| Early adopters of electronic prescribing struggle to make meaningful use of formulary checks and medication history documentation. | |
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MedLine Citation:
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PMID: 22218621 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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METHODS: This is a multimethod comparative case study of 8 practices, which were selected to ensure practice size and physician specialty variation, implementing a stand-alone e-prescribing program. Field researchers observed prescription workflow and interviewed physicians and office staff. RESULTS: Before implementation, few prescribers reported using F&B references when making medication choices; all used paper-based methods for tracking medication history. After implementation, some prescribers reported using F&B data to inform medication choices but missing information reduced confidence in these resources. Low confidence in RxH data led to paper-based workarounds. CONCLUSIONS: Challenges experienced with formulary checks and RxH documentation led to prescriber distrust and unwillingness to rely on e-prescribing-based information. Greater data accuracy and completeness must be assured if e-prescribing is to meet meaningful use objectives to improve the efficiency and safety of prescribing in primary care settings. |
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Authors:
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Jesse C Crosson; Anthony J Schueth; Nicole Isaacson; Douglas S Bell |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of the American Board of Family Medicine : JABFM Volume: 25 ISSN: 1557-2625 ISO Abbreviation: J Am Board Fam Med Publication Date: 2012 Jan |
Date Detail:
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Created Date: 2012-01-05 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101256526 Medline TA: J Am Board Fam Med Country: United States |
Other Details:
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Languages: eng Pagination: 24-32 Citation Subset: IM |
Affiliation:
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the Research Division, Department of Family Medicine and Community Health, UMDNJ-Robert Wood Johnson Medical School, Somerset, NJ; Point-of-Care Partners, LLC, Coral Springs, FL; Counseling, ADAP and Psychiatric Services, Rutgers University, New Brunswick, NJ; RAND Corporation, Santa Monica, CA; and the Division of General Internal Medicine and Health Services Research, Department of Medicine, David Geffen School of Medicine at UCLA, Los Angeles, CA. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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