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https://www.readbyqxmd.com/read/27919380/pharmacy-customers-experiences-with-the-national-online-service-for-viewing-electronic-prescriptions-in-finland
#1
Elina Lämsä, Johanna Timonen, Pekka Mäntyselkä, Riitta Ahonen
OBJECTIVES: To investigate (1) Finnish pharmacy customers' familiarity with My Kanta, the national online service for viewing electronic prescriptions (ePrescriptions), (2) how commonly My Kanta is used, (3) who the typical users are, and (4) users' experiences of the usability of My Kanta. METHOD: A survey was conducted among pharmacy customers (aged ≥18) purchasing medicines for themselves. Questionnaires (N=2915) were distributed from 18 community pharmacies across Finland in autumn 2015...
January 2017: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/27869580/qualitative-analysis-of-multi-disciplinary-round-table-discussions-on-the-acceleration-of-benefits-and-data-analytics-through-hospital-electronic-prescribing-eprescribing-systems
#2
Kathrin Cresswell, Jamie Coleman, Pam Smith, Charles Swainson, Ann Slee, Aziz Sheikh
BACKGROUND: Electronic systems that facilitate prescribing, administration and dispensing of medicines (ePrescribing systems) are at the heart of international efforts to improve the safety, quality and efficiency of medicine management. Considering the initial costs of procuring and maintaining ePrescribing systems, there is a need to better understand how to accelerate and maximise the financial benefits associated with these systems. OBJECTIVES: We sought to investigate how different sectors are approaching the realisation of returns on investment from ePrescribing systems in U...
July 4, 2016: Journal of Innovation in Health Informatics
https://www.readbyqxmd.com/read/27815064/inhaled-corticosteroid-adherence-patterns-in-a-longitudinal-asthma-cohort
#3
Patrick C Souverein, Ellen S Koster, Gene Colice, Eric van Ganse, Alison Chisholm, David Price, Alexandra L Dima
BACKGROUND: Electronic prescribing records can enable exploration of medication adherence, but analysis decisions may influence estimates and require alignment to new consensus-based definitions. OBJECTIVE: To compare different computations of inhaled corticosteroid (ICS) implementation in a primary care asthma population initiating ICS therapy when assessed within episodes of persistent use, and examine longitudinal variation in implementation. METHODS: A historical cohort study was conducted on UK's Optimum Patient Care Research Database...
November 1, 2016: Journal of Allergy and Clinical Immunology in Practice
https://www.readbyqxmd.com/read/27806032/comparison-of-documentation-of-patient-reported-adverse-drug-reactions-on-both-paper-based-medication-charts-and-electronic-medication-charts-at-a-new-zealand-hospital
#4
Wilson Shen, Bernice Wong, Jessica Yi Ping Chin, Michael Lee, Carolyn Coulter, Rhiannon Braund
AIM: Known adverse drug reactions (ADRs) can have profound effects on disease states, as well as prescribing practice. Therefore, the correct and complete documentation of each individual patient's ADR history, upon hospital admission, is important in optimising that individual patient's pharmacotherapy. This study investigated the documentation of ADRs at a tertiary New Zealand hospital, on both paper-based medication charts and electronic medication charts to quantify both the number of ADRs patients self-report, as well as the differences between recording of that information in electronic and paper-based charting systems...
October 28, 2016: New Zealand Medical Journal
https://www.readbyqxmd.com/read/27787781/model-of-current-practice-regarding-prescriptions-of-controlled-substances-and-the-perceived-benefits-of-e-prescribing-in-an-academic-medical-center
#5
Eli Kupperman, Daniel Vigil, Arash Yazdani, Kevin Baldwin
To review current practices regarding prescribing controlled substances at an academic medical center and describe possible advantages of electronic prescribing of controlled substances (EPCS). A 10-question multiple choice survey was sent electronically to all house staff at an academic medical center. Aggregated data was analyzed for trends. 193 surveys (18.8 %) were completed. Of all respondents, 46.6 % were not able to write their own prescriptions. 70.0 % have used another provider's prescription pad to write prescriptions...
December 2016: Journal of Medical Systems
https://www.readbyqxmd.com/read/27786335/how-physician-perspectives-on-e-prescribing-evolve-over-time-a-case-study-following-the-transition-between-ehrs-in-an-outpatient-clinic
#6
Erika L Abramson, Vaishali Patel, Elizabeth R Pfoh, Rainu Kaushal
BACKGROUND: Physicians are expending tremendous resources transitioning to new electronic health records (EHRs), with electronic prescribing as a key functionality of most systems. Physician dissatisfaction post-transition can be quite marked, especially initially. However, little is known about how physicians' experiences using new EHRs for e-prescribing evolve over time. We previously published a qualitative case study about the early physician experience transitioning from an older to a newer, more robust EHR, in the outpatient setting, focusing on their perceptions of the electronic prescribing functionality...
October 26, 2016: Applied Clinical Informatics
https://www.readbyqxmd.com/read/27784045/association-between-method-of-prescribing-and-primary-nonadherence-to-dermatologic-medication-in-an-urban-hospital-population
#7
Adewole S Adamson, Elizabeth A Suarez, April R Gorman
Importance: Prescription underuse is associated with poorer clinical outcomes. A significant proportion of underuse is owing to primary nonadherence, defined as the rate at which patients fail to fill and pick up new prescriptions. Although electronic prescribing increases coordination of care and decreases errors, its effect on primary nonadherence is less certain. Objectives: To analyze factors associated with primary nonadherence to dermatologic medications and study whether electronic prescribing affects rates of primary nonadherence...
October 26, 2016: JAMA Dermatology
https://www.readbyqxmd.com/read/27764107/development-of-a-web-based-clinical-decision-support-system-for-drug-prescription-non-interventional-naturalistic-description-of-the-antipsychotic-prescription-patterns-in-4345-outpatients-and-future-applications
#8
Sofian Berrouiguet, Maria Luisa Barrigón, Sara A Brandt, Santiago Ovejero-García, Raquel Álvarez-García, Juan Jose Carballo, Philippe Lenca, Philippe Courtet, Enrique Baca-García
PURPOSE: The emergence of electronic prescribing devices with clinical decision support systems (CDSS) is able to significantly improve management pharmacological treatments. We developed a web application available on smartphones in order to help clinicians monitor prescription and further propose CDSS. METHOD: A web application (www.MEmind.net) was developed to assess patients and collect data regarding gender, age, diagnosis and treatment. We analyzed antipsychotic prescriptions in 4345 patients attended in five Psychiatric Community Mental Health Centers from June 2014 to October 2014...
2016: PloS One
https://www.readbyqxmd.com/read/27747829/risk-factors-associated-with-the-requirement-for-pharmaceutical-intervention-in-the-hospital-setting-a-systematic-review-of-the-literature
#9
Emma Suggett, John Marriott
BACKGROUND: A number of methods exist for the risk assessment of hospital inpatients to determine the likelihood of patients experiencing drug-related problems (DRPs), including manual review of a patient's medication (medication reviews) and more complex electronic assessment using decision support alerts in electronic prescribing systems. A systematic review was conducted to determine the evidence base for potential risks associated with adult hospital inpatients that could not only lead to medication-related issues but might also be directly associated with pharmacist intervention...
September 2016: Drugs—Real World Outcomes
https://www.readbyqxmd.com/read/27668562/estimating-generic-drug-use-with-electronic-health-records-data-from-a-health-care-delivery-system-implications-for-quality-improvement-and-research
#10
Vani Nimbal, Jodi B Segal, Robert J Romanelli
BACKGROUND: Generic drug use in the outpatient setting is typically measured with adjudicated pharmacy claims; however, not all delivery systems have access to these data for their clinical populations. OBJECTIVE: To develop an algorithm to estimate generic drug use in an outpatient setting using electronic health records (EHR) data. METHODS: Twenty-five therapeutic classes were chosen with the potential for low generic use that were prescribed to managed care beneficiaries in a health care system in Northern California...
October 2016: Journal of Managed Care & Specialty Pharmacy
https://www.readbyqxmd.com/read/27655289/delirium-is-not-associated-with-anticholinergic-burden-or-polypharmacy-in-older-patients-on-admission-to-an-acute-hospital-an-observational-case-control-study
#11
Hannah C Moorey, Sebastian Zaidman, Thomas A Jackson
BACKGROUND: Older people are commonly prescribed multiple medications, including medications with anticholinergic effects. Polypharmacy and anticholinergic medications may be risk factors for the development of delirium. METHODS: Patients from a medical admission unit who were over 70, with DSM-IV diagnosed delirium and patients without delirium, were investigated. Number of drugs prescribed on admission and anticholinergic burden using two scales (the Anticholinergic Cognitive Burden Scale [ACB] and the Anticholinergic Drug Scale [ADS]) were recorded from electronic prescribing records...
September 21, 2016: BMC Geriatrics
https://www.readbyqxmd.com/read/27640357/measuring-erythrocyte-thiopurine-methyltransferase-activity-in-children-is-it-helpful
#12
Alison L T Ma, Gregory Bale, Helen Aitkenhead, Stephen D Marks
OBJECTIVE: To assess the profile of thiopurine transmethyltransferase (TPMT) enzyme activities in children and discuss the utility of measuring TPMT levels before commencing azathioprine therapy. STUDY DESIGN: Retrospective study in a single pediatric center of all patients who had TPMT enzyme assay measured during a 3-year period before the start of azathioprine therapy. Patients' TPMT enzyme activities were classified as normal (26-50 pmol/h/mgHb), intermediate (10-25 pmol/h/mgHb), and deficient (<10 pmol/h/mgHb)...
September 15, 2016: Journal of Pediatrics
https://www.readbyqxmd.com/read/27624860/pharmacy-and-primary-care-perspectives-on-e-prescribing-in-a-rural-community-a-focused-ethnography
#13
Sarah Kooienga, Reshmi L Singh
BACKGROUND: Electronic prescribing (ERx) is the ability for prescriber to send a digital prescription directly to a pharmacist through a dedicated secure network. A number of federally funded incentives such as the health information technology for economic and clinical health (HITECH) and Meaningful Use standards have led to ERx implementation. ERx is an integral part of primary care practice and today most community pharmacies are enabled to accept e-prescriptions. Little is known about the experience of rural pharmacists, primary care providers and patients regarding e-prescribing...
August 25, 2016: Research in Social & Administrative Pharmacy: RSAP
https://www.readbyqxmd.com/read/27579826/initial-medication-adherence-in-the-elderly-using-pace-claim-reversals-a-pilot-study
#14
Doris A Forestal, Tamar A Klaiman, Andrew M Peterson, Debra A Heller
BACKGROUND: The Medicare Modernization Act, with its requirements for Medicare Part D to comply with electronic prescribing (e-prescribing), bolstered the adoption of e-prescribing, which increased to 73% in 2013. Therefore, understanding whether electronic prescriptions are less likely to be picked up is important as e-prescribing continues to be emphasized. OBJECTIVE: To assess whether prescription origin is among the factors associated with initial medication adherence, using claim reversals as a proxy measure...
September 2016: Journal of Managed Care & Specialty Pharmacy
https://www.readbyqxmd.com/read/27574746/initial-medication-adherence-in-the-elderly-using-pace-claim-reversals-a-pilot-study
#15
Doris A Forestal, Tamar A Klaiman, Andrew M Peterson, Debra A Heller
BACKGROUND: The Medicare Modernization Act, with its requirements for Medicare Part D to comply with electronic prescribing (e-prescribing), bolstered the adoption of e-prescribing, which increased to 73% in 2013. Therefore, understanding whether electronic prescriptions are less likely to be picked up is important as e-prescribing continues to be emphasized. OBJECTIVE: To assess whether prescription origin is among the factors associated with initial medication adherence, using claim reversals as a proxy measure...
September 2016: Journal of Managed Care & Specialty Pharmacy
https://www.readbyqxmd.com/read/27570985/-medicines-reconciliation-at-hospital-admission-into-an-electronic-prescribing-program
#16
Lucía Villamayor-Blanco, Leticia Herrero-Poch, Jose Carlos De-Miguel-Bouzas, M Carmen Freire Vazquez
OBJECTIVE: To describe and to analyse a new method of integrated medicines reconciliation in an electronic prescribing program results. METHOD: 12-month, prospective, observational, non-randomized and uncontrolled study, in which all patients who were admitted, during that year, to a general hospital of 450 beds. The electronic prescribing program was used for medication reconciliation as a means to multidisciplinary approach (nurses, doctors, pharmacists). This reconciliation was done at the time of hospital admission and reconciliation errors were measured...
September 2016: Farmacia Hospitalaria
https://www.readbyqxmd.com/read/27568171/-deprescribing-long-term-treatments-with-bisphosphonates-for-osteoporosis-in-primary-care-in-the-basque-country-spain
#17
Arritxu Etxeberria, Josune Iribar, Javier Hernando, Ignacia Idarreta, Itziar Vergara, Carmela Mozo, Kalliopi Vrotsou, Joaquín Belzunegui, Arantxa Lekuona
OBJECTIVE: To evaluate the impact of a multifactorial intervention to promote bisphosphonate deprescription after over 5 years of use (BF5y) in a health care organisation (HCO) in Gipuzkoa (Spain) and to compare it with the standard intervention in other HCOs in the Basque Health Service-Osakidetza. METHODS: An 8-month follow-up study (results from before and after) to assess the impact of two interventions. All patients from Osakidetza receiving BF5y treatment (electronic prescription) in July 2013 were included...
August 24, 2016: Gaceta Sanitaria
https://www.readbyqxmd.com/read/27540258/evaluation-of-an-electronic-paediatric-intensive-care-unit-picu-medication-reconciliation-mr-form
#18
Diane Murray, Cathy Sedgeworth, Moira Kinnear, Lesley Diack
AIM: To gather opinions from doctors and pharmacists to improve the design of the PICU MR form generated by the electronic prescribing and clinical notes system to support transfer of care from PICU to downstream wards that use paper systems. METHOD: A purposive sample of 10 forms covering a comprehensive range of medication information common to PICU patients was selected from practice between March 2014 and May 2014. Pharmacists (n=7) and doctors (n=9) who received these forms on downstream wards were invited to participate in semi-structured one-to-one interviews (n=20) with the PICU pharmacist within 48 hrs of receipt to explore their views about the form...
September 2016: Archives of Disease in Childhood
https://www.readbyqxmd.com/read/27540241/an-electronic-prescription-alerting-system-improving-the-discharge-medicines-process
#19
Amanda Bevan, Niesh Patel
BACKGROUND: Whilst the prescribing of both in-patient and discharge medicines is electronic, there was no automatic notification to clinical pharmacists when a discharge prescription was ready to be screened. The notification required a member of medical or nursing staff to bleep their pharmacist informing them of a prescription's availability. This manual process led to a delay in pharmacist screening which impacted on discharge. Prescriptions designated for pre-packed or patient's own medicine use were not seen at all by a clinical pharmacist...
September 2016: Archives of Disease in Childhood
https://www.readbyqxmd.com/read/27540236/medicines-reconciliation-for-paediatric-patients-on-admission-and-discharge
#20
Maria Moss, Celine Bilbul, Jo Crook
INTRODUCTION: National guidance from National Institute for Health and Clinical Excellence (NICE), National Patient Safety Agency (NPSA), World Health Organization and the Royal Pharmaceutical Society has long highlighted the importance of accurate and timely medicines reconciliation (MR) in reducing medication errors for patients upon transfer of care setting.1 (-) 4 Current guidance for MR excludes children <16 years of age, where widespread use of off-label and unlicensed formulations puts this group of patients at a higher risk...
September 2016: Archives of Disease in Childhood
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