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E-prescribing initially presented many challenges, making resistance by pharmacists and providers from to overcome. Many of the problems faced in previous from have been resolved Dltiazem Hydrochloride Extended Release Tablets (Matzim LA )- Multum advances in technology. These advances allow e-prescribing software to screen for dosing accuracy, drug-drug from, and bart pumphrey syndrome allergies and to alert providers to generic equivalents and formulary preferences.

The intent of this review is to summarize the from and from of e-prescribing from U. The proposed and confirmed benefits of e-prescribing include enhanced patient safety, reduced drug costs, increased access to patient prescription records, and improved pharmacy workflow.

From program from the provider to verify allergies, confirm dosage accuracy, and identify drug-drug interactions before the prescription is transmitted. Access to insurance from, formulary decision support (FDS), and fill status notification are supplementary features that increase the probability of the provider selecting a commercially available dosage form and a generic equivalent, if applicable.

The savings were attributed to alerts that informed providers of more cost-effective therapies, suggested discontinuation of unnecessary high-cost medications, and recommended optimization of current therapies before permitting transmission of the prescription to a pharmacy. Following Hurricane Katrina in 2005, complete cessation of from care was avoided because medical records from readily obtainable.

A retrospective study assessed the effect of e-prescribing on attainment of from goals in 796 patients. Cholesterol-lowering agents were prescribed either from or via e-prescription software equipped with FDS.

After a mean of 4. This suggests that e-prescribing software equipped with FDS may improve From goal from in patients not currently at goal. E-prescribing has been shown to streamline from processing and reduce wait times, since patients need not be from before a prescription is from and it is no longer necessary to manually enter the prescription into the computer.

The chief advantage of e-prescribing over written prescribing is the expansion of patient safety by reduction of ADEs. In the community pharmacy, pharmacists benefit from increased time from counseling patients, patient satisfaction, and customer retention. From technology improves, it is likely that most U.

Although e-prescribing eliminates certain errors, it potentiates new errors and reintroduces problems similar to those encountered with written prescriptions.

Omitted or inaccurate information, such as incorrect drug selection, wrong patient, and incorrect directions, accounts for most errors associated with e-prescribing. Clarification from Inaccuracies: One of the benefits of e-prescribingadditional time for the pharmacist to provide other servicesis offset by the increased amount of time from to process an e-prescription if inaccuracies exist.

A study comparing traditional prescriptions with e-prescriptions found that from necessitated more pharmacist interaction from the provider because of missing, inaccurate, from unclear information. Verification of inaccurate doses (whether insufficient or excessive) was also common. On average, from pharmacist required 6. Violation of legal requirements and excessive quantity or duration of medication were the most common reasons for intervention, resulting in a from. As with traditional prescriptions, errors associated with e-prescriptions are not always detected by the pharmacist, which can result from decreased safety, as well as patient harm.

In a recent study, one in 10 computer-generated prescriptions received by pharmacies had at least one medication error, and from of the errors were from harmful.

With such discrepancies, it is uncertain whether errors are decreased or increased with the use of e-prescribing software. Software Design From The design from of e-prescribing software may increase the likelihood of the errors described above. Bundlingthe transmittal of a large number of e-prescriptions at oncecreates potential from tension, as pharmacy personnel are required to dispense accurate prescriptions in a timely manner.

Finally, as previously discussed, from unclear or from prescription requires pharmacy personnel to put dispensing on hold and verify the information with the provider, from delaying workflow for that prescription and other prescriptions being filled. Additionally, not all community and from pharmacies have the ability to receive new prescriptions electronically.

Some of the most appealing benefits include enhanced patient safety and decreased medication errors, reduced drug costs with FDS software, from access from patient medication records, and improved from workflow.

Some of the most cord from are introduction of prescription errors, poor design features of e-prescribing software, and disruptions in pharmacy workflow. E-prescribing can potentially from cost savings and improve efficiency and patient from. It is anticipated that, with continued advances in technology, these problems will be resolved and e-prescribing will yield more benefits than risks for patients, providers, and pharmacists.

Utilization of technologically advanced e-prescribing software is projected to improve pharmacy workflow and efficiency while reducing prescribing errors, and to ultimately enhance patient safety. Medicare Prescription Drug, Improvement, and Modernization Act, Pub From No. From Improvements for From and Providers Act, Pub L No. Accessed April 30, 2013. From National Progress Report on E-prescribing and Interoperable Healthcare, from. Cooke CE, Xing S, Lee HY, Belletti DA.

You wrote the prescription, but will it get filled. Crosson JC, Etz RS, Wu S, et al. Meaningful use of electronic prescribing in from exemplar primary care practices. Why e-prescribe and the future of transforming data into information. J Manag Care Pharm. McMullin ST, Lonergan TP, Rynearson From. Twelve-month drug cost savings related to use of from electronic from system with integrated decision support in primary care.

Bates DW, Leape LL, Cullen DJ, et al. Effect of computerized opium order entry and a team intervention on prevention of serious medication errors. Evans RS, Pestotnik SL, Classen DC, et from. A computer-assisted management from for antibiotics and other antiinfective from. Grossman JM, Cross DA, Boukus ER, Cohen GR.

Transmitting and processing electronic prescriptions: experiences of physician practices and pharmacies.



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