, frequency, route, duration, and indication from free-text directions and were compared to the S&C SIG format. Inductive qualitative analysis of S&C direction identified error types and frequencies for each component.Results: Implementation of the S&C SIG format in e-prescribing software resulted in 32.4% of e-prescriptions transmitted with these standardized directions. Directions using the S&C SIG format contained a greater percentage of each direction component compared to free-text directions, except for the indication component. Structured and codified directions contained quality issues in 10.3% of cases.Discussion: Expanding adoption of more diverse direction terminology for the S&C SIG formats can improve the coverage of directions using the S&C SIG format. Building out e-prescribing software interfaces to include more direction components can improve patient medication use and safety. Quality improvement efforts, such as improving the design of e-prescribing software and auditing for discrepancies, are needed to identify and eliminate implementation-related issues with direction information from the S&C SIG format so that e-prescription directions are always accurately represented.Conclusion: Although directions using the S&C SIG format may result in more complete directions, greater adoption of the format and best practices for preventing its incorrect use are necessary. [ABSTRACT FROM AUTHOR]- Published
- 2022
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4. Pharmacist’s perception of the impact of electronic prescribing on medication errors and productivity in community pharmacies
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Amr Farghali, Elizabeth M. Borycki, and Scott Macdonald
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electronic prescribing ,electronic prescriptions ,medication errors ,community pharmacy ,pharmacy productivity ,adoption ,General Works - Abstract
Paper-based prescriptions have been used for several decades by many healthcare practitioners. The literature suggests that several challenges are associated with handwritten prescriptions that might impact patients’ safety and medication errors. Electronic prescribing (e-prescribing) has been developed to phase out handwritten and computer-generated prescriptions that are printed on paper or faxed directly to a dispensing pharmacy. This research aimed to examine pharmacists’ thoughts about the e-prescribing impact on their practice. We also evaluated the adoption rate of e-prescribing by assessing the proportion of electronic prescriptions (e-Rx) received in community pharmacies across the Canadian provinces. This research was conducted as a secondary analysis of the 2016 National Survey of Community-Based Pharmacists: Use of Digital Health Technology in Practice by Nielson. The survey was conducted in collaboration between Canada Health Infoway and the Canadian Pharmacy Association. The target population of the survey was Canadian pharmacists who were in community practice. The provinces included in this research were Ontario, Quebec, Saskatchewan, Alberta, and British Columbia (n = 450). The findings of this study suggest that community pharmacists in Canada were willing to embrace e-prescribing to support their practice. Most of pharmacists thought that e-prescribing was a useful tool to reduce medication errors and improve efficiency in pharmacies. However, the largest proportion of prescriptions issued by prescribers continue to be in paper form, whether handwritten or computer-generated. Further research is needed to investigate the barriers to the adoption of e-prescribing systems among primary care practitioners in Canada.
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- 2021
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5. Türk İlaç Politikalarına Yönelik Bir Değerlendirme.
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KÖSE, Aslı
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Copyright of Istanbul Gelisim University Journal of Health Sciences / İstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi is the property of Istanbul Gelisim Universitesi Saglik Bilimleri Yuksekokulu and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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- 2022
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6. Veterinary students' perceptions toward incorporating and expanding telehealth service delivery knowledge in curricula and future practice: a cross-sectional study.
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Watson K, Mardhekar NM, Pandey U, Wells J, Gruszynski K, Wilkerson AH, Dascanio JJ, Quadri SS, Leo JT, Samuel KD, Nahar VK, and Davis RE
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Objective: Telehealth is the use of technology to deliver medical services. Potential uses among veterinarians include consulting with specialists about complicated cases, sending in electronic prescriptions, or meeting with clients to discuss patient health. Although the coronavirus disease 2019 pandemic posed many challenges to the veterinary profession, it accelerated the adoption of telehealth among veterinarians. As many of these changes took place quickly in response to the pandemic, many of those in practice did not receive much training or guidance; therefore, this study explores veterinary students' perceptions regarding incorporating telehealth into the veterinary curriculum and the utilization of telehealth in the future., Methods: An email survey was sent to students at a veterinary school., Results: 80 students provided answers to the 11-question survey. Nearly 80% reported that it is either "important" or "very important" to incorporate telehealth training into the veterinarian curriculum, whereas almost 90% indicated that they would benefit from more telemedicine training prior to graduation. Almost 75% of participants had legal and malpractice concerns, which may present a barrier to using the technology upon graduation., Conclusions: This study suggests that veterinary schools should explore how to incorporate telehealth training into their curriculum, especially in regard to navigating the potential pitfalls that may be encountered when employing telehealth within the context of a veterinarian-client-patient relationship., Clinical Relevance: Telehealth is a valuable tool, and its use has become commonplace. Educational programs that emphasize telehealth will better equip future clinicians to manage the nuances of this modality in practice.
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- 2024
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7. Impact of electronic prescribing on issued and filled opioid prescriptions following Mohs micrographic surgery.
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Aizman, Leora, Veerabagu, Surya A., Cheng, Brian, Perz, Allison M., Lukowiak, Tess M., Etzkorn, Jeremy R., Miller, Christopher J., Shin, Thuzar M., Sobanko, Joseph F., Higgins II, H. William, McMurray, Stacy L., Walker, Joanna L., Giordano, Cerrene N., and Higgins, H William 2nd
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- 2022
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8. Evaluating the implementation of RxNorm in ambulatory electronic prescriptions
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Dhavle, Ajit A, Ward-Charlerie, Stacy, Rupp, Michael T, Kilbourne, John, Amin, Vishal P, and Ruiz, Joshua
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Information and Computing Sciences ,Health Services and Systems ,Health Sciences ,Electronic Prescribing ,Humans ,National Library of Medicine (U.S.) ,RxNorm ,United States ,Vocabulary ,Controlled ,E-Prescribing ,NDC ,electronic prescriptions ,quality ,Engineering ,Medical and Health Sciences ,Medical Informatics ,Biomedical and clinical sciences ,Health sciences ,Information and computing sciences - Abstract
ObjectiveRxNorm 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).MethodsWe 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.ResultsWe 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 that used RxNorm identifiers had a discrepancy in the corresponding Drug Database Code qualifier field or did not have a qualifier (Term Type) at all. In 10 e-prescriptions (0.06%), the free-text drug description and the RxNorm concept unique identifier pointed to completely different drug concepts, and in 7 e-prescriptions (0.04%), the NDC and RxNorm drug identifiers pointed to completely different drug concepts.DiscussionThe National Library of Medicine continues to enhance the RxNorm terminology and expand its scope. This study illustrates the need for technology vendors to improve their implementation of RxNorm; doing so will accelerate the adoption of RxNorm as the preferred alternative to using the NDC terminology in e-prescribing.
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- 2016
9. Pharmaceutical interventions on prescriptions in Norwegian community and hospital pharmacies.
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Vik, Steinar, Weidemann, Pernille, Gangås, Ingrid Elisabeth Mehl, Knapstad, Stein-Erik, and Haavik, Svein
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DRUGSTORES ,DRUG side effects ,HOSPITAL pharmacies ,MEDICAL prescriptions ,PRIMARY care - Abstract
Background Pharmacists in community and hospital pharmacies assess prescriptions to prevent prescription errors and adverse drug events. There are, however, few reports on prevalence of clinical important pharmaceutical interventions for patients located within primary care. Objective To study documented pharmaceutical interventions on prescriptions in Norwegian pharmacies for patients located in primary care. Setting Data were collected in 11 community pharmacies during a 3 months period in 2016, and the outpatient department of four hospital pharmacies in Norway during a 6 months period of 2018. Method Retrospective analysis of electronically documented pharmaceutical interventions on prescriptions for patients located in primary care. Main outcome measure The number and classification of pharmaceutical interventions in relation to the total number of prescriptions. Results An intervention was documented in 124,178 (45.1%) of the 275,339 prescriptions dispensed during the study period. Interventions of potential clinical importance were performed and documented in 0.8% (2262) of the prescriptions. Conclusion A substantial number of pharmaceutical interventions are performed on prescriptions in Norwegian pharmacies after introduction of electronic prescriptions. A potentially clinical important intervention is performed in one of every 125 prescriptions (0.8%). This result indicates that pharmacists at Norwegian pharmacies prevent more than 400,000 prescription errors of potential clinical importance each year. [ABSTRACT FROM AUTHOR]
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- 2021
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10. Adherence Level to Arterial Hypertension Treatment: A Cross-Sectional Patient Survey and Retrospective Analysis of the NHS Prescription Database
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Anna Gavrilova, Dace Bandere, Konstantīns Logviss, Dins Šmits, and Inga Urtāne
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adherence barriers ,blood pressure control ,e-health system ,electronic prescriptions ,intentional non-adherent ,Latvia ,Medicine - Abstract
One of the major problems in cardiology practice is poor adherence to antihypertensive medication. This study aimed to evaluate medication adherence; we also aim to investigate the predictors of intentional and unintentional non-adherence. We issued a survey containing questions about patient demographics, blood pressure control, pharmaceutical care, and adherence level to medication. Retrospective analysis of the prescription database of the National Health Service of the Republic of Latvia was performed. The prevalence of non-adherence was 45.9%. The lowest adherence rate (38.2%) was found among patients taking medication for 2–4.9 years. Even though 84.7% of respondents had a blood pressure monitor at home, only 25.3% of them reported measuring blood pressure regularly. There were differences between the groups of adherent patients in terms of the patients’ net income (p = 0.004), medication co-payments (p = 0.007), and whether the pharmacist offered to reduce the costs of drug therapy (p = 0.002). Roughly half of the prescriptions (50.4%) containing perindopril were purchased by patients from pharmacies. The medication adherence level and blood pressure control at home were assessed as low. Intentionally non-adherent respondents discontinued their medication because of fear of getting used to medicines. The pharmacists’ behaviour in terms of offering to reduce the costs of medications used was influenced by socio-economic factors.
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- 2021
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11. Clinical indications for antibiotic use in Danish general practice: results from a nationwide electronic prescription database
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Rune Aabenhus, Malene Plejdrup Hansen, Volkert Siersma, and Lars Bjerrum
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Antibiotic prescribing ,clinical indication ,general practice ,electronic prescriptions ,data linkage ,Public aspects of medicine ,RA1-1270 - Abstract
Objective: To assess the availability and applicability of clinical indications from electronic prescriptions on antibiotic use in Danish general practice. Design: Retrospective cohort register-based study including the Danish National Prescription Register. Setting: Population-based study of routine electronic antibiotic prescriptions from Danish general practice. Subjects: All 975,626 patients who redeemed an antibiotic prescription at outpatient pharmacies during the 1-year study period (July 2012 to June 2013). Main outcome measures: Number of prescriptions per clinical indication. Number of antibiotic prescriptions per 1000 inhabitants by age and gender. Logistic regression analysis estimated the association between patient and provider factors and missing clinical indications on antibiotic prescriptions. Results: A total of 2.381.083 systemic antibiotic prescriptions were issued by Danish general practitioners in the study period. We identified three main clinical entities: urinary tract infections (n = 506.634), respiratory tract infections (n = 456.354) and unspecified infections (n = 416.354). Women were more exposed to antibiotics than men. Antibiotic use was high in children under 5 years and even higher in elderly people. In 32% of the issued prescriptions, the clinical indication was missing. This was mainly associated with antibiotic types. We found that a prescription for a urinary tract agent without a specific clinical indication was uncommon. Conclusion: Clinical indications from electronic prescriptions are accessible and available to provide an overview of drug use, in casu antibiotic prescriptions, in Danish general practice. These clinical indications may be further explored in detail to assess rational drug use and congruence with guidelines, but validation and optimisation of the system is preferable.
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- 2017
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12. Security Privacy and Policy for Cryptographic Based Electronic Medical Information System
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Hsuan-Yu Chen, Zhen-Yu Wu, Tzer-Long Chen, Yao-Min Huang, and Chia-Hui Liu
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privacy ,electronic medical record ,electronic prescriptions ,electronic medical information ,Chemical technology ,TP1-1185 - Abstract
With the development of the internet, applications have become complicated, and the relevant technology has diversified. Compared with medical applications, the significance of information technology has been expanding to include clinical auxiliary functions of medical information. This includes electronic medical records, electronic prescriptions, medical information systems, etc. Although research on the data processing structure and format of various related systems is becoming mature, the integration is insufficient. An integrated medical information system with security policy and privacy protection, which combines e-patient records, e-prescriptions, modified smart cards, and fingerprint identification systems, and applies proxy signature and group signature, is proposed in this study. This system effectively applies and saves medical resources—satisfying the mobility of medical records, presenting the function, and security of medicine collection, and avoiding medical conflicts and profiteering to further acquire the maximum effectiveness with the least resources. In this way, this medical information system may be developed into a comprehensive function that eliminates the transmission of manual documents and maintains the safety of patient medical information. It can improve the quality of medical care and indispensable infrastructure for medical management.
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- 2021
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13. Health tech company Surescripts picks up ActiveRADAR to expand therapeutic alternatives to prescription drugs.
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Landi, Heather
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HIGH technology industries ,DRUGS ,HEALTH information exchanges ,INFORMATION networks ,PHARMACY benefit management - Abstract
Health information network Surescripts acquired ActiveRADAR to build out therapeutic alternatives for prescription drugs. [ABSTRACT FROM AUTHOR]
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- 2023
14. Adaptations for e-Kiosk Systems in Germany to Develop Barrier-Free Terminals for Handicapped Persons
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Zwicker, Manuel, Seitz, Juergen, Wickramasinghe, Nilmini, Wickramasinghe, Nilmini, editor, Bali, Rajeev, editor, Suomi, Reima, editor, and Kirn, Stefan, editor
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- 2012
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15. Notable e-Health Developments
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Nyssen, M., Buyl, R., Questier, F., Verbeke, F., Thomeer, K., Magjarevic, Ratko, editor, and Jobbágy, Ákos, editor
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- 2012
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16. History of Electronic Prescriptions in Sweden: From Time-Sharing Systems via Smartcards to EDI
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Klein, Gunnar O., Impagliazzo, John, editor, Lundin, Per, editor, and Wangler, Benkt, editor
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- 2011
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17. The Role of Technology in Shaping the Professional Future of Community Pharmacists: The Case of the Electronic Prescription Service in the English National Health Service
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Petrakaki, Dimitra, Cornford, Tony, Hibberd, Ralph, Lichtner, Valentina, Barber, Nick, Chiasson, Mike, editor, Henfridsson, Ola, editor, Karsten, Helena, editor, and DeGross, Janice I., editor
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- 2011
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18. Decreasing trends in number of depot medroxyprogesterone acetate starters in Norway - a cross-sectional study.
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Roksvaag, Ingvild and Skjeldestad, Finn E.
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MEDROXYPROGESTERONE , *BACTERIAL starter cultures , *CONTRACEPTION , *CONTRACEPTIVES , *PUBLIC health - Abstract
Introduction: In this study, we examined changes in depot medroxyprogesterone acetate (DMPA) prescriptions over a time-period when new professions started prescribing, and when the method gained some negative media attention.Material and Methods: The Norwegian Prescription Database provided data on hormonal contraception from 2006 through 2012. We estimated the annual number of DMPA users by calculating doses sold per day/1000 women and calculated, for each contraceptive method on annual basis, a proportion of defined daily doses of all hormonal contraceptives in five-year age groups at reproductive age. All analyses were done in SPSS, version 22, with Chi-square test, t-test, and survival analysis with p < 0.05 as significance level.Results: There were minor differences in overall DMPA use during the study years. The take-out rate was equivalent to 11-12/1000 women aged 15-49 years. DMPA sales amounted to nearly 4% of all daily doses of hormonal contraceptives sold. General practitioners and physicians without a specialty were the major prescribers. The number of starters decreased by nearly 40% during the study years and was consistent across age groups. The average use duration among starters was 17.7 (95% CI 17.5-17.9) months (range 0-90). There were minor changes in the relative proportion of long-term users beyond 24 months during the study years.Conclusions: DMPA plays a minor role in the overall use of hormonal contraception in Norway, even among teenagers. The number of starters is decreasing, indicating a more restrictive attitude toward first use, especially among general practitioners. [ABSTRACT FROM AUTHOR]- Published
- 2018
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19. Einschätzungen zum elektronischen Rezept – eine Querschnittstudie unter Apothekern in Deutschland
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Christoph Strumann, Birger Möller, and Jost Steinhäuser
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Gynecology ,Quantitative survey ,medicine.medical_specialty ,020205 medical informatics ,Online pharmacies ,Public Health, Environmental and Occupational Health ,02 engineering and technology ,Primary care ,Time saving ,03 medical and health sciences ,0302 clinical medicine ,Political science ,0202 electrical engineering, electronic engineering, information engineering ,medicine ,Health insurance ,030212 general & internal medicine ,Electronic Prescriptions ,Federal state - Abstract
Hintergrund Mit dem Modellprojekt GERDA („Geschutzter e-Rezept-Dienst der Apotheken“) wurde von der Landesapothekerkammer (LAK) und dem Landesapothekerverband (LAV) in Baden-Wurttemberg die Moglichkeit geschaffen, Rezepte im Rahmen von Online-Sprechstunden uber das von der Kassenarztlichen Vereinigung Baden-Wurttemberg betriebene telemedizinische Portal „docdirekt“, zu verordnen. Vor diesem Hintergrund war das Ziel der Studie, Barrieren und fordernde Faktoren aufseiten der Apotheken fur die Beteiligung an einer Versorgung, die eine elektronische Verordnung von Rezepten beinhaltet, zu explorieren und zu priorisieren. Auf Basis dieser Determinanten wurden Empfehlungen zur Optimierung einer erfolgreichen Implementierung ahnlicher Versorgungsangebote abgeleitet. Methode Es wurde ein Mixed-Methods-Design gewahlt, um die Determinanten zu explorieren und zu priorisieren. Im ersten Schritt wurden Determinanten fur die Beteiligung an einem System, welches die elektronische Verordnung von Rezepten ermoglicht mithilfe von Einzelinterviews mit an docdirekt beteiligten Telearzten, niedergelassenen Hausarzten und Apothekern exploriert. Anschliesend wurden diese Determinanten in einem zweiten Schritt durch eine quantitative Befragung von Apothekern priorisiert. Ergebnisse Von den 523 an der Umfrage teilgenommenen Apothekern war mehr als die Halfte bereit sich an einem E-Rezept-System zu beteiligen, 8,5% schliesen eine zukunftige Beteiligung aus. Insgesamt konnten 18 Determinanten fur die Beteiligung an einem System, welches die elektronische Verordnung von Rezepten ermoglicht, exploriert werden. Der Schutz der freien Apothekenwahl wurde als wichtigster Aspekt fur eine Beteiligung identifiziert. Gefolgt von der Moglichkeit einer Korrekturfunktion bei E-Rezepten (um z. B. Retaxierungen oder Medikationsfehlern zu vermeiden), der Integration des E-Rezepts in die bestehende Apotheken-EDV sowie dem gesetzlichen Ausschluss von direkten Vertragen mit Versandapotheken. Zeitersparnisse und eine ggf. hohere Vergutung wurden dagegen als weniger relevant bewertet. Schlussfolgerung Insgesamt gab uber die Halfte der befragten Apotheken an, sich an einem E-Rezept-System beteiligen zu wollen. Fur die ab Januar 2022 geplante flachendeckende Einfuhrung von E-Rezepte kann der Einbezug der identifizierten fordernden Faktoren vonseiten der Politik, Softwareentwickler und Verbande eine wichtige Rolle bei der Implementierung spielen. Background The GERDA (“Protected e-prescription service for pharmacies”) project of the Chamber of Pharmacists (LAK) and Pharmacists Association (LAV) of the federal state of Baden-Wuerttemberg provided the opportunity to prescribe medications within the telemedical portal “docdirekt” that is operated by the Association of Statutory Health Insurance Physicians of Baden-Wuerttemberg. Against this background, the aim of the study was to explore and prioritize barriers and enablers among pharmacists to participate in a medical supply system that includes electronic prescriptions (e-prescriptions). Based on these determinants, recommendations for optimizing the successful implementation of similar care offers were derived. Method A mixed methods design was chosen to explore and prioritize the determinants. In the first step, determinants for participation in an electronic prescribing system were explored by means of individual interviews of docdirekt tele-physicians, primary care physicians and pharmacists. In a second step, these determinants were prioritized through a quantitative survey of pharmacists. Results Out of the 523 pharmacists that answered the questionnaire, more than half were willing to participate in an e-prescription system, while 8.5% excluded future participation. A total of 18 determinants for the e-prescription system participation could be explored. The protection of the free pharmacy choice for the patients was identified as the most important determinant, followed by the option of a correction function for e-prescriptions (e. g. to avoid retaxing or medication errors), the integration of the e-prescription into the existing pharmacy IT system and the statutory exclusion of direct contracts with online pharmacies. Time savings and possibly higher remunerations were rated as less relevant. Conclusion More than half of the pharmacies surveyed stated that they wanted to participate in an e-prescription system. Widespread introduction of e-prescriptions in planned for January 2022. Successful implementation of this move will be facilitated if the identified determinants are taken into consideration by politics, software developers and associations.
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- 2021
20. Optimizing Effectiveness in Electronic Prescriptions for Pediatric Outpatients: A Call for Responsive Action
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Richard H. Parrish II, Sandra Benavides, Joseph T. Malak, Amy L. Potts, Micheal Guirguis, and Tracy Hagemann
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pediatrics ,electronic prescriptions ,compounded non-sterile products ,repository ,Pharmacy and materia medica ,RS1-441 - Abstract
A pediatric compounded non-sterile products repository (pCNP) to optimize the effectiveness and safety of “off-label” use of compounded pharmacotherapy through complete transmission of electronic prescriptions across the continuum of care is described. The advent of electronic prescribing has the potential to refocus and resolve long-standing issues of prescription therapy for pediatric patients related to formulation, indication, dosing, and outcomes follow-up, among others. This white paper describes the architecture and function of the pCNP repository. Further, it calls on professional societies, health information technology (HIT) and pharmaceutical industries, universities, and government to create a safer pediatric pharmacotherapy system across the continuum of care. This system would include pCNPs within the existing federal and corporate database structures for medical language, and integrates advanced system safety features as requirements for prescribing, compounding, and dispensing non-mass produced prescription therapies for children.
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- 2014
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21. Evaluation of electronic prescriptions in Turkey: A community pharmacy perspective
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Sinan Bulut, Emrah Bilgener, and [Belirlenecek]
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Technology ,medicine.medical_specialty ,Turkish ,health care facilities, manpower, and services ,education ,Biomedical Engineering ,Pharmacy ,Pharmacists ,03 medical and health sciences ,0302 clinical medicine ,medicine ,030212 general & internal medicine ,Medical prescription ,Electronic Prescriptions ,business.industry ,030503 health policy & services ,Health Policy ,Perspective (graphical) ,Information technology ,Systematic sampling ,language.human_language ,Family medicine ,language ,Medicine ,0305 other medical science ,business ,E-prescriptions ,Diversity (business) - Abstract
Objective: The purpose of this study was to determine the opinions of pharmacists, who are important users of e-prescribing practices in Turkey, on the function of a prescription application. Method: A questionnaire was developed to determine the opinions of pharmacists on Turkish e prescribing practices, using a stratified and systematic random sampling method. A total of 378 pharmacists responded to the questionnaire. Results: The average level of satisfaction of e-prescription reported by pharmacists was 4.4 +/- 0.8. Although 52.4% of the participating pharmacists reported no problems using the e-prescription application, 47.6% reported encountering problems. The majority of the problems associated with e-prescription practices were caused by the physicians who entered the e-prescription into the system. The most common problem (17.4%) reported was the inability to read the e-prescription code as written by physicians. The primary contribution of the e-prescribing practice reported by pharmacists was the acceleration of prescription procedures. Conclusion: E-prescription practice is advantageous to pharmacies across many aspects, improving drug delivery to patients, and most pharmacists reported thatthe e-prescription practice washighly satisfying. The development of electronic and information technologies increases access toinformation resources and diversity, resulting inchanges in the expectations and utilisation levels of users; therefore, continuous improvements are required to improve the performance of the e-prescribing system. (c) 2020 Fellowship of Postgraduate Medicine. Published by Elsevier Ltd. All rights reserved. WOS:000631985400014 2-s2.0-85099500347
- Published
- 2021
22. Prescribing Practices of Medications in the Outpatient Dermatology Department of a Public Hospital
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Nehad J. Ahmed
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medicine.medical_specialty ,business.industry ,Fusidic acid ,Dermatology department ,Retrospective cohort study ,humanities ,Cetirizine ,Emergency medicine ,Public hospital ,Outpatient clinic ,Medicine ,Medical prescription ,business ,Electronic Prescriptions ,medicine.drug - Abstract
Aim: This study aims to describe the prescribing pattern of medications by dermatology outpatient department in a public hospital in Alkharj. Methodology: This is a retrospective study that included collecting data from outpatient electronic prescriptions in a public hospital in Alkharj. All of the outpatients who received prescriptions written by the dermatology department between 1st of January till 30th of June 2018 were included in the study. The data were collected and analyzed using Microsoft Excel. Results: A total of 328 patients received outpatient prescriptions written by dermatology department. Most of them were females (62.80%) and aged less than 40 years (67.38%). The most prescribed drug in the present study was Hydrocortisone (14.33%) followed by White Soft Paraffin (8.84), Fusidic acid (8.54%) and Cetirizine (8.23%). Most of the medications were prescribed as ointment (28.66%) followed by creams (28.04%). Conclusion: Females were found to be more predominant with dermatological diseases when compared to males. The most commonly prescribed drugs were hydrocortisone, white soft paraffin, fusidic acid and cetirizine. It is important to evaluate prescribing pattern of the drugs periodically to improve the quality of prescriptions.
- Published
- 2021
23. Discrepancies between ePrescriptions and dispensing in Belgium, 6 years after the launch of the electronic prescribing – a mixed-method study
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Pieter Cornu, E. Tommelein, Ronald Buyl, S. Van Laere, Evy Dreesen, Biostatistics and medical informatics, Faculty of Medicine and Pharmacy, Public Health Sciences, Pharmaceutical and Pharmacological Sciences, Artificial Intelligence supported Modelling in clinical Sciences, UZB Other, and Clinical Pharmacology and Clinical Pharmacy
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Pharmacies ,Software Evaluation ,medicine.medical_specialty ,business.industry ,Public health ,public health ,Community Pharmacy Services ,General Medicine ,Pharmacists ,medicine.disease ,Electronic Prescribing ,03 medical and health sciences ,0302 clinical medicine ,Belgium ,030220 oncology & carcinogenesis ,Electronic prescribing ,medicine ,Humans ,mixed method study ,030212 general & internal medicine ,Medical emergency ,business ,Electronic Prescriptions ,Software - Abstract
Objectives: The number of electronic prescriptions (ePrescriptions) grows steadily in Belgium as in other European countries. In the future, Belgium wants to dematerialize the ePrescription flow, removing all paper trails. A quality check of the digital content and implementation of national ePrescription guidelines in the field was conducted, comparing the content at both prescription and pharmacy side. Methods: An explanatory mixed-methods design was applied. In a first phase, potential problems (warning flags) were identified by consulting stakeholders. Secondly, the warning flags were validated to problems (errors) in a random set of ePrescriptions collected in April 2019. In a third phase, explanatory interviews were held with various stakeholders in order to find explanations and to identify the initiators of these errors. Results: In the first phase, 15 warning flags were identified to evaluate the quality of an ePrescription. In the second phase, a random selection of 11,798 ePrescriptions was validated. The most prevalent errors found, were the digital construction of the messages (18.88%), combined with lots of necessarily deemed substitutions by the pharmacist (3.39%) not following what was prescribed originally. In the third phase, stakeholders indicated that software of the prescriber and the use of inconsistent databases between prescriber and pharmacy can often be seen as the cause and initiator of these problems. Conclusions: Use of authentic medication databases and well-designed software systems have the potential to solve ePrescription problems. Focus should go to prevention instead of detection.
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- 2021
24. The Prescribing Pattern of Methyldopa in the Outpatient Setting
- Author
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Nehad J. Ahmed
- Subjects
medicine.medical_specialty ,business.industry ,Retrospective cohort study ,Obstetrics and gynaecology ,Public hospital ,Emergency medicine ,Outpatient setting ,medicine ,cardiovascular diseases ,Methyldopa ,Medical prescription ,business ,Electronic Prescriptions ,medicine.drug - Abstract
Aim: This study aimed to describe the prescribing pattern of methyldopa in a public hospital in Alkharj. Methodology: This is a retrospective study that was conducted to know the prescribing pattern of methyldopa. The data were collected from the outpatient electronic prescriptions in a public hospital in Alkharj in 2017 and 2018. Results: Only 27 patients in the outpatient setting received methyldopa in 2017 and 23 patients in 2018. all of the patients who received methyldopa were females. Most of the prescribers were residents (82.61%) and only 17.39% were consultants. About 82.61 % of the prescriptions were written by obstetrics and gynecology department. Conclusion: The prescribing of methyldopa is infrequent in the outpatient setting. Although it is generally safe, it may cause numerous side-effects as well as it can interact with other medications, so it is important to monitor its prescribing trends to ensure that it is prescribed appropriately.
- Published
- 2021
25. Comparison of Primary Compliance in Electronic versus Paper Prescriptions Prescribed from the Emergency Department
- Author
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Andrusaitis, Jessica Gwynne
- Subjects
Medicine ,Health sciences ,electronic prescriptions ,emergency medicine ,health information technology ,medication compliance ,surescripts - Abstract
The Medicare Improvements for Patients and Providers Act passed by Congress in 2008 has changed prescribing practices in the United States. Electronic prescriptions (e-prescriptions) have now become the most widely used form of prescriptions. The government in fact financially discourages the use of the older more traditional paper prescriptions.Many emergency medicine physicians fear that this blanket policy is not in the best interests of their unique patient population. It is the belief of many of these physicians that emergency patients are more likely to fill paper prescriptions than e-prescriptions. This theory is predicated on the knowledge that many emergency patients are less established in the system and their visits are frequently rushed, chaotic, and unplanned. For these reasons, the e-prescription system is not ideal for them and the theorized consequence is that many e-prescriptions go unfilled, leaving patients to go untreated.A retrospective analysis was conducted at the emergency department of the University of California, Irvine Medical Center to identify insured adult patients who were given a non-controlled substance prescription in either the paper or electronic form. Pharmacy claim data to insurances was used to determine whether these prescriptions were filled. 405 encounters were included, 218 of which included e-prescriptions and 187 of which included paper prescriptions. Our findings showed that paper prescriptions are filled at the same rate as electronic prescriptions (58.3% versus 57.8% p=1). These results were surprising as they contradicted what many physicians believe is the situation. More studies are needed in order to be able to broaden these results to the entire emergency medicine patient population, but these results may begin to alter prescription practices in emergency medicine.
- Published
- 2017
26. The Prescribing Trends of Vitamin D Supplements and the Concurrent Use of Medicines for Chronic Conditions
- Author
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Menshawy A. Menshawy and Nehad J. Ahmed
- Subjects
Drug Utilization ,medicine.medical_specialty ,business.industry ,Alfacalcidol ,chemistry.chemical_compound ,chemistry ,Internal medicine ,Public hospital ,Vitamin D supplement ,Vitamin D and neurology ,Medicine ,Medical prescription ,business ,Cholecalciferol ,Electronic Prescriptions - Abstract
Aim: This study aims to determine the prescribing patterns of vitamin D supplements in a public hospital in Al-Kharj. Methodology: This cross-sectional drug utilization study was conducted at a public hospital in Al-Kharj that included a review of the outpatient electronic prescriptions in 2018. Therefore, inclusion criteria included the outpatient prescriptions that contain Vitamin D supplement in 2018. The data were collected using Microsoft Excel® and the descriptive data were represented as numbers and percentages. Results: In 2018, 311 patients were prescribed Alfacalcidol. Most of the patients who received Alfacalcidol were females (76.21%), aging 40-69 (58.85%). The majority of Alfacalcidol drugs were prescribed by Internal Medicine department (56.91%). In 2018, 127 patients were received Cholecalciferol. Most of the patient were females (79.53%), in the age level between 30-39 (21.26%) followed by patients less than 10 years (18.90%). The majority of Cholecalciferol drugs were prescribed by Internal Medicine department (30.71%). Conclusion: Vitamin D supplements were used frequently with other medicines for chronic conditions. More studies are needed to know the effect of Vitamin D supplements in the prevention or treatment of chronic diseases. Moreover, in order to use vitamin D supplements correctly, it is important to know the prescribing trends of these supplements.
- Published
- 2020
27. Clinical indications for antibiotic use in Danish general practice: results from a nationwide electronic prescription database.
- Author
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Aabenhus, Rune, Hansen, Malene Plejdrup, Siersma, Volkert, and Bjerrum, Lars
- Subjects
- *
ANTIBIOTICS , *DATABASES , *DRUGS , *DRUG prescribing , *FAMILY medicine , *URINARY tract infections , *PHYSICIAN practice patterns , *LOGISTIC regression analysis - Abstract
Objective:To assess the availability and applicability of clinical indications from electronic prescriptions on antibiotic use in Danish general practice. Design:Retrospective cohort register-based study including the Danish National Prescription Register. Setting:Population-based study of routine electronic antibiotic prescriptions from Danish general practice. Subjects:All 975,626 patients who redeemed an antibiotic prescription at outpatient pharmacies during the 1-year study period (July 2012 to June 2013). Main outcome measures:Number of prescriptions per clinical indication. Number of antibiotic prescriptions per 1000 inhabitants by age and gender. Logistic regression analysis estimated the association between patient and provider factors and missing clinical indications on antibiotic prescriptions. Results:A total of 2.381.083 systemic antibiotic prescriptions were issued by Danish general practitioners in the study period. We identified three main clinical entities: urinary tract infections (n = 506.634), respiratory tract infections (n = 456.354) and unspecified infections (n = 416.354). Women were more exposed to antibiotics than men. Antibiotic use was high in children under 5 years and even higher in elderly people. In 32% of the issued prescriptions, the clinical indication was missing. This was mainly associated with antibiotic types. We found that a prescription for a urinary tract agent without a specific clinical indication was uncommon. Conclusion:Clinical indications from electronic prescriptions are accessible and available to provide an overview of drug use,in casuantibiotic prescriptions, in Danish general practice. These clinical indications may be further explored in detail to assess rational drug use and congruence with guidelines, but validation and optimisation of the system is preferable. [ABSTRACT FROM PUBLISHER]
- Published
- 2017
- Full Text
- View/download PDF
28. Use pattern for contraceptive implants in Norway.
- Author
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Øvre‐Eide, Vigdis and Skjeldestad, Finn Egil
- Subjects
- *
CONTRACEPTION , *INTRAUTERINE contraceptives , *GYNECOLOGISTS , *CHI-squared test , *CONTRACEPTIVE drugs , *DATABASES , *CONTROLLED release drugs , *STEROIDS , *CROSS-sectional method , *LEVONORGESTREL - Abstract
Introduction: Knowledge about global use patterns of contraceptive implants is limited. This study aims to describe implant use patterns from a user and a prescriber perspective.Material and Methods: In a cross-sectional design, we estimated the annual number of users by calculating doses sold per 1000 women-years in the Norwegian Prescription Database for 2006-2012. For each contraceptive method, we calculated on an annual basis a proportion of defined daily doses of all hormonal contraceptives in five-year age groups. Data were analyzed in SPSS version 22, using chi-square test, t-test, and survival analysis.Results: Sales from pharmacies for contraceptive implants more than doubled over the study years and were consistently higher in the younger age groups. The collection rate was 9.3 per 1000 women in 2012, when implant sales amounted to 2.4% of all daily doses of hormonal contraceptives sold. General practitioners and doctors with no specialty were the major prescribers to those starting to use contraceptive implants (starters), whereas gynecologists prescribed nearly 12% of the volume, with a higher proportion to women >35 years of age than younger women. The cumulative proportions of continued users at 6, 12, 24, and 36 months were 96.1, 78.6, 51.9, and 34.9%, respectively, significantly lower for users who had prescribing doctors with no specialty. At end of the first expiration period, 21% of starters continued using implants.Conclusion: Implants play a minor role in the overall use of hormonal contraception in Norway. One in five starters continue as long-term users. [ABSTRACT FROM AUTHOR]- Published
- 2016
- Full Text
- View/download PDF
29. Pattern of Ciprofloxacin Prescribing at Outpatient Setting in Al-Kharj
- Author
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Nehad J. Ahmed
- Subjects
medicine.medical_specialty ,business.industry ,Retrospective cohort study ,Ciprofloxacin ,Antibiotic resistance ,Emergency medicine ,Public hospital ,Outpatient setting ,Medicine ,Medical prescription ,business ,Adverse effect ,Electronic Prescriptions ,medicine.drug - Abstract
Aim: The study was conducted to demonstrate the pattern of ciprofloxacin prescribing at outpatient Setting in Al-kharj. Methodology: A retrospective study was conducted to demonstrate the pattern of ciprofloxacin prescribing. The Information was collected from electronic prescriptions in a public hospital in Al-Kharj city. The data was processed using Microsoft Excel and the descriptive data was represented as frequencies and percentages. Results: There were 611 ciprofloxacin prescriptions in 2018. Ciprofloxacin is the 5th most commonly prescribing antibiotics in the outpatient setting in 2018. The majority of the patients were in the age level between 20-39 (53.51%). Out of 773 prescriptions, 162 were excluded (eye or ear drops). There were 608 tablets (99.51%). Conclusion: Ciprofloxacin is one of the common prescribed antibiotics in the outpatient settings. If it is prescribed inappropriately it will lead to increase bacterial resistance rate, increase adverse effects and increase the cost of the treatment. It should be prescribed appropriately and the patients should be monitored frequently during its use.
- Published
- 2020
30. Work effort, readability and quality of pharmacy transcription of patient directions from electronic prescriptions: a retrospective observational cohort analysis
- Author
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Michael P. Dorsch, Yifan Zheng, V. G. Vinod Vydiswaran, Yuting Ding, Corey A. Lester, and Yun Jiang
- Subjects
medicine.medical_specialty ,pharmacists ,Human error ,Pharmacy ,Drug Prescriptions ,030226 pharmacology & pharmacy ,Electronic Prescribing ,03 medical and health sciences ,0302 clinical medicine ,information technology ,Transcription (linguistics) ,medicine ,Humans ,Medical physics ,030212 general & internal medicine ,Electronic Prescriptions ,human error ,Retrospective Studies ,Original Research ,Pharmacies ,business.industry ,Health Policy ,medication safety ,Readability ,Observational study ,Edit distance ,Comprehension ,business ,human factors ,Cohort study - Abstract
BackgroundFree-text directions generated by prescribers in electronic prescriptions can be difficult for patients to understand due to their variability, complexity and ambiguity. Pharmacy staff are responsible for transcribing these directions so that patients can take their medication as prescribed. However, little is known about the quality of these transcribed directions received by patients.MethodsA retrospective observational analysis of 529 990 e-prescription directions processed at a mail-order pharmacy in the USA. We measured pharmacy staff editing of directions using string edit distance and execution time using the Keystroke-Level Model. Using the New Dale-Chall (NDC) readability formula, we calculated NDC cloze scores of the patient directions before and after transcription. We also evaluated the quality of directions (eg, included a dose, dose unit, frequency of administration) before and after transcription with a random sample of 966 patient directions.ResultsPharmacy staff edited 83.8% of all e-prescription directions received with a median edit distance of 18 per e-prescription. We estimated a median of 6.64 s of transcribing each e-prescription. The median NDC score increased by 68.6% after transcription (26.12 vs 44.03, pConclusionPharmacy staff put significant effort into transcribing e-prescription directions. Manual transcription removed the majority of quality issues; however, pharmacy staff still miss or introduce following their manual transcription processes. The development of tools and techniques such as a comprehensive set of structured direction components or machine learning–based natural language processing techniques may help produce clear directions.
- Published
- 2020
31. Analysis of development dynamics of the program «Affordable medicines» in Ukraine and Lviv region
- Author
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H. O. Sosnovska, O. B. Blavatska, Ya. O. Hrynkiv, and O. M. Zaliska
- Subjects
medicine.medical_specialty ,Government ,e-prescription ,e-prescribing ,business.industry ,lcsh:RM1-950 ,lcsh:RS1-441 ,Pharmacy ,National health service ,reimbursement ,Essential medicines ,lcsh:Pharmacy and materia medica ,lcsh:Therapeutics. Pharmacology ,Family medicine ,affordable medicines ,medicine ,e-health ,Business ,Medical prescription ,Electronic Prescriptions ,Reimbursement ,Essential drugs - Abstract
Ukraine has launched a government program «Affordable Medicines» for patients with cardiovascular disease, type 2 diabetes and bronchial asthma in 2017, which reimburses essential medicines for outpatients. Since April 2019, electronic prescriptions for the «Affordable Medicines» program have been introduced. The purpose of this study was to analyze and compare the development of a government drug reimbursement program, including the dynamics of the number of prescription and dispensed electronic prescriptions for medicinal products in the «Affordable Medicines» program in 2019, both in Ukraine and at the level of Lviv city and Lviv region. For research and analysis, we have obtained statistics from the National Health Service of Ukraine (NHSU) on the number of e-prescriptions for medicines in the Affordable Medicines program and pharmacy facilities involved in the program over certain periods from April to December 2019 across Ukraine and at the level of Lviv city and Lviv region. We used informative, comparative research methods and a method of retrospective analysis of the dynamics of prescribed and dispensed e-prescriptions for medicines. The results of the study showed that Lviv region is consistently among the leaders of e-dispensing medicines. E-prescriptions are most commonly prescribed for patients aged over 65 years old with cardiovascular disease. Differences in e-appointments of pharmacies by INN at the level of Lviv city and Lviv region are revealed in comparison with the average data of Ukraine. E-prescribing has been shown to increase access to medication for patients, as at the end of 2019 through the «Affordable Medicines» program, 1.77 million patients were enrolled and 10.86 million e-prescriptions were written out, of which 9.23 million (84.94%) were released from pharmacies. Lviv region has actively implemented e-prescriptions and according to the NHSU 43% of the pharmacies in the region are connected to this system and they issue e-prescriptions, that is higher than the average data in Ukraine of 35%. The positive dynamics of the growth of e-prescriptions written and released of essential drugs from 29% to 85% indicates the effective implementation of the e-prescription in Ukraine and confirms the effective implementation of the drug reimbursement program. Considering the benefits of electronic prescriptions, reducing the number of errors, time, monitoring appointments, it is promising to expand the list of drugs, including. those that are purchased for budgetary or accounting purposes to optimize pharmaceutical assistance to the public.
- Published
- 2020
32. Potentially Inappropriate Prescriptions in Ambulatory Elderly Patients Living in Rural Areas of Romania Using STOPP/START (Version 2) Criteria
- Author
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Olivia Dalleur, Carmen Cristescu, Liana Dehelean, Minodora Andor, Maria Suciu, Maria Cristiana Mabda, Corina Danciu, Simona Buda, Anca Tudor, Lucian Petrescu, Valentina Buda, Andreea Prelipcean, and Lavinia Spatar
- Subjects
Zopiclone ,medicine.medical_specialty ,business.industry ,Stopp start ,General Medicine ,Inappropriate Prescriptions ,03 medical and health sciences ,0302 clinical medicine ,Ambulatory ,Emergency medicine ,Medicine ,030212 general & internal medicine ,Geriatrics and Gerontology ,Medical prescription ,Rural area ,business ,Medical costs ,Electronic Prescriptions ,030217 neurology & neurosurgery ,medicine.drug - Abstract
Background Rational use of medications and monitoring of prescriptions in elderly patients is important to decrease the number and duration of hospitalizations, emergency medical consultations, mortality, as well as medical costs. Purpose To identify potentially inappropriate medications (PIMs) and potential prescription omissions (PPOs), and determine their prevalence based on the Screening Tool of Older Persons' potentially inappropriate Prescriptions (STOPP) v2 criteria and Screening Tool to Alert doctors to Right Treatment (START) v2 criteria for patients aged >65 years. Methods This cross-sectional study was conducted in two rural counties in Romania based on electronic prescriptions for chronic conditions (EPCCs) issued from 30 days to 90 days by a specialist or general practitioner. Collected EPCCs were evaluated by an interdisciplinary team of specialists based on 26 STOPP v2 criteria and 10 START v2 criteria. Results PIM prevalence was 25.80% and PPO prevalence was 41.72% for 646 EPCCs. The mean age of patients was 75 years and the mean number of drugs per EPCC was four. The most frequently identified PIMs were treatment duration (6.65%), theophylline administration (5.72%), drug indication (4.64%), cyclo-oxygenase-2 non-steroidal anti-inflammatory drugs (1.39%), and zopiclone prescription (0.77%). Statins (24.76%), beta-blockers (8.04%), and beta-2 agonist/antimuscarinic bronchodilators (5.88%) were the most frequently identified PPOs. Conclusion PPOs were more prevalent than PIMs for elderly populations living in the two rural counties in Romania we studied. Health practitioners (family physicians, specialists, and pharmacists) should focus on prophylactic and curative considerations when prescribing agents to decrease the morbidity and mortality of elderly rural Romanian patients.
- Published
- 2020
33. An Evaluation of Turkish Drug Policies
- Author
-
KÖSE, Aslı
- Subjects
Electronic prescriptions ,drug industry ,generic drugs ,nonprescription drugs ,Elektronik reçeteler ,ilaç endüstrisi ,jenerik ilaçlar ,reçetesiz ilaçlar ,Medicine ,Tıp - Abstract
Türk ilaç sektörü bir yönü ile gelir elde etme, diğer bir yönü ile sağlık harcamalarındaki ilaç harcamalarını kontrol etme amacıyla son dönemde yerli üretime odaklanmıştır. Türk ilaç sektörünün “yerli” üretim odaklı stratejisi üretim ile birlikte maliyette uygunluk ve erişilebilirlik olarak sıralanmaktadır. Sektör, teknoloji ve üretim kapasitesi ile ivme yakalasa da yabancı firmalar ile rekabet alanında istenilen hedefe ulaşamamıştır. Bunun nedenleri ilaç fiyatlarında sabit kur düzenlemesi, araştırma-geliştirme faaliyetlerine odaklanılmaması ve üretim merkezi sayısının azlığıdır. Bu çalışmanın amacı 2011-2018 yılları arasındaki ilaç politikalarının yerli üretim, akılcı ilaç kullanımı, elektronik reçete ve ilaç takip sistemi kapsamında değerlendirmektir. Bu çalışmada yerli-ithal ilaç satışları, sağlık harcamalarında ilaç harcama oranları, insan kaynağı olarak eczacı dağılımı, geri ödeme kapsamı ve kapsam dışı ilaç dağılımı, akılcı ilaç kullanımının mevcut durumu, ilaç takip sistemi ve elektronik ilaç uygulamasına yönelik değerlendirmeler yapılacaktır. Çalışma kapsamında Sağlık Bakanlığı istatistik yıllıklarından elde edilen ikincil verilerin değerlendirilmesini kapsayan bir derleme sunulmuştur. Araştırmada ayrıca konu ile ilgili literatür taramasındaki yayınlar ve ilaç sektörü araştırma raporlarından da yararlanılmıştır. Son yıllarda yerli ürün üretimi ve tüketimi desteklense de ithal ilaç gruplarındaki fiyat baskısı ilaç sektöründe istenilen düzeyde etkiyi sağlamamıştır. Benzer durum etkin olmayan akılcı ilaç politikalarının uygulama alanlarında da görülebilir. Dünyada stratejik öneme sahip ilaç sektörünün katma değer yaratabilmesi ve ülke ekonomisine katkı sağlayabilmesi için ilaç sektörünün sürdürülebilirliğine ve sektörler arası entegrasyonu sağlayan sağlık politikalarına ihtiyaç vardır., The Turkish drug industry has recently focused on domestic production for both generating revenue and controlling drug expenditures among health expenditures. The “domestic” production-oriented strategy of the Turkish drug industry is explained as affordability and accessibility along with production. Although the sector has gained momentum with its technology and production capacity, it has not reached the desired level in the field of competition with foreign companies. The reasons for this are fixed exchange rate regulation in drug prices, inability to focus on research and development and having very few production centers. The aim of this study is to evaluate the drug policies between 2011 and 2018 within the scope of domestic production, rational drug use, electronic prescription and drug tracking system. In this context, certain evaluations will be made regarding domestic-imported drug sales, drug expenditure rates in health expenditures, pharmacist distribution in terms of human resources, reimbursement coverage and uncovered drug distribution, current state of rational drug use, drug tracking system and electronic drug implementation. Within the scope of the study, a compilation covering the evaluation of secondary data obtained from the statistical annuals of the Ministry of Health was presented. In the research, publications in the literature review and pharmaceutical industry research reports were also used. Although domestic product production and consumption have been supported in recent years, price pressures in imported drug groups have not achieved the desired effect in the drug sector. Similar inefficiency can be seen in the application areas of rational drug policies. In order for the strategically important drug sector to create added value and contribute to the national economy, health policies that enable inter-sector integration are needed.
- Published
- 2021
34. FTC, Surescripts reach settlement over 2019's e-prescribing monopoly allegations.
- Author
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Muoio, Dave
- Subjects
BUSINESS enterprises ,MONOPOLIES ,HIGH technology industries - Abstract
The regulator highlighted new restrictions that would be imposed on the health tech company's e-prescribing business. [ABSTRACT FROM AUTHOR]
- Published
- 2023
35. Syphilis in Greenland, 2015 to 2019
- Author
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Jørgen Skov Jensen, Anders Koch, Marianne Welzel Andersen, Michael Lynge Pedersen, Mila Broby Johansen, and Karen Bjorn-Mortensen
- Subjects
Microbiology (medical) ,Adult ,Male ,Adolescent ,Sexual Behavior ,Greenland ,Sexually Transmitted Diseases ,Dermatology ,Young Adult ,medicine ,Humans ,Syphilis ,Electronic Prescriptions ,Benzathine penicillin ,business.industry ,Incidence (epidemiology) ,Medical record ,Incidence ,Public Health, Environmental and Occupational Health ,medicine.disease ,Laboratory results ,Infectious Diseases ,Penicillin G Benzathine ,Female ,National laboratory ,business ,Regional differences ,Demography - Abstract
Background An increase in the incidence of syphilis was reported in Greenland from 2011 to 2014, and notification rates kept rising in the following years in spite of focused efforts. In order to better understand the syphilis epidemic, this study was conducted to describe the syphilis epidemic in Greenland from 2015 to 2019. Methods Syphilis cases and their characteristics were identified through reviews of electronic medical records and laboratory results in three different datasets; notifications to the National Board of Health, electronic prescriptions for benzathine penicillin, and the national laboratory database. Annual incidences were calculated stratified by gender, age, and region. Results The incidence of syphilis in Greenland increased from 107.4 to 246.8 cases per 100,000 inhabitants from 2015 to 2019. The incidence increased in both genders and in nearly all regions although with large regional differences. Especially the age group 15-29 years showed a substantial increase in incidence in 2018 and 2019. More females than males were infected (245 female cases vs. 178 male cases). Conclusions The burden of syphilis in Greenland is high, primarily among the age group 15-29 years. A higher incidence among females than among males were found, suggesting mainly heterosexual transmission, as seen for other STIs in Greenland.
- Published
- 2021
36. Comparison of primary compliance in electronic versus paper prescriptions prescribed from the emergency department.
- Author
-
Toohey, Shannon L., Andrusaitis, Jessica, Boysen-Osborn, Megan, Billimek, John, Jen, Maxwell, and Rudkin, Scott
- Published
- 2018
- Full Text
- View/download PDF
37. Evaluation of Transition to Electronic Prescriptions in Turkey: Perspective of Family Physicians
- Author
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Sıdıka Kaya, Sinan Bulut, Ahmet Yildiz, Hitit Üniversitesi, Sağlık Bilimleri Fakültesi, Sağlık Yönetimi Bölümü, and [Belirlenecek]
- Subjects
Adult ,Male ,medicine.medical_specialty ,Health (social science) ,Leadership and Management ,Primary care ,Management, Monitoring, Policy and Law ,030226 pharmacology & pharmacy ,03 medical and health sciences ,Health services ,0302 clinical medicine ,Health Information Management ,Electronic prescribing ,medicine ,Humans ,turkey ,030212 general & internal medicine ,health technology assessment ,Program Development ,Medical prescription ,Electronic Prescriptions ,Primary Health Care ,electronic prescribing ,business.industry ,Health Policy ,lcsh:Public aspects of medicine ,Perspective (graphical) ,Physicians, Family ,Information technology ,family physicians ,lcsh:RA1-1270 ,Middle Aged ,Content analysis ,Family medicine ,Original Article ,Female ,business - Abstract
Background: One of the most important steps of the health transformation program involves the application of electronic prescriptions (e-prescriptions) in health services. Information technologies are highly important in generating e-prescriptions, which can be described as a document produced by authorized personnel electronically, containing written information and instructions regarding a patient’s medication and its usage. E-prescribing has become increasingly applied in recent years as a contributing application to prescribers and patients. The aim of this study was to determine the level of satisfaction of family physicians providing primary care in Turkey regarding the application of e-prescriptions, and reveal the related positive effects and problems encountered in the first months of implementation of e-prescribing. Methods: A questionnaire with eight questions was sent to e-mails of all family physicians working in Turkey in May 2013. A total of 1564 family physicians filled in the questionnaire form and sent it back by e-mail. The responses to open-ended questions were evaluated by content analysis. Results: It was observed that the most frequently indicated advantages of the application of e-prescriptions were speeding up the prescription process and saving time (36.6%). The most commonly reported problems regarding the application of e-prescriptions were found to be system-induced problems (26.5%) and internet problems (19.9%). In addition, the mean score of satisfaction of the family physicians who did not report problems with the application of e-prescriptions was higher than that of those who reported having problems with it. In the study, 77.8% of the family physicians were satisfied with the application of e-prescriptions. Conclusion: Although some problems were reported regarding the application of e-prescriptions in the first months of the application, family physicians participated in the study were found to be satisfied with the application of e-prescriptions, and identified positive effects on their work and processes. © 2019 The Author(s). 2-s2.0-85058557719 PubMed: 30709101
- Published
- 2019
38. Towards creating the perfect electronic prescription.
- Author
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Dhavle, Ajit A. and Rupp, Michael T.
- Abstract
Significant strides have been made in electronic (e)-prescribing standards and software applications that have further fueled the adoption and use of e-prescribing. However, for e-prescribing to realize its full potential for improving the safety, effectiveness, and efficiency of prescription drug delivery, important work remains to be carried out. This perspective describes the ultimate goal of all e-prescribing stakeholders including prescribers and dispensing pharmacists: a clear, complete, and unambiguous e-prescription order that can be seamlessly received, processed, and fulfilled at the dispensing pharmacy without the need for additional clarification from the prescriber. We discuss the challenges to creating the perfect e-prescription by focusing on selected data segments and data fields that are available in the new e-prescription transaction as defined in the NCPDP SCRIPT Standard and suggest steps that could be taken to move the industry closer to achieving this vision. [ABSTRACT FROM AUTHOR]
- Published
- 2015
- Full Text
- View/download PDF
39. Security Privacy and Policy for Cryptographic Based Electronic Medical Information System
- Author
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Yao-Min Huang, Tzer-Long Chen, Chia-Hui Liu, Zhen-Yu Wu, and Hsuan-Yu Chen
- Subjects
020205 medical informatics ,Computer science ,media_common.quotation_subject ,Cryptography ,02 engineering and technology ,Security policy ,Computer security ,computer.software_genre ,privacy ,lcsh:Chemical technology ,Biochemistry ,Medical care ,Article ,Analytical Chemistry ,0202 electrical engineering, electronic engineering, information engineering ,Electronic Health Records ,Humans ,lcsh:TP1-1185 ,Electrical and Electronic Engineering ,Function (engineering) ,electronic medical record ,Instrumentation ,Computer Security ,media_common ,business.industry ,Medical record ,Information technology ,electronic prescriptions ,Atomic and Molecular Physics, and Optics ,Policy ,electronic medical information ,020201 artificial intelligence & image processing ,The Internet ,Smart card ,Electronics ,business ,computer ,Confidentiality ,Information Systems - Abstract
With the development of the internet, applications have become complicated, and the relevant technology has diversified. Compared with medical applications, the significance of information technology has been expanding to include clinical auxiliary functions of medical information. This includes electronic medical records, electronic prescriptions, medical information systems, etc. Although research on the data processing structure and format of various related systems is becoming mature, the integration is insufficient. An integrated medical information system with security policy and privacy protection, which combines e-patient records, e-prescriptions, modified smart cards, and fingerprint identification systems, and applies proxy signature and group signature, is proposed in this study. This system effectively applies and saves medical resources&mdash, satisfying the mobility of medical records, presenting the function, and security of medicine collection, and avoiding medical conflicts and profiteering to further acquire the maximum effectiveness with the least resources. In this way, this medical information system may be developed into a comprehensive function that eliminates the transmission of manual documents and maintains the safety of patient medical information. It can improve the quality of medical care and indispensable infrastructure for medical management.
- Published
- 2021
40. Estimating the Cost of Pulmonary Embolism in Greece with the help of large data
- Author
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Dimitrios Raptis, Foteini Malli, Konstantinos I. Gourgoulianis, Ioannis C Lampropoulos, Ilias Dimeas, Eleftherios Aggelopoulos, and Zoe Daniil
- Subjects
medicine.medical_specialty ,business.industry ,Pulmonary disease ,medicine.disease ,Diagnostic tools ,Pulmonary embolism ,Treatment modality ,Emergency medicine ,medicine ,Cost of treatment ,General hospital ,Medical prescription ,business ,Electronic Prescriptions - Abstract
Introduction: The cost of treatment of pulmonary embolism for Greece has been studied from the data of the Pulmonary Embolism Practice of the Larissa University General Hospital (LUGH) and the National Institute of Health Services (NIHS). Purpose: To estimate the cost of Pulmonary Embolism which Greece is charged in monetary units per year. Methodology: Taking into account the treatment modalities of the randomized patients of the LUGH Pulmonary Embolism Practice, the cost of the NIHS was calculated from 101,426 electronic prescriptions for Pulmonary Disease and the cost of the Pulmonary Disease was estimated for the years 2013 - 2017. Results: The study of clinic patients showed that in 2013 the total charge for the treatment of Pulmonary Embolism was 312.382,61 € while in 2017 it was 1.369.118, 23 €. Newer oral anticoagulants (DOACs) account for 92.69% of online prescriptions and adjusting the rate to 101,426 electronic prescriptions it is estimated that 94,410 electronic prescriptions are charged by the state with € 4,046,086.79 while 2,474 electronic prescriptions which are therapeutic methods with Low Molecular Heparines cost 103,692.75€. The total burden for Greece for the years 2013 - 2017 for Pulmonary Embolism is € 4,149,779.54. Conclusions: The cost of medication has a significant impact on health costs and the increase in burden per year confirms the best diagnostic tools for the treatment of Pulmonary Embolism.
- Published
- 2020
41. Pharmaceutical interventions on prescriptions in Norwegian community and hospital pharmacies
- Author
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Pernille Weidemann, Steinar Vik, Ingrid Elisabeth Mehl Gangås, Svein Haavik, and Stein-Erik Knapstad
- Subjects
medicine.medical_specialty ,Psychological intervention ,Pharmaceutical Science ,Pharmacy ,Norwegian ,Community Pharmacy Services ,Toxicology ,Pharmacists ,Adverse drug events ,030226 pharmacology & pharmacy ,Drug Prescriptions ,Generic substitution ,03 medical and health sciences ,Electronic Prescribing ,0302 clinical medicine ,Intervention (counseling) ,Outpatient clinic ,Medicine ,Humans ,Pharmacology (medical) ,030212 general & internal medicine ,Hospital pharmacy ,Medical prescription ,Electronic Prescriptions ,Retrospective Studies ,Pharmacology ,Pharmacies ,business.industry ,Primary care ,language.human_language ,Hospitals ,Pharmacist interventions ,Pharmaceutical Preparations ,Family medicine ,language ,Electronic prescriptions ,business ,Research Article - Abstract
Background Pharmacists in community and hospital pharmacies assess prescriptions to prevent prescription errors and adverse drug events. There are, however, few reports on prevalence of clinical important pharmaceutical interventions for patients located within primary care. Objective To study documented pharmaceutical interventions on prescriptions in Norwegian pharmacies for patients located in primary care. Setting Data were collected in 11 community pharmacies during a 3 months period in 2016, and the outpatient department of four hospital pharmacies in Norway during a 6 months period of 2018. Method Retrospective analysis of electronically documented pharmaceutical interventions on prescriptions for patients located in primary care. Main outcome measure The number and classification of pharmaceutical interventions in relation to the total number of prescriptions. Results An intervention was documented in 124,178 (45.1%) of the 275,339 prescriptions dispensed during the study period. Interventions of potential clinical importance were performed and documented in 0.8% (2262) of the prescriptions. Conclusion A substantial number of pharmaceutical interventions are performed on prescriptions in Norwegian pharmacies after introduction of electronic prescriptions. A potentially clinical important intervention is performed in one of every 125 prescriptions (0.8%). This result indicates that pharmacists at Norwegian pharmacies prevent more than 400,000 prescription errors of potential clinical importance each year.
- Published
- 2020
42. 4CPS-053 Antimicrobial stewardship programme in an intensive care unit
- Author
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I Moya-Carmona, Mora-Santiago, E. Sánchez Yáñez, C Pérez-López, and M Valera-Rubio
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medicine.medical_specialty ,Carbapenem ,business.industry ,medicine.drug_class ,Antibiotics ,Intensive care unit ,law.invention ,law ,Intensive care ,Emergency medicine ,Antimicrobial stewardship ,Medicine ,Hospital pharmacy ,Medical prescription ,business ,Electronic Prescriptions ,medicine.drug - Abstract
Background and importance The antimicrobial stewardship programmes are essential to achieve proper use of antibiotics, especially in units of special complexity, such as the intensive care unit (ICU). Aim and objectives To show the antibiotic pressure in the ICU and the groups of antibiotics with greatest deviation in their consumption (2017); to describe the activities carried out by the ICU antimicrobial stewardship team (ICU-AST) from 2018 to June 2019; and to show the results obtained in 2018 and in the first and second quarters of 2019. Material and methods • This was a prospective intervention study from January 2018 (when 2017 ICU antibiotic pressure data were obtained) to June 2019. • The ICU-AST comprised an intensive care doctor, microbiologist and hospital pharmacist, all with experience in AST. • The activities and interventions of the ICU-AST were agreed in the commission of infections after analysis of the data obtained. To measure antibiotic pressure, the rate DDD/1000 bed days was used. All antibiotic pressure data were obtained by the hospital pharmacist who analysed consumption in the ICU from electronic prescriptions data. • All actions carried out by the group were recorded in a database (Excel) where all variables were coded (date, training activity, information feedback and modification in prescriptions). Results Data were adjusted so that changes in DDD (2019) did not generate interference. Antibiotic pressure in the ICU (2017): 2295.85 DDD/1000 bed days. Groups of antibiotics with greatest deviation: carbapenems 333.03 DDD/1000 bed days and antifungals 210.95 DDD/1000 bed days. Activities carried out by ICU-AST: in 2018, the interventions (n=943) performed to reduce antibiotic pressure and carbapenem and antifungal consumption were adequacy of prescriptions to the internal guidelines (33.54%), de-escalation of treatments (27.32%), proposition of short course treatments (19.36%), broad spectrum restriction (10.57%) and other (9.21%). Four training sessions on antibiotic prescriptions were conducted (2018) and antibiotic pressure data were shown quarterly (2018–June 2019). All antibiotic treatments were reviewed 48–72 hours after initial administration by the ICU-AST. No additional economic resources were needed as the ICU-AST was formed by professionals who already worked in the centre. The results obtained were Antibiotic pressure: 2018: 2078.88 DDD/1000 bed days 1st quarter 2019: 1760.55 DDD/1000 bed days 2nd quarter 2019: 1830.95 DDD/1000 bed days Carbapenems: 2018: 329.43 DDD/1000 bed days 1st quarter 2019: 211.34 DDD/1000 bed days 2nd quarter 2019: 232.29 DDD/1000 bed days Antifungals: 2018: 132.26 DDD/1000 bed days 1st quarter 2019: 120.22 DDD/1000 bed days 2nd quarter 2019: 108.67 DDD/1000 bed days Conclusion and relevance In 2017, antibiotic pressure in the ICU was high. Two groups of antibiotics had excessive consumption: carbapenems and antifungals. The ICU-AST carried out training sessions, feedback of antibiotic pressure data and intervened directly, modifying the antibiotics treatment. This intervention achieved a decrease in global antibiotic pressure in the ICU. In addition, the ICU-AST achieved a reduction in antibiotic pressure in the groups with greater deviation: carbapenems and antifungals. A limitation of the study was that mortality was not measured, although no significant change is expected as the mortality commission did not report any significant change during the study period. References and/or acknowledgements No conflict of interest.
- Published
- 2020
43. 4CPS-170 Analysis and evaluation of pharmaceutical interventions performed in the emergency department of a tertiary hospital
- Author
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S Álvarez Atienza, M Domínguez Bachiller, Javier, Esther, JJ Martínez Simón, M Renilla Sánchez, M Pérez Encinas, S Sanz Márquez, and I Plo Seco
- Subjects
High rate ,medicine.medical_specialty ,business.industry ,Emergency medicine ,Pharmacist ,medicine ,Primary care physician ,Psychological intervention ,Medical history ,Emergency department ,Medical prescription ,business ,Electronic Prescriptions - Abstract
Background and importance Prescription in the emergency department (ED) is compromised by multiple causes which could lead to a higher risk of medication errors. Aim and objectives To compare and analyse pharmaceutical interventions (PIs) performed in frail patients (FP) with those performed in the rest of the patients (ROP). Material and methods A prospective interventional study (January 2019–June 2019) was conducted in a tertiary hospital. A medical reconciliation was made daily using electronic prescriptions (EP) of patients own drugs and ED treatment of all patients admitted. FP (defined by their primary care physician) were also personally interviewed. Electronic medical history was consulted to evaluate current treatment and to collect demographic data. PIs were performed electronically in ROP and discussed personally with the clinician in charge of FP. PIs were categorised. The rate of medical acceptance was evaluated. Drugs were classified as high risk drugs (HRD), potentially inappropriate drugs in the elderly (PID) and other. Results We included 418 patients: 61 in the FP group (mean age 78.8 years (SD=10.4), 55.7% men) and 357 in the ROP group (mean age 76.4 years (SD=13.5), 50.0% men). In the FP group, 188 PIs were registered (mean interventions/patient 3.1 (DE 2.3)): 43.6% were medical reconciliation errors, 16.5% were to discontinue a prescription (DP), 11.2% were omission of a drug in the acute treatment (ODAT) and 12.7% were other reasons. A total of 22.3% of the interventions were made in HRD (85.7% accepted) and 12.2% in PID (73.9% accepted). In the ROP group, 370 PIs were registered (mean interventions/patient 1.25 (DE 0.6)): 29.5% were incorrect dose, 18.1% were medical reconciliation errors, 14.7% were exchange of a drug was proposed, 7.8% were adjustment to renal function, 5.4% were DP, 5.1% were ODAT and 19.4% were other. A total of 19.5% of interventions were done in HRD (75.0% accepted) and 11.4% in PID (40.5% accepted). The approval rates for FP and ROP were 80.9% and 69%, respectively. Results were presented to the hospital’s security commission. Six security measurements were accepted and implemented, two related to HRD (insulin and anticoagulants). Conclusion and relevance The high rates of acceptance of the PIs showed that the integration of the pharmacist in the multidisciplinary ED team improved the safety of the prescriptions, especially when the pharmacist was physically present. References and/or acknowledgements No conflict of interest.
- Published
- 2020
44. 4CPS-198 Results of a medication reconciliation programme in complex chronic patients at hospital discharge
- Author
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D Lopez Faixo, L Perez Cordon, M Bitlloch Obiols, S Marín Rubio, M Miarons Font, A Sanchez Ulayar, C Agusti Maragall, T Gurrera Roig, J Delgado Rodriguez, and L Campins Bernadas
- Subjects
medicine.medical_specialty ,Medication Reconciliation ,business.industry ,Cross-sectional study ,Incidence (epidemiology) ,Medical record ,Emergency medicine ,medicine ,Hospital discharge ,Medical prescription ,business ,Socioeconomic status ,Electronic Prescriptions - Abstract
Background and importance Hospital discharge has been described as the care transition in which a major number of incorrect prescriptions occur. Discharge medication reconciliation aims to prevent discrepancies when comparing the inhospital with the discharge electronic prescription. Aim and objectives To assess the incidence of unjustified discrepancies during a medication reconciliation programme by pharmacists in complex chronic patients (CCP) at hospital discharge. Material and methods This was a cross sectional study where we assessed unjustified discrepancies between the inhospital prescriptions (which are summarised in the discharge report) and the electronic prescriptions for all CCP from April 2019 to May 2019. Data were obtained from the discharge report prescriptions and the electronic prescriptions. Unjustified discrepancies were assessed according to the medical records. CCP were defined as patients with chronic diseases and comorbidities due to socioeconomic, cultural and environmental situations interfering with the decision and the need to implement specific plans. Discrepancies were classified according to: (i) incomplete prescription, (ii) omission, (iii) incorrect dose, (iv) incorrect drug selection, (v) duplicity, (vi) incorrect timing and (vii) incorrect administration route. Results We analysed the discharge prescriptions of 97 patients. Mean age was 81.7±9.7 years and 50 (51.6%) were women. Seventy-seven (79.4%) patients were admitted to medical wards and 20 (20.6%) to surgical wards. A total of 272 discrepancies were found in 77 (79.4%) patients with a mean of 2.8±2.8 discrepancies per patient: 114 (41.9%) discrepancies were related to incomplete prescription, 70 (25.7%) to omission, 67 (24.6%) to incorrect dose, 10 (3.7%) to incorrect drug selection, 7 (2.6%) to duplicities, 3 (1.1%) to incorrect timing and 1 (0.4%) to incorrect administration route. Conclusion and relevance We found that about 80% of patients presented at least one unjustified discrepancy. Medication reconciliation is a major component of safe patient care in any environment. Therefore, education of healthcare professionals and implementation of tools such as electronic reconciliation software could be useful to improve safety. References and/or acknowledgements No conflict of interest.
- Published
- 2020
45. Positioning a Paediatric Compounded Non-Sterile Product Electronic Repository (pCNPeRx) within the Health Information Technology Infrastructure
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Richard H. Parrish, II
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electronic prescriptions ,health information technology ,paediatric safety ,drug standards ,drug compounding ,medical informatics application ,Pharmacy and materia medica ,RS1-441 - Abstract
Numerous gaps in the current medication use system impede complete transmission of electronically identifiable and standardized extemporaneous formulations as well as a uniform approach to medication therapy management (MTM) for paediatric patients. The Pharmacy Health Information Technology Collaborative (Pharmacy HIT) identified six components that may have direct importance for pharmacy related to medication use in children. This paper will discuss key positions within the information technology infrastructure (HIT) where an electronic repository for the medication management of paediatric patients’ compounded non-sterile products (pCNP) and care provision could be housed optimally to facilitate and maintain transmission of e-prescriptions (eRx) from initiation to fulfillment. Further, the paper will propose key placement requirements to provide for maximal interoperability of electronic medication management systems to minimize disruptions across the continuum of care.
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- 2015
- Full Text
- View/download PDF
46. Information received and information needed on electronic prescriptions - Finnish pharmacy customers' experiences during the nationwide implementation
- Author
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Elina Lämsä, Johanna Timonen, and Riitta Ahonen
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medicine.medical_specialty ,business.industry ,030503 health policy & services ,Economics, Econometrics and Finance (miscellaneous) ,Pharmacy ,03 medical and health sciences ,0302 clinical medicine ,Patient satisfaction ,Family medicine ,Electronic prescribing ,Medicine ,030212 general & internal medicine ,0305 other medical science ,business ,Pharmacology, Toxicology and Pharmaceutics (miscellaneous) ,Electronic Prescriptions - Abstract
Objectives To investigate (1) what Finnish pharmacy customers have learned about the implemented electronic prescriptions (e-prescriptions), (2) from whom or where have they learned about them, (3) whether they are satisfied with the information received and if not, (4) what more information they would like. Methods We surveyed 1288 (44%) pharmacy customers aged ≥18 years collecting medicines for themselves with e-prescriptions in 18 pharmacies across Finland in 2015. Descriptive analysis, chi-square and Fisher's exact tests were used in the analysis. Key findings Nearly all respondents had received information about e-prescriptions (97%). A physician (67%) and a pharmacy (53%) were the most common information sources. The vast majority of the respondents had learned about how to purchase medicines with an e-prescription (86%). Most of them had also received information about the benefits of e-prescriptions (59%) and how they can view their e-prescriptions on a computer (58%). The majority of pharmacy customers felt they had received sufficient information on e-prescriptions (83%). Those dissatisfied with the information received asked for more information about how e-prescriptions are protected against misuse (47%) and who can view their e-prescriptions (44%). Conclusions Most Finnish pharmacy customers have learned how to use e-prescriptions, what their benefits are and how to view e-prescriptions on a computer. The information is generally obtained from physicians and pharmacies. Information needs concern data protection and data security. Customers are mainly satisfied with the information received. However, their knowledge only partly meets the national requirements on the information they should be provided with.
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- 2018
47. Opportunities for Using Blockchain Technology in e-Health: e-Prescribing in Germany
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Juergen Seitz and Nilmini Wickramasinghe
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E-Prescribing ,Blockchain ,Smart contract ,business.industry ,Process (engineering) ,Health care ,Business ,Research needs ,Marketing ,Electronic Prescriptions ,Variety (cybernetics) - Abstract
Healthcare has been a noted laggard when it comes to adopting technology solutions; however, this time lag appears to be decreasing more recently, in particular, when we look at blockchain technology and its embracement in healthcare. Examples of blockchain technology in e-health are to date focused mostly on electronic health records. The process of electronic prescriptions and medication management has not as yet been considered. We contend that this process offers a variety of opportunities for automatization and digitalization. Further, there is a significant potential for cost savings for various stakeholders not only the insurance companies. At the moment, research on blockchain technology seems to be technology driven. We suggest that to be truly beneficial, further research needs to also focus on patients’ acceptance as well as major barriers and facilitators.
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- 2019
48. Analysis of changes in trends in the consumption rates of benzodiazepines and benzodiazepine-related drugs
- Author
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Ingrid Ferrer Lopez, Clara Bermúdez-Tamayo, Antonio Olry de Labry Lima, and Miguel Angel Fernández García
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Joinpoint regression ,Pharmacology toxicology ,High variability ,Primary health care ,Inappropriate prescribing ,lcsh:RS1-441 ,Pharmacy ,Therapeutics ,lcsh:Pharmacy and materia medica ,03 medical and health sciences ,Benzodiazepines ,0302 clinical medicine ,Medicine ,030212 general & internal medicine ,Time series study ,Electronic Prescriptions ,Consumption (economics) ,business.industry ,Health Policy ,Benzodiazepine related drugs ,Research ,lcsh:RM1-950 ,lcsh:Therapeutics. Pharmacology ,business ,030217 neurology & neurosurgery ,Demography - Abstract
Background To analyse trends in the rates of consumption of benzodiazepine (BZD) anxiolytics, BZD hypnotics and non-BZD hypnotics and the association with contextual factors. Methods Descriptive time series study. Units of analysis were monthly dose per inhabitant per day (DID) and dose per medical card per day(DCD) of benzodiazepine(BZD anxiolytics(BZD-A), BZD hypnotics(BZD-H) and non-BZD hypnotics(Non-BZD-H) between January 2006-December 2015. We analysed 6 primary healthcare districts(PHD) and used defined daily doses (DDDs) to calculate the monthly DIDs(overall and by ATC group). Trends and monthly percentage change (MPC) were analysed through joinpoint regression. Results The annual DID increased by 26% overall, the trend was different across ATC groups. Consumption in BZD-A and BZD-H increased (27.1%,61.9%), consumption in Non-BZD-H decreased by 35%. There was high variability in DCD across the PHD, with an overall increase of 10.2%(5.7%-22.9%). By ATC, DCD increased by 10.4% in BZD-A(4.2%-22.2%) and by 44.2% in BZD-H(33.2%-76.5%). The overall DCD in the Non-BZD-H decreased by 42.1%(19.7%-50.8%). We found an initial upward trend in consumption of BZD-A until April/2008(monthly percentage change –MPC- +0.5%), followed by a slightly slower increase (+0.1%). No changes in trend were detected in BZD-H. In Non-BZD-H, we observed an upward trend until February/2013(+0.1%), followed by a sharp decrease until August/2013(−6.3%), and finally a slight decrease(−0.3%). Conclusions BZD consumption has increased in the last decade, with variability across areas. The changes in trends do not coincide with the financial crisis, introduction of prescriptions by active ingredient, electronic prescriptions or copayment. The only decrease in the Non-BZD-H may be linked to an intervention.
- Published
- 2018
49. First Databank, electronic health record partnership enhances eRx platform.
- Author
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Burky, Annie
- Subjects
ELECTRONIC health records ,SPECIALTY pharmacies - Abstract
First Databank partners with Parker Health, expanding eRx capabilities in FDB Vela through the inclusion of electronic health records. [ABSTRACT FROM AUTHOR]
- Published
- 2022
50. Walmart has a new policy denying some telehealth prescriptions for controlled drugs. It's implicating patients in recovery.
- Author
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Gliadkovskaya, Anastassia
- Subjects
CONTROLLED drugs ,DRUGS ,TELEMEDICINE ,CONTROLLED substances ,DRUG control - Abstract
Walmart isn't accepting prescriptions for controlled substances written via telehealth without an in-person visit in the preceding 24 months. [ABSTRACT FROM AUTHOR]
- Published
- 2022
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