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Effect of EHR User Interface Changes on Internal Prescription Discrepancies

A. Sawarkar, Y.A. Dementieva, E. Breydo, H. Ramelson, A. Turchin
2014 Applied Clinical Informatics  
the incidence of contradictions between the structured and narrative components of electronic prescriptions (internal prescription discrepancies).  ...  Internal prescription discrepancies were identified using a validated natural language processing tool with recall of 76% and precision of 84%.  ...  , in the writing of the report, and in the decision to submit the article for publication.  ... 
doi:10.4338/aci-2014-03-ra-0023 pmid:25298811 pmcid:PMC4187088 fatcat:bzc7vbmazncnjhhbzw3qampxoa

The effect of the electronic transmission of prescriptions on dispensing errors and prescription enhancements made in English community pharmacies: a naturalistic stepped wedge study

Bryony Dean Franklin, Matthew Reynolds, Stacey Sadler, Ralph Hibberd, Anthony J Avery, Sarah J Armstrong, Rajnikant Mehta, Matthew J Boyd, Nick Barber
2014 BMJ Quality and Safety  
The CMSSQ is affiliated with the Centre for Patient Safety and Service Quality (CPSSQ) at Imperial College Healthcare NHS Trust which is funded by the NIHR as an NIHR Patient Safety Translational Research  ...  The views expressed in this publication are those of the authors and not necessarily those of the NHS, the National Institute for Health Research or the Department of Health.  ...  However, the study was based on identifying discrepancies between electronic prescription records and electronic dispensing records; there was no check of dispensed items.  ... 
doi:10.1136/bmjqs-2013-002776 pmid:24742778 pmcid:PMC4112418 fatcat:mfraaqvogfc7hdw5iofvwvr5ka

Deploying Prescription Drug Monitoring to Address the Overdose Crisis

Leo Beletsky
2018 Indiana Health Law Review  
of possible unintended consequence is made).205.  ...  these programs while minimizing their risk of considerable unintended consequences.  ... 
doi:10.18060/3911.0046 fatcat:mcwgvmdcmbfktbko2ulxm5c47a

Shifting blame: Buprenorphine prescribers, addiction treatment, and prescription monitoring in middle-class America

Sonia Mendoza, Allyssa S. Rivera-Cabrero, Helena Hansen
2016 Transcultural Psychiatry  
Growing nonmedical prescription opioid analgesic use among suburban and rural Whites has changed the public's perception of the nature of opioid addiction, and of appropriate interventions.  ...  This framing has led to a different set of policy responses than the "War on Drugs" that has focused on heroin trade in poor urban communities; in response to prescription opioid addiction, prescription  ...  Funding The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This research was supported in part by a National Institute  ... 
doi:10.1177/1363461516660884 pmid:27488225 pmcid:PMC5540139 fatcat:btxk2pdtsbdjxhw6qbpkods4iy

Correlates of Non-Medical Prescription Drug Misuse Among a Treatment-Seeking Population: A Comparison with Illicit Drug Users

Asharani PV, Edimansyah Abdin, Tan Jun Wen, Mythily Subramaniam, Christopher Cheok, Guo Song
2018 International Journal of Environmental Research and Public Health  
These characteristics can be helpful to identify those who are at the risk of PDUD and incorporate strict prescription monitoring to their care.  ...  The most commonly misused prescription and illegal drugs were benzodiazepines (63.1%) and heroin (63.4%), respectively.  ...  Not many studies have been conducted in Asia to understand the prevalence of PD misuse and its consequences.  ... 
doi:10.3390/ijerph15091978 pmid:30208591 pmcid:PMC6164738 fatcat:twid6qaxgvawxay2lnkmocxmmy

Feasibility of a Home-Delivery Produce Prescription Program to Address Food Insecurity and Diet Quality in Adults and Children

Laura Fischer, Nia Bodrick, Eleanor R. Mackey, Anthony McClenny, Wayde Dazelle, Kristy McCarron, Tessa Mork, Nicole Farmer, Matthew Haemer, Kofi Essel
2022 Nutrients  
We conducted a pilot study to demonstrate the feasibility and explore the potential impact of a family-based, home-delivery produce prescription and nutrition education program.  ...  Produce prescription programs aim to improve food insecurity (FI) and nutrition but their effectiveness is unclear.  ...  Conflicts of Interest: The authors declare no conflict of interest.  ... 
doi:10.3390/nu14102006 fatcat:kk2jnyrjafdyfeyt4ptfswtm54

Preventing, Identifying, and Treating Prescription Drug Misuse Among Active-Duty Service Members

Rosalie Liccardo Pacula, Sarah B Hunter, Allison J Ober, Karen Chan Osilla, Raffaele Vardavas, Janice C Blanchard, David DeVries, Emmanuel F Drabo, Kristin J Leuschner, Warren Stewart, Jennifer Walters
2017 Rand health quarterly  
Prescription drug misuse (PDM) is of critical concern for the military because of its potential impact on military readiness, the health and well-being of military personnel, and associated health care  ...  PDM based on current demographics of active-duty service members and rates of injury and prescribing of prescription drugs.  ...  Gellad provided guidance regarding proper identification of opioids and benzodiazepines in the TRICARE claim data, and Mark Totten provided analytic support and summary information that we used to identify  ... 
pmid:29057158 pmcid:PMC5644774 fatcat:af3irc2fz5afxnlgjklwo5rngi

The War on Drugs That Wasn't: Wasted Whiteness, "Dirty Doctors," and Race in Media Coverage of Prescription Opioid Misuse

Julie Netherland, Helena B. Hansen
2016 Culture, Medicine and Psychiatry  
Media coverage of the suburban and rural opioid "epidemic" of the 2000s helped draw a symbolic, and then legal, distinction between (urban) heroin addiction and (suburban and rural) prescription opioid  ...  black and Latino heroin injectors with sympathetic portrayals of suburban white prescription opioid users.  ...  Acknowledgements We wish to acknowledge the crucial assistance of Alyson Kaplan, Danae DiRocco, and Sewit Bereket.  ... 
doi:10.1007/s11013-016-9496-5 pmid:27272904 pmcid:PMC5121004 fatcat:tm7it24hfnez3epsecaydurfbm

Nonmedical prescription opioid use and illegal drug use: initiation trajectory and related risks among people who use illegal drugs in Vancouver, Canada

Tessa Cheng, Will Small, Ekaterina Nosova, Bob Hogg, Kanna Hayashi, Thomas Kerr, Kora DeBeck
2018 BMC Research Notes  
The prevalence and harms associated with nonmedical prescription opioid use (NMPOU) have risen in Canada, and the prevailing policy response has restricted the supply of prescription opioids (POs) and  ...  recent NMPOU, and (iii) investigate the impact of acquiring POs from physicians for the purposes of NMPOU.  ...  Less is known, however, about the prevalence and impacts of initiating NMPOU with POs obtained from a physician prescription among PWUD.  ... 
doi:10.1186/s13104-018-3152-9 pmid:29338770 pmcid:PMC5771131 fatcat:eufmtprvbjchxo4ka46fwgenlu

A Survey of the Literature on Unintended Consequences Associated with Health Information Technology: 2014–2015

K. Zheng, J. Abraham, L. L. Novak, T. L. Reynolds, A. Gettinger
2016 IMIA Yearbook of Medical Informatics  
In another study, Nanji et al. (2014) qualitatively assessed the impact of an electronic prescribing system implemented in an outpatient pharmacy [119] .  ...  Most of these unintended consequences resulted in adverse outcomes, even though instances of beneficial impact were also noted.  ... 
doi:10.15265/iy-2016-036 pmid:27830227 pmcid:PMC5171546 fatcat:uwv5dmjbs5g4xljtdquanyzaj4

Cross-sectional study of prescribing errors in patients admitted to nine hospitals across North West England

Kay Seden, Jamie J Kirkham, Tom Kennedy, Michael Lloyd, Sally James, Aine Mcmanus, Andrew Ritchings, Jennifer Simpson, Dave Thornton, Andrea Gill, Carolyn Coleman, Bethan Thorpe (+1 others)
2013 BMJ Open  
Objective: To evaluate the prevalence, type and severity of prescribing errors observed between grades of prescriber, ward area, admission or discharge and type of medication prescribed.  ...  and education, and migration to electronic prescribing systems.  ...  All authors, external and internal, had full access to all of the data (including statistical reports and tables) in the study and can take responsibility for the integrity of the data and the accuracy  ... 
doi:10.1136/bmjopen-2012-002036 pmid:23306005 pmcid:PMC3553389 fatcat:pktzfyh5vrhwdmpepvc5ejh2qu

Impact of electronic health record systems on information integrity: quality and safety implications

Sue Bowman
2013 Perspectives in health information management  
This analysis of the literature on EHR risks is intended to serve as an impetus for further research on the prevalence of these risks, their impact on quality and safety of patient care, and strategies  ...  This literature review examines the impact of unintended consequences of the use of EHR systems on the quality of care and proposed solutions to address EHR-related errors.  ...  However, attention to the potential unintended consequences of electronic documentation is growing. 138 In addition to the risks to the quality and safety of patient care, apprehension about EHRassociated  ... 
pmid:24159271 pmcid:PMC3797550 fatcat:uesmmsw4jvatfdw6oiknnr7544

Prevalence, Incidence and Nature of Prescribing Errors in Hospital Inpatients

Penny J. Lewis, Tim Dornan, David Taylor, Mary P. Tully, Val Wass, Darren M. Ashcroft
2009 Drug Safety  
Ashcroft analysed the results and Penny J. Lewis prepared the first draft of the review. All authors commented on subsequent drafts.  ...  Lewis and Darren M. Ashcroft and conducted by Penny J. Lewis. All authors were involved in extracting data from the publications. Penny J. Lewis and Darren M.  ...  [72] Work in this area has also highlighted that there can be many unintended consequences of CPOE including both positive and negative effects.  ... 
doi:10.2165/00002018-200932050-00002 pmid:19419233 fatcat:plvtdgb275fwthoz5epqq5rvyy

Design and Delivery of a Tailored Intervention to Implement Recommendations for Multimorbid Patients Receiving Polypharmacy into Primary Care Practices

Cornelia Jäger, Joachim Szecsenyi, Jost Steinhäuser
2015 BioMed Research International  
On this basis, an intervention consisting of a workshop for health care professionals and educational materials for patients has been developed.  ...  It will have to be evaluated, if the intervention finally resulted in an improved implementation of the guideline recommendations.  ...  Conflict of Interests The authors declare that there is no conflict of interests regarding the publication of this paper.  ... 
doi:10.1155/2015/938069 pmid:25685818 pmcid:PMC4313053 fatcat:za6nejl3wbadhdr7h4l4lbpt4y

Clinical Outcomes of Continuation of Metformin Titration Instructions with Electronic Prescribing

Thomas Delate, Nathan Rader, Julia E. Rawlings, Karen Smith, Sheryl J. Herner
2015 Drugs - Real World Outcomes  
those with an elevated glucose measurement at follow-up, were assessed during the time period between patients' second and third metformin purchases.  ...  Outcomes, including the 3-year incidence rate of patients with at least one set of continued titration instructions and proportions of patients with at least one gastrointestinal adverse effect (AE) and  ...  However, other investigators have attempted to rectify discrepancies in components of electronic prescriptions.  ... 
doi:10.1007/s40801-015-0027-4 pmid:27747770 pmcid:PMC4883195 fatcat:owbnit2mubg65ibgrkkipacdje
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