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https://www.readbyqxmd.com/read/29752205/evaluation-of-the-frequency-of-dispensing-electronically-discontinued-medications-and-associated-outcomes
#1
Erin J Copi, Lindsey R Kelley, Kaleigh K Fisher
OBJECTIVES: To determine if outpatient pharmacies of an academic medical center inadvertently dispense discontinued medications and, if so, if these inadvertently dispensed prescriptions contribute to subsequent hospital admissions and patient harm. METHODS: This was a single-center retrospective chart review. Prescription billing data were analyzed for electronic prescriptions for hypotensives, hypoglycemics, anticoagulants, antiplatelets, and statins picked up from 3 outpatient pharmacies within the health system over a period of 1 year...
May 8, 2018: Journal of the American Pharmacists Association: JAPhA
https://www.readbyqxmd.com/read/29731180/validation-of-the-electronic-prescription-as-a-method-for-measuring-treatment-adherence-in-hypertension
#2
Emilio Márquez-Contreras, Lourdes de López García-Ramos, Nieves Martell-Claros, Vicente F Gil-Guillen, Sara Márquez-Rivero, Elena Pérez-López, Maria Angeles Garrido-Lopez, Celia Farauste, Adriana López-Pineda, José Joaquin Casado-Martinez, Domingo Orozco-Beltran, Jose A Quesada, Concepción Carratalá-Munuera
OBJECTIVE: To validate electronic prescriptions (e-prescriptions) as a method for measuring treatment adherence in patients with hypertension. METHODS: This prospective study initially included 120 patients treated for hypertension in primary care centers. Adherence was measured using the gold standard, the medication event monitoring system (MEMS), versus the index test, the e-prescription program, at baseline and at 6, 12, 18 and 24 months. We calculated the adherence rate using the MEMS and the medication possession ratio (MPR) for the e-prescriptions...
April 23, 2018: Patient Education and Counseling
https://www.readbyqxmd.com/read/29713202/derivation-and-validation-of-a-multivariable-model-to-predict-when-primary-care-physicians-prescribe-antidepressants-for-indications-other-than-depression
#3
Jenna Wong, Michal Abrahamowicz, David L Buckeridge, Robyn Tamblyn
Objective: Physicians commonly prescribe antidepressants for indications other than depression that are not evidence-based and need further evaluation. However, lack of routinely documented treatment indications for medications in administrative and medical databases creates a major barrier to evaluating antidepressant use for indications besides depression. Thus, the aim of this study was to derive a model to predict when primary care physicians prescribe antidepressants for indications other than depression and to identify important determinants of this prescribing practice...
2018: Clinical Epidemiology
https://www.readbyqxmd.com/read/29694286/primary-nonadherence-to-oral-anticoagulants-in-patients-with-atrial-fibrillation-real-world-data-from-a-population-based-cohort
#4
Clara L Rodriguez-Bernal, Salvador Peiró, Isabel Hurtado, Aníbal García-Sempere, Gabriel Sanfélix-Gimeno
BACKGROUND: Primary nonadherence (not filling a first prescription) is an important yet unstudied aspect of adherence to oral anticoagulant (OAC) therapy. OBJECTIVE: To estimate the rates of primary nonadherence to OACs and determine associated factors in real-world practice. METHODS: This population-based retrospective cohort study set in the Valencia region of Spain (about 5 million inhabitants) included all patients with atrial fibrillation who were newly prescribed OACs during 2011-2014 (N = 18,715)...
May 2018: Journal of Managed Care & Specialty Pharmacy
https://www.readbyqxmd.com/read/29687504/assessing-the-accuracy-of-using-diagnostic-codes-from-administrative-data-to-infer-antidepressant-treatment-indications-a-validation-study
#5
Jenna Wong, Michal Abrahamowicz, David L Buckeridge, Robyn Tamblyn
PURPOSE: To assess the accuracy of using diagnostic codes from administrative data to infer treatment indications for antidepressants prescribed in primary care. METHODS: Validation study of administrative diagnostic codes for 13 plausible indications for antidepressants compared with physician-documented treatment indications from an indication-based electronic prescribing system in Quebec, Canada. The analysis included all antidepressant prescriptions written by primary care physicians between January 1, 2003 and December 31, 2012 using the electronic prescribing system...
April 23, 2018: Pharmacoepidemiology and Drug Safety
https://www.readbyqxmd.com/read/29674327/incorporating-medication-indications-into-the-prescribing-process
#6
Kevin Kron, Sara Myers, Lynn Volk, Aaron Nathan, Pamela Neri, Alejandra Salazar, Mary G Amato, Adam Wright, Sam Karmiy, Sarah McCord, Enrique Seoane-Vazquez, Tewodros Eguale, Rosa Rodriguez-Monguio, David W Bates, Gordon Schiff
PURPOSE: The incorporation of medication indications into the prescribing process to improve patient safety is discussed. SUMMARY: Currently, most prescriptions lack a key piece of information needed for safe medication use: the patient-specific drug indication. Integrating indications could pave the way for safer prescribing in multiple ways, including avoiding look-alike/sound-alike errors, facilitating selection of drugs of choice, aiding in communication among the healthcare team, bolstering patient understanding and adherence, and organizing medication lists to facilitate medication reconciliation...
April 19, 2018: American Journal of Health-system Pharmacy: AJHP
https://www.readbyqxmd.com/read/29608674/pharmacist-interventions-in-high-risk-obstetric-inpatient-unit-a-medication-safety-issue
#7
Nice M O Silva, Mariana R Gnatta, Marília B Visacri, Amanda C Ferracini, Priscila G Mazzola, Mary  Parpinelli, Fernanda G Surita
Objectives: The aim of this study was to report number, type and severity of prescribing errors and pharmacist interventions in high-risk pregnant and postpartum women. Design: A prospective cross-sectional, observational study. Setting: A high-risk obstetric inpatient unit of a Women's Hospital in Brazil. Participants: About 1826 electronic prescriptions for 549 women in the high-risk obstetrics inpatient unit were included...
March 28, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29603353/antimicrobial-stewardship-in-the-neonatal-unit-reduces-antibiotic-exposure
#8
K N McCarthy, A Hawke, E M Dempsey
AIM: Antimicrobial stewardship plays an important role in ensuring that the appropriate drug, dose, route and duration are employed to provide adequate treatment while minimizing the risks of unnecessary antibiotic use. Surveillance of antibiotic use with prescriber feedback is recommended as a high impact stewardship intervention. The aim of this study was to reduce unnecessary antimicrobial use in a neonatal unit. METHODS: A prospective audit was performed to assess compliance with antimicrobial guidelines...
March 30, 2018: Acta Paediatrica
https://www.readbyqxmd.com/read/29587532/an-audit-of-the-accuracy-of-medication-information-in-electronic-medical-discharge-summaries-linked-to-an-electronic-prescribing-system
#9
Yixin Tan, Rohan A Elliott, Belinda Richardson, Francine E Tanner, Michael I Dorevitch
BACKGROUND: Poor communication of medication information to general practitioners when patients are discharged from hospital is a widely recognised problem. There has been little research exploring the accuracy of medication information in electronic discharge summaries (EDS) linked to hospital e-prescribing systems. OBJECTIVE: To evaluate the accuracy of medication lists and medication change information in EDS produced using an integrated e-prescribing and EDS system (where EDS discharge medication lists were imported from discharge e-prescription records, medication change information was manually entered, and medications were dispensed from paper copies of the patients' e-prescriptions)...
January 1, 2018: Health Information Management: Journal of the Health Information Management Association of Australia
https://www.readbyqxmd.com/read/29558756/evaluation-and-exploration-on-the-effect-of-the-management-of-chronic-obstructive-pulmonary-disease-in-rural-areas-through-internet-based-network-consulting-room-br-br
#10
Yan Yan, Li Liu, Jing Zeng, Liang Zhang
OBJECTIVE: This study aims to improve the management quality of chronic obstructive pulmonary disease (COPD) in rural areas. METHODS: Two hundred forty discharged COPD patients were divided into an intervention group and a control group. In the intervention group, 120 patients established contact with doctors through the network consulting room, namely doctor's mobile platform, and were managed through video, voice, and text by the doctors, and kept in close contact with the doctors after discharge (education, consultation), and received electronic prescriptions, and drugs were sent to the door by online retailers...
March 20, 2018: Medical Principles and Practice: International Journal of the Kuwait University, Health Science Centre
https://www.readbyqxmd.com/read/29475826/pharmacy-customers-experiences-with-electronic-prescriptions-cross-sectional-survey-on-nationwide-implementation-in-finland
#11
Elina Lämsä, Johanna Timonen, Riitta Ahonen
BACKGROUND: One of the forerunners in electronic health, Finland has introduced electronic prescriptions (ePrescriptions) nationwide by law. This has led to significant changes for pharmacy customers. Despite the worldwide ambition to develop ePrescription services, there are few reports of nationally adopted systems and particularly on the experiences of pharmacy customers. OBJECTIVE: The aim of this study was to investigate Finnish pharmacy customers' (1) experiences with purchasing medicines with ePrescriptions; (2) experiences with renewing ePrescriptions and acting on behalf of someone else at the pharmacy; (3) ways in which customers keep up to date with their ePrescriptions; and (4) overall satisfaction with ePrescriptions...
February 23, 2018: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/29474659/communication-failure-analysis-of-prescribers-use-of-an-internal-free-text-field-on-electronic-prescriptions
#12
Angela Ai, Adrian Wong, Mary Amato, Adam Wright
Importance: Electronic prescribing promises to improve the safety and clarity of prescriptions. However, it also can introduce miscommunication between prescribers and pharmacists. There are situations where information that is meant to be sent to pharmacists is not sent to them, which has the potential for dangerous errors. Objective: To examine how frequently prescribers or administrative personnel put information intended for pharmacists in a field not sent to pharmacists, classify the type of information included, and assess the potential harm associated with these missed messages...
February 21, 2018: Journal of the American Medical Informatics Association: JAMIA
https://www.readbyqxmd.com/read/29471792/inpatient-falls-in-older-adults-a-cohort-study-of-antihypertensive-prescribing-pre-and-post-fall
#13
H M R B Omer, J Hodson, S K Pontefract, U Martin
BACKGROUND: Falls are common during hospital admissions and may occur more frequently in patients who are taking antihypertensive medications, particularly in the context of normal to low blood pressure. The review and adjustment of these medications is an essential aspect of the post-fall assessment and should take place as soon as possible after the fall. Our aim was to investigate whether appropriate post-fall adjustments of antihypertensive medications are routinely made in a large National Health Service (NHS) Trust...
February 23, 2018: BMC Geriatrics
https://www.readbyqxmd.com/read/29461875/assessing-adherence-to-inhaled-medication-in-asthma-impact-of-once-daily-versus-twice-daily-dosing-frequency-the-ataud-study
#14
Luis Pérez de Llano, Abel Pallares Sanmartin, Francisco Javier González-Barcala, Mar Mosteiro-Añón, Dolores Corbacho Abelaira, Raquel Dacal Quintas, María Merino Ventosa
INTRODUCTION: This study was aimed at evaluating whether once-daily regimens (od-r) show benefits in adherence when compared to twice-daily (td-r). METHODS: Prospective, multicenter, 6-month follow-up study with two visits. The main objective was to compare adherence assessed by the electronic prescription refill rate (EPRR) and by the 10-item Test of Adherence to Inhalers (TAI) in patients with od-r and td-r. Suboptimal adherence was defined as TAI < 50 or EPRR ≤ 80%...
February 20, 2018: Journal of Asthma: Official Journal of the Association for the Care of Asthma
https://www.readbyqxmd.com/read/29455570/unmet-digital-health-service-needs-in-dermatology-patients
#15
Christian Greis, Christine Meier Zürcher, Vahid Djamei, Andreas Moser, Stephan Lautenschlager, Alexander A Navarini
BACKGROUND: Digital health services are rapidly gaining acceptance in healthcare systems. Dermatology as an image-centric specialty is particularly well suited for telemedical services. However, dermatology patients' demands of electronic services remain largely unexplored. METHODS: This study investigated patients' views in primary, secondary, and tertiary referral centers. In August 2017, 841 questionnaires were filled in by dermatology patients. RESULTS: 76...
March 14, 2018: Journal of Dermatological Treatment
https://www.readbyqxmd.com/read/29445304/prevalence-of-medication-errors-in-primary-health-care-at-bahrain-defence-force-hospital-prescription-based-study
#16
Fatema Aljasmi, Fatema Almalood, Ahmed Al Ansari
Background: One of the important activities that physicians - particularly general practitioners - perform is prescribing. It occurs in most health care facilities and especially in primary health care (PHC) settings. Objectives: This study aims to determine what types of prescribing errors are made in PHC at Bahrain Defence Force (BDF) Hospital, and how common they are. Methods: This was a retrospective study of data from PHC at BDF Hospital...
2018: Drug, Healthcare and Patient Safety
https://www.readbyqxmd.com/read/29436248/factors-influencing-the-total-inpatient-pharmacy-cost-at-a-tertiary-hospital-in-malaysia-a-retrospective-study
#17
Syed Mohamed Aljunid, Saad Ahmed Ali Jadoo
The steady growth of pharmaceutical expenditures is a major concern for health policy makers and health care managers in Malaysia. Our study examined the factors affecting the total inpatient pharmacy cost (TINPC) at the Universiti Kebangsaan Malaysia Medical Centre (UKMMC). In this retrospective study, we used 2011 administration electronic prescriptions records and casemix databases at UKMMC to examine the impact of sociodemographic, diagnostic, and drug variables on the TINPC. Bivariate and multivariate analyses of the factors associated with TINPC were conducted...
January 2018: Inquiry: a Journal of Medical Care Organization, Provision and Financing
https://www.readbyqxmd.com/read/29399852/effects-of-training-physicians-in-electronic-prescribing-in-the-outpatient-setting-on-clinical-learning-and-behavioural-outcomes-a-cluster-randomized-trial
#18
F van Stiphout, J E F Zwart-van Rijkom, J Versmissen, H Koffijberg, J E C M Aarts, I H van der Sijs, T van Gelder, R A de Man, C B Roes, A C G Egberts, E W M T Ter Braak
AIMS: Electronic prescribing systems may improve medication safety, but only when used appropriately. The effects of task analysis-based training on clinical, learning and behavioural outcomes were evaluated in the outpatient setting, compared with the usual educational approach. METHODS: This was a multicentre, cluster randomized trial [EDUCATional intervention for IT-mediated MEDication management (MEDUCATE trial)], with physicians as the unit of analysis. It took place in the outpatient clinics of two academic hospitals...
February 4, 2018: British Journal of Clinical Pharmacology
https://www.readbyqxmd.com/read/29387337/interventions-to-reduce-medication-errors-in-neonatal-care-a-systematic-review
#19
REVIEW
Minh-Nha Rhylie Nguyen, Cassandra Mosel, Luke E Grzeskowiak
Background: Medication errors represent a significant but often preventable cause of morbidity and mortality in neonates. The objective of this systematic review was to determine the effectiveness of interventions to reduce neonatal medication errors. Methods: A systematic review was undertaken of all comparative and noncomparative studies published in any language, identified from searches of PubMed and EMBASE and reference-list checking. Eligible studies were those investigating the impact of any medication safety interventions aimed at reducing medication errors in neonates in the hospital setting...
February 2018: Therapeutic Advances in Drug Safety
https://www.readbyqxmd.com/read/29372061/analysis-of-changes-in-trends-in-the-consumption-rates-of-benzodiazepines-and-benzodiazepine-related-drugs
#20
Miguel Angel Fernández García, Antonio Olry de Labry Lima, Ingrid Ferrer Lopez, Clara Bermúdez-Tamayo
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)...
2018: Journal of Pharmaceutical Policy and Practice
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