scholarly journals Evaluating the implementation of RxNorm in ambulatory electronic prescriptions

2015 ◽  
Vol 23 (e1) ◽  
pp. e99-e107 ◽  
Author(s):  
Ajit A Dhavle ◽  
Stacy Ward-Charlerie ◽  
Michael T Rupp ◽  
John Kilbourne ◽  
Vishal P Amin ◽  
...  
Keyword(s):  
Ambulatory Care ◽  
Electronic Prescribing ◽  
Free Text ◽  
National Library ◽  
Unique Identifier ◽  
Software Applications ◽  
National Drug ◽  
Electronic Prescriptions ◽  
Term Type ◽  
Pharmacy Chain

Abstract Objective RxNorm is a standardized drug nomenclature maintained by the National Library of Medicine that has been recommended as an alternative to the National Drug Code (NDC) terminology for use in electronic prescribing. The objective of this study was to evaluate the implementation of RxNorm in ambulatory care electronic prescriptions (e-prescriptions). Methods We analyzed a random sample of 49 997 e-prescriptions that were received by 7391 locations of a national retail pharmacy chain during a single day in April 2014. The e-prescriptions in the sample were generated by 37 801 ambulatory care prescribers using 519 different e-prescribing software applications. Results We found that 97.9% of e-prescriptions in the study sample could be accurately represented by an RxNorm identifier. However, RxNorm identifiers were actually used as drug identifiers in only 16 433 (33.0%) e-prescriptions. Another 431 (2.5%) e-prescriptions that used RxNorm identifiers had a discrepancy in the corresponding Drug Database Code qualifier field or did not have a qualifier (Term Type) at all. In 10 e-prescriptions (0.06%), the free-text drug description and the RxNorm concept unique identifier pointed to completely different drug concepts, and in 7 e-prescriptions (0.04%), the NDC and RxNorm drug identifiers pointed to completely different drug concepts. Discussion The National Library of Medicine continues to enhance the RxNorm terminology and expand its scope. This study illustrates the need for technology vendors to improve their implementation of RxNorm; doing so will accelerate the adoption of RxNorm as the preferred alternative to using the NDC terminology in e-prescribing.

Evaluating the Appropriateness of Free Text Notes in Electronic Prescriptions Across Time and Electronic Prescribing Version (Preprint)

2021 ◽  
Author(s):  
Deborah Surescripts
Keyword(s):  
No Value ◽  
Negative Impact ◽  
Original Study ◽  
Electronic Prescribing ◽  
Free Text ◽  
Error Risk ◽  
Incorrect Information ◽  
Electronic Prescriptions ◽  
Population Rate

BACKGROUND The free-text note field of the NCPDP SCRIPT schema allows prescribers to communicate information which the schema does not otherwise accommodate. Including inappropriate (could be sent in a dedicated field) or unnecessary (provides no value to the prescription) notes has a negative impact on patient care, ranging from wasted clinician time to introducing error risk by including conflicting, or incorrect information. OBJECTIVE The research team hypothesized that appropriate usage of the notes field would improve using NCPDP SCRIPT version 2017071 (V2017071) in comparison to NCPDP SCRIPT version 10.6 (V10.6). METHODS As a follow up to the study “Analysis of Prescribers’ Notes in Electronic Prescriptions in Ambulatory Practice”, a qualitative analysis was performed on 5 000 randomly selected prescriptions for which the note field was populated. Notes were classified as appropriate, inappropriate, or unnecessary and then sub-categorized based on content. The team performed three analyses: 1) Comparing the original study to current results 2) Comparing current notes in V10.6 to V2017071, and 3) An updated evaluation of V2017071 notes with reclassified sub-categories. RESULTS No difference was found in the rate of inappropriate and unnecessary notes from the original study (71.45%) to the present-day sample (71.64%), nor when comparing current V10.6 (71.28%) to current V2017071 (72.00%). A 3.23% lower note population rate for V2017071 did reduce the normalized rate of inappropriate and unnecessary notes when comparing V10.6 (11.62%) to V2017071 (9.41%). Lastly, when reclassifying V2017071 sub-categories, the rate of inappropriate and unnecessary notes increased to 89.24%. CONCLUSIONS For most prescriptions containing a note, the note is either inappropriate or unnecessary. This highlights a need to develop e-prescribing and pharmacy software to better utilize available schema elements and influence users to reduce the overall note population rate.

scholarly journals Communication failure: analysis of prescribers’ use of an internal free-text field on electronic prescriptions

2018 ◽  
Vol 25 (6) ◽  
pp. 709-714 ◽  
Author(s):  
Angela Ai ◽  
Adrian Wong ◽  
Mary Amato ◽  
Adam Wright
Keyword(s):  
Safety Concern ◽  
Medical Center ◽  
Academic Medical Center ◽  
Electronic Prescribing ◽  
Free Text ◽  
Potential Harm ◽  
Administrative Personnel ◽  
Academic Medical ◽  
Record Data ◽  
Electronic Prescriptions

Abstract Importance Electronic prescribing promises to improve the safety and clarity of prescriptions. However, it also can introduce miscommunication between prescribers and pharmacists. There are situations where information that is meant to be sent to pharmacists is not sent to them, which has the potential for dangerous errors. Objective To examine how frequently prescribers or administrative personnel put information intended for pharmacists in a field not sent to pharmacists, classify the type of information included, and assess the potential harm associated with these missed messages. Design, Setting, Participants Medication record data from our legacy electronic health record were requested for ambulatory care patients seen at an academic medical center from January 1, 2000, to May 31, 2015 (20 123 881 records). From this database, 6 060 272 medication orders met our inclusion criteria. We analyzed a random sample of 10 000 medication orders with internal comments. Main Outcomes and Measures Reviewers classified internal comments for intent. Comments intended for pharmacists were also sorted into descriptive categories and analyzed for the potential for patient harm. Results We found that 11.7% of the prescriptions in our sample contained comments that were intended to be sent to pharmacists. Many comments contained information about the dose, route, or duration of the prescription (38.0%). Approximately a third of the comments intended for pharmacists contained information that had the potential for significant or severe harm if not communicated. Conclusion We found undelivered comments that were clearly intended for pharmacists and contained important information for either pharmacists or patients. This poses a legitimate safety concern, as a portion of comments contained information that could have prevented severe or significant harm.

Backing up digital preservation practice with empirical research

2017 ◽  
Vol 27 (2) ◽  
pp. 66-82
Author(s):  
Gareth Kay ◽  
Libor Coufal ◽  
Mark Pearson
Keyword(s):  
Knowledge Base ◽  
Empirical Research ◽  
Digital Preservation ◽  
Graph Database ◽  
National Library ◽  
Software Applications ◽  
Functional Relationships ◽  
File Formats ◽  
Digital Objects

This article introduces the National Library of Australia’s Digital Preservation Knowledge Base which helps the Library to manage digital objects from its collections over the long term. The Knowledge Base includes information on file formats, rendering software, operating systems, hardware and, most importantly, the relationships between them. Most of the work on the Knowledge Base over the last few years has been focused on the mapping of functional relationships between file formats, their versions and software applications. The information is gathered through unique empirical research and is initially being recorded in a multiple-worksheet Excel file in a semi-structured format, though development of a prototype graph database is underway.

scholarly journals UJI VALIDITAS INTERNATIONAL STANDARD OF SERIAL NUMBER (ISSN) ONLINE OR E-ISSN MENGGUNAKAN ARITMATIKA MODULO

Kilat ◽  
2019 ◽  
Vol 8 (1) ◽  
Author(s):  
Desi Rose Hertina ◽  
Max Teja Ajie Cipta Widiyanto
Keyword(s):  
Scientific Information ◽  
Technical Committee ◽  
Julius Caesar ◽  
National Library ◽  
Unique Identifier ◽  
International Standard ◽  
Serial Number ◽  
Serial Data ◽  
History Of ◽  
Cryptographic Techniques

According to the history of coding (or encryption) data and information were carried out during the time of Julius Caesar, who used simple cryptographic techniques to protect his messages from the eyes of the enemy. In this paper a study will be conducted on the issuance of ISSN (International Standard of Serial Number) 10 sample journals The Scientific Information and Documentation Center (PDII) LIPI has the duty and authority to monitor all periodical publications published in Indonesia. As part of these responsibilities, PDII publishes an International Standard of Serial Number (ISSN), which is a unique identifier of each periodic publication that applies globally. The ISSN is granted by the ISDS (International Serial Data System) which is based in Paris, France. The ISSN was adopted as the implementation of ISO-3297 in 1975 by Subcommittee no. 9 of the Technical Committee no. 46 of ISO (TC 46 / SC 9). ISDS delegates the provision of ISSN both regionally and nationally. The Asian region is centered on the Thai National Library, Bangkok, Thailand. PDII LIPI is the only ISSN National Center for Indonesia. To do the validity test the E-ISSN code uses the Modulo algorithm.

Representing and Sharing Tagging Data Using the Social Semantic Cloud of Tags

2010 ◽  
pp. 519-527
Author(s):  
Hak-Lae Kim ◽  
John G. Breslin ◽  
Stefan Decker ◽  
Hong-Gee Kim
Keyword(s):  
Semantic Web ◽  
Web 2.0 ◽  
Web Applications ◽  
Essential Element ◽  
Social Tagging ◽  
Social Software ◽  
Free Text ◽  
Content Creation ◽  
Software Applications ◽  
The Social

Social tagging has become an essential element for Web 2.0 and the emerging Semantic Web applications. With the rise of Web 2.0, websites that provide content creation and sharing features have become extremely popular. These sites allow users to categorize and browse content using tags (i.e., free-text keyword topics). However, the tagging structures or folksonomies created by users and communities are often interlocked with a particular site and cannot be reused in a different system or by a different client. This chapter presents a model for expressing the structure, features, and relations among tags in different Web 2.0 sites. The model, termed the Social Semantic Cloud of Tags (SCOT), allows for the exchange of semantic tag metadata and reuse of tags in various social software applications.

scholarly journals Assessing the Attitude of the Physicians towards e-prescribing in Chennai

2021 ◽  
Vol 11 (4) ◽  
pp. 4489-4497
Author(s):  
M. Poojitha ◽  
Dr.A. Bhoomadevi
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Personal Computer ◽  
Positive Attitude ◽  
Personal Digital Assistant ◽  
Touch Screen ◽  
Descriptive Study ◽  
Electronic Prescribing ◽  
Adoption Rate ◽  
Electronic Prescriptions

Electronic prescribing simply means writing the prescriptions with the support of hand held personal digital assistant and touch screen or it could be typed in using a laptop or a personal computer. E-prescribing also is referred to as a means of sending prescriptions electronically from a doctor to a pharmacist or a patient. However, in either case, there should be minimal or no usage of paper is strictly adhered to (Spooner, 2005). Although e-prescription has many benefits associated with it, the adoption rate in the country is very less. Many factors could be attributed to the slow adoption of e-prescription out of which the attitude of physicians play a major role. Therefore the study aims to assess the efficiency of using e-prescribing facility. This is a descriptive study which involves analysis of the collected data through questionnaire. Simple random technique of selecting the samples was used. Hundred physicians were approached with the help of the consultancy, out of which 90 physician responded. Survey was also conducted through mail. The result shows that majority of the physicians had positive attitude towards e-prescription. The experience of the physician and E-prescribing facility helps to spend lesser time on prescribing the drugs when compared to hand written prescribing (P<0.05). The electronic prescriptions will improve the competence of health care system, when the physicians start using it in their practice. The greatest challenge in e-prescribing is there is no standard guidelines, cost incurred, security and confidentiality of the information prescribed by the physician.

scholarly journals Searching PubMed to Retrieve Publications on the COVID-19 Pandemic: Comparative Analysis of Search Strings (Preprint)

2020 ◽  
Author(s):  
Jeffrey V Lazarus ◽  
Adam Palayew ◽  
Lauge Neimann Rasmussen ◽  
Tue Helms Andersen ◽  
Joey Nicholson ◽  
...  
Keyword(s):  
Free Text ◽  
National Library ◽  
Search String ◽  
Fast Speed ◽  
Search Terms ◽  
Single Term ◽  
The Us ◽  
The World ◽  
Comprehensive Search ◽  
Better Than

BACKGROUND Since it was declared a pandemic on March 11, 2020, COVID-19 has dominated headlines around the world and researchers have generated thousands of scientific articles about the disease. The fast speed of publication has challenged researchers and other stakeholders to keep up with the volume of published articles. To search the literature effectively, researchers use databases such as PubMed. OBJECTIVE The aim of this study is to evaluate the performance of different searches for COVID-19 records in PubMed and to assess the complexity of searches required. METHODS We tested PubMed searches for COVID-19 to identify which search string performed best according to standard metrics (sensitivity, precision, and F-score). We evaluated the performance of 8 different searches in PubMed during the first 10 weeks of the COVID-19 pandemic to investigate how complex a search string is needed. We also tested omitting hyphens and space characters as well as applying quotation marks. RESULTS The two most comprehensive search strings combining several free-text and indexed search terms performed best in terms of sensitivity (98.4%/98.7%) and F-score (96.5%/95.7%), but the single-term search COVID-19 performed best in terms of precision (95.3%) and well in terms of sensitivity (94.4%) and F-score (94.8%). The term Wuhan virus performed the worst: 7.7% for sensitivity, 78.1% for precision, and 14.0% for F-score. We found that deleting a hyphen or space character could omit a substantial number of records, especially when searching with SARS-CoV-2 as a single term. CONCLUSIONS Comprehensive search strings combining free-text and indexed search terms performed better than single-term searches in PubMed, but not by a large margin compared to the single term COVID-19. For everyday searches, certain single-term searches that are entered correctly are probably sufficient, whereas more comprehensive searches should be used for systematic reviews. Still, we suggest additional measures that the US National Library of Medicine could take to support all PubMed users in searching the COVID-19 literature.

scholarly journals P007 Improving paediatric chemotherapy prescribing through use of an electronic prescribing system

2019 ◽  
Vol 104 (7) ◽  
pp. e2.9-e2
Author(s):  
Charlotte Summerfield ◽  
Susan Kafka ◽  
Michelle Lewis ◽  
Guy Makin ◽  
Joseph Williams ◽  
...  
Keyword(s):  
Cancer Therapy ◽  
Malignant Disease ◽  
Electronic Prescribing ◽  
List Type ◽  
Prescribing Errors ◽  
Exact Test ◽  
Anti Cancer ◽  
Treatment Data ◽  
Cost Implications ◽  
Electronic Prescriptions

AimPaediatric prescriptions are almost 50% more likely to contain an error than adult orders. The risk of prescription error is further increased when prescribing for malignant disease.1 In 2017 the Trust introduced ChemoCare, an electronic prescribing system for paediatric chemotherapy. The primary aim of this study was to investigate whether implementing ChemoCare has affected the incidence and type of errors made in paediatric chemotherapy prescriptions, compared with written prescriptions. A secondary aim was to explore possible reasons why these prescribing errors may occur. Since 2014 it has been mandatory for all NHS England specialist trusts to send monthly submissions to the Systemic Anti-Cancer Therapy (SACT) Database, regarding the treatment of malignant disease in secondary care.2 Therefore, the study also analysed Trust compliance with communicating treatment data to SACT.MethodsData collection took place over a four-week period in Spring 2018. Prescriptions were reviewed by pharmacists and categorised as written or electronic. Prescriptions were then checked for 7 different error types; calculation error, drug prescribed on wrong day, incorrect drug prescribed for cycle, incorrect dose of concomitant medications, incorrect surface area used, not adjusted dose for previous age or weight related toxicities, no drug prescribed. The Fisher’s Exact test was employed to detect significance between chemotherapy prescription type and error incidence. A written questionnaire was designed to obtain the views of consultants, pharmacists and specialist trainees, and explore possible reasons why prescription errors occur. ChemoCare treatment data was retrospectively reviewed in order to determine how many prescribed cycles had been marked as ‘completed’.Results143 prescriptions were analysed. 34.4%(n=21) of written prescriptions contained errors, compared with 11.4% (n=5) of electronic orders. Two of the error types measured‘wrong calculation’ and ‘wrong drug prescribed for cycle’occurred significantly more frequently in written than electronic prescriptions.The Fisher’s Exact test produced p values of 0.017 and 0.008 respectively. Of the 409 treatment cycles prescribed and administered on the electronic system, 56.5% (n=231) had not been marked as ‘completed’, so would not be returned to SACT as administered chemotherapy. Failure to communicate accurate chemotherapy data to SACT not only limits research opportunities to progress safety aspects of delivering chemotherapy, but also has significant cost implications for the Trust, as chemotherapy treatment costs are not recovered.ConclusionThis study supports the use of an electronic prescribing system for ordering paediatric chemotherapy, given the significant reduction in errors compared with written prescriptions. The introduction of a chemotherapy-specific safe prescribing poster is suggested in order to improve compliance with ChemoCare. Further studies analysing national compliance with data return to SACT, are required to identify cost implications for the NHS and subsequent areas for quality improvement.ReferencesAvery AJ, Ghaleb M, Barber N, et al. Investigating the prevalence and causes of prescribing errors in general practice: The practice study. Pharmacoepidemiol Drug Saf 2012;21:4.NCRAS. Systemic Anti-Cancer Therapy Dataset [Internet]. [cited 2018 June 26]. Available from: http://www.ncin.org.uk/collecting_and_using_data/data_collection/chemotherapy

scholarly journals Identification of Microchip Implantation Events for Dogs and Cats in the VetCompass Australia Database

Animals ◽  
2019 ◽  
Vol 9 (7) ◽  
pp. 423 ◽  
Author(s):  
Paul McGreevy ◽  
Sophie Masters ◽  
Leonie Richards ◽  
Ricardo J. Soares Magalhaes ◽  
Anne Peaston ◽  
...  
Keyword(s):  
New South ◽  
Epidemiological Studies ◽  
Data Repository ◽  
Free Text ◽  
Patient Records ◽  
Electronic Patient Records ◽  
Unique Identifier ◽  
South Wales ◽  
Clinical Data Repository ◽  
The Ideal

In Australia, compulsory microchipping legislation requires that animals are microchipped before sale or prior to 3 months in the Australian Capital Territory, New South Wales, Queensland and Victoria, and by 6 months in Western Australia and Tasmania. Describing the implementation of microchipping in animals allows the data guardians to identify individual animals presenting to differing veterinary practices over their lifetimes, and to evaluate compliance with legislation. VetCompass Australia (VCA) collates electronic patient records from primary care veterinary practices into a database for epidemiological studies. VCA is the largest companion animal clinical data repository of its kind in Australia, and is therefore the ideal resource to analyse microchip data as a permanent unique identifier of an animal. The current study examined the free-text ‘examination record’ field in the electronic patient records of 1000 randomly selected dogs and cats in the VCA database. This field may allow identification of the date of microchip implantation, enabling comparison with other date fields in the database, such as date of birth. The study revealed that the median age at implantation for dogs presented as individual patients, rather than among litters, was 74.4 days, significantly lower than for cats (127.0 days, p = 0.003). Further exploration into reasons for later microchipping in cats may be useful in aligning common practice with legislative requirements.

Sign in / Sign up

Export Citation Format

Share Document