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E-Prescription

Commentary
The Solution to Telemedicine Prescribing of Buprenorphine Seems Clear to Everyone but DEA
For more than a decade, Congress, clinicians, and policymakers have been requesting implementation of a special registration pathway that would allow registered clinicians to prescribe buprenorphine without an in-person visit requirement. It's clear to us that the time to implement the pathway is now.
Sep 5, 2023
Journal Article
Responsible E-Prescribing Needs E-Discontinuation
Adding e-discontinuation functionality has the potential to help reduce medication errors and take fuller advantage of e-prescribing technology. Prescribers need to be able to e-discontinue prescriptions, just as easily as they can e-prescribe them.
Mar 12, 2019
Journal Article
Using the Electronic Health Record to Understand and Minimize Overuse
Electronic health records represent a key opportunity to address overuse and the high costs of care and to realize benefit from one of the country's major health care investments.
Jul 19, 2017
Journal Article
Lessons Learned from an Integrated MTM Program
A community health center in western Massachusetts offers a model of integrated care, in which pharmacists play key roles in decision making and charting.
May 11, 2017
Commentary
Responsible e-Prescribing Needs e-Discontinuation
Implementation of electronic prescribing has been a big success in health information technology. But most e-prescribing systems don't allow electronic cancellation of orders. Adding this feature could help reduce medication errors.
Feb 7, 2017
Brochure
Focus on Health Information Technology
For nearly a decade, RAND researchers have studied how health information technology (HIT) stands to change health care.
Nov 18, 2015
Journal Article
More Changes in Health Care Needed to Fulfill Promise of Health Information Technology
Despite wide investments nationally in electronic medical records and related tools, the cost-saving promise of health information technology has not been reached because the systems deployed are neither interconnected nor easy to use.
Jan 1, 2013
Commentary
Could Liability Concerns Derail Clinical Decision Support?
Computerized clinical decision support (CDS) systems have been developed to enhance physician decisionmaking and reduce the incidence of avoidable medical errors. Drug-drug interaction warnings are a mainstay of CDS systems, but they give rise to a fundamental problem that limits the utility of the systems to date.
Jul 6, 2012
Journal Article
Use of a Computerized Medication Shared Decision Making Tool in Community Mental Health Settings: Impact on Psychotropic Medication Adherence
This study examined the impact on psychotropic adherence of a decision support center and computerized tool designed to empower and activate consumers prior to an outpatient medication management visit.
Jul 1, 2012
Journal Article
Too Many Alerts, Too Much Liability: Sorting Through the Malpractice Implications of Drug-Drug Interaction Clinical Decision Support
New electronic clinical decision support (CDS) systems are intended to reduce medical errors but sometimes have the unexpected and perverse effect of overwhelming physicians with potential warnings about trivial events, particularly regarding drug-drug interactions.
Jun 1, 2012
Journal Article
Early Adopters of Electronic Prescribing Struggle to Make Meaningful Use of Formulary Checks and Medication History Documentation
In offices where e-prescribing was implemented, prescribers used information about formularies and drug benefits, but missing information reduced confidence in these resources and led to paper-based workarounds.
Jan 1, 2012
Journal Article
High-priority Drug — Drug Interactions for Use in Electronic Health Records
A panel of experts highlighted the complexity of issues surrounding development and implementation of a set of high-severity, clinically significant drug–drug interactions (DDIs) for use in electronic health records (EHRs).
Jan 1, 2012
Journal Article
Meaningful Use of Electronic Prescribing in 5 Exemplar Primary Care Practices
Widespread implementation and effective use of e-prescribing in ambulatory care will require practice transformation efforts that focus on work process redesign while being attentive to effects on patient and pharmacy involvement in prescribing.
Oct 1, 2011
Journal Article
Today's 'Meaningful Use' Standard for Medication Orders by Hospitals May Save Few Lives; Later Stages May Do More
Current federal standards for hospital "meaningful use" of health information technology--which requires electronic medication orders for 30 percent of eligible patients--are probably too low to reduce deaths from heart failure and heart attack among hospitalized Medicare beneficiaries.
Oct 1, 2011
Report
How Should Drugs Be Identified in Electronic Prescribing Systems?
The set of computer-interpretable identifiers currently used in electronic prescribing does not support the specific needs of prescribers and pharmacists. RxNorm, a rigorously derived system of drug identifiers that more accurately reflect the prescriber's intent, has potential to improve e-prescribing transactions.
Jul 20, 2011
Research Brief
How Should Drugs be Identified in Electronic Prescribing Systems?
RxNorm has potential to improve how medications are represented in e-prescribing transactions.
Jul 20, 2011
Journal Article
Evaluation of the NCPDP Structured and Codified Sig Format for E-Prescriptions
This paper reports an assessment of how well the structure and code sets specified in the National Council for Prescription Drug Programs Structured and Codified Sig Format represent ambulatory electronic prescriptions.
Jan 1, 2011
Journal Article
Patient Protection and Affordable Care Act: Laying the Infrastructure for National Health Reform
This article discusses the range of health information technology initiatives included in the 2009 economic stimulus legislation that collectively are known as the Health Information Technology for Economic and Clinical Health (HITECH) initiative; these include proposed regulations on
Jun 1, 2010
Journal Article
Adoption and Use of Stand-Alone Electronic Prescribing in a Health Plan-Sponsored Initiative
Certain categories of physicians may need more tailored incentives to adopt SEP.
Mar 1, 2010
Journal Article
Evaluation of RxNorm for Representing Ambulatory Prescriptions
RxNorm provides concepts covering nearly all ambulatory e-prescriptions but could be improved by making it possible to select the most-specific concepts within broader concepts.
Jan 1, 2010

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RAND Topic:
Electronic Pharmaceutical Prescriptions

Topic Synonyms:
E-Prescribing;
E-Prescription

Research conducted by

RAND Health Care