Academic literature on the topic 'Central Repository of electronic prescriptions'
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Journal articles on the topic "Central Repository of electronic prescriptions"
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Panda, Saroja Kumar. "Shodhganga – a national level open access ETD repository of Indian electronic theses: current status and discussions." Library Hi Tech News 33, no. 1 (2016): 23–26. http://dx.doi.org/10.1108/lhtn-09-2015-0062.
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Purpose – This paper aims to examine the progress and current status of Shodhganga: a reservoir Indian electronic theses. The paper further discusses the need and importance of a centrally maintained repository in the current age and the role and challenges of universities, libraries and researchers in development of institutional repositories at university levels. Design/methodology/approach – Data are collected from Shodhganga server/Web site followed by simple excel analysis which are presented in the paper in the form of tables and graphs. Findings – As on 30 June 2015, a total of 40,175 theses have been deposited in the repository by 217 universities. Jawaharlal Nehru University has submitted highest number of theses (4570, 11.37 per cent) followed by Anna University (2910, 7.24 per cent), Mahatma Gandhi University (2056, 5.12 per cent) and Bundelkhand University (1760, 4.38 per cent). Highest number of theses has been submitted from the state of Tamil Nadu. Numbers of theses and site visitors are gradually increasing (2010-2015). Originality/value – Shodhganga central repository of Indian electronic theses is an important step of Informational and Library Network Centre and University Grants Commission (UGC) in the Indian subcontinent. The paper recommends that besides UGC-recognised universities, other private/deemed universities, IITs, NITs and IISERs should also be welcomed for voluntarily deposit their theses in the Shodhganga central repository, and one of the fastest way to make progress is to let students upload their works directly.
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Melcer, Ted, Jay Walker, Jocelyn Sazon, et al. "Outpatient Pharmacy Prescriptions During the First Year Following Serious Combat Injury: A Retrospective Analysis." Military Medicine 185, no. 7-8 (2020): e1091-e1100. http://dx.doi.org/10.1093/milmed/usaa038.
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Abstract Introduction Limited research has analyzed the full range of outpatient medication prescription activity following serious combat injury. The objectives of this study were to describe (1) outpatient medication prescriptions and refills during the first 12 months after serious combat injury, (2) longitudinal changes in medication prescriptions during the first-year postinjury, and (3) patient characteristics associated with outpatient prescriptions. Materials and methods This was a retrospective analysis of existing health and pharmacy data for a random sample of U.S. service members who sustained serious combat injuries in the Iraq and Afghanistan conflicts, 2010–2013 (n = 381). Serious injury was defined by an Injury Severity Score (ISS) of 9 or greater. These patients typically participate in military rehabilitation programs (eg, amputation care) where prescription medications are essential. Data sources were the Expeditionary Medical Encounter Database for injury-specific data, the Pharmacy Data Transaction Service for outpatient medication prescriptions and refills, and the Military Health System Data Repository for diagnostic codes of pain and psychological disorders. Military trauma nurses reviewed casualty records to identify types of injuries. Using the American Hospital Formulary Service Pharmacologic-Therapeutic Classification system, clinicians identified 13 categories of prescription medications (eg, opioid, psychotherapeutic, immunologic) for analysis. Multivariable negative binomial and logistic regression analyses evaluated significant associations between independent variables (eg, blast injury, traumatic brain injury [TBI], ISS, limb amputation, diagnoses of chronic pain, or psychological disorders) and prescription measures (ie, number or category of medication prescriptions). We also describe longitudinal changes in prescription activity postinjury across consecutive quarterly intervals (91 days) during the first-year postinjury. Results During the first-year postinjury, patients averaged 61 outpatient prescriptions, including all initial prescriptions and refills. They averaged eight different categories of medications, primarily opioid, immunologic, gastrointestinal/genitourinary, central nervous system (CNS), nonopioid analgesic, and psychotherapeutic medications (representing 82% of prescriptions) during the first year. Prescription activity generally declined across quarters. There was still substantial prescription activity during the fourth quarter, as 79% of patients had at least one prescription. From 39 to 49% of patients had fourth-quarter prescriptions for opioid, CNS, or psychotherapeutic medications. Longitudinally, we found that 24–34% of patients had an opioid, CNS, or psychotherapeutic prescription during each of the final three quarters. In multivariable analysis, ISS, limb amputation (particularly bilateral amputation), and diagnoses of chronic pain and post-traumatic stress disorder (PTSD) were associated with significantly higher counts of individual and multiple medication prescriptions. TBI was associated with significantly lower numbers of prescriptions for certain medications. Conclusions This is one of the first studies to provide a systematic analysis of outpatient medication prescriptions following serious combat injury. The results indicate substantial prescription activity from multiple medication categories throughout the first-year postinjury. Diagnoses of chronic pain, PTSD, and limb amputation and ISS were associated with significantly higher counts of prescriptions overall and more prescription medication categories. This study provides initial evidence to better understand medication prescription activity following serious combat injury. The results inform future research on medication prescription practices and planning for rehabilitation.
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Ekedahl, Anders, Helen Brosius, Julia Jönsson, Hanna Karlsson, and Maria Yngvesson. "Discrepancies between the electronic medical record, the prescriptions in the Swedish national prescription repository and the current medication reported by patients." Pharmacoepidemiology and Drug Safety 20, no. 11 (2011): 1177–83. http://dx.doi.org/10.1002/pds.2226.
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Byambasuren, Oyungerel, Elaine Beller, Tammy Hoffmann, and Paul Glasziou. "mHealth App Prescription in Australian General Practice: Pre-Post Study." JMIR mHealth and uHealth 8, no. 6 (2020): e16497. http://dx.doi.org/10.2196/16497.
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Background Evidence of effectiveness of mobile health (mHealth) apps as well as their usability as non-drug interventions in primary care are emerging around the globe. Objective This study aimed to explore the feasibility of mHealth app prescription by general practitioners (GPs) and to evaluate the effectiveness of an implementation intervention to increase app prescription. Methods A single-group, before-and-after study was conducted in Australian general practice. GPs were given prescription pads for 6 mHealth apps and reported the number of prescriptions dispensed for 4 months. After the reporting of month 2, a 2-minute video of one of the apps was randomly selected and sent to each GP. Data were collected through a prestudy questionnaire, monthly electronic reporting, and end-of-study interviews. The primary outcome was the number of app prescriptions (total, monthly, per GP, and per GP per fortnight). Secondary outcomes included confidence in prescribing apps (0-5 scale), the impact of the intervention video on subsequent prescription numbers, and acceptability of the interventions. Results Of 40 GPs recruited, 39 commenced, and 36 completed the study. In total, 1324 app prescriptions were dispensed over 4 months. The median number of apps prescribed per GP was 30 (range 6-111 apps). The median number of apps prescribed per GP per fortnight increased from the pre-study level of 1.7 to 4.1. Confidence about prescribing apps doubled from a mean of 2 (not so confident) to 4 (very confident). App videos did not affect subsequent prescription rates substantially. Post-study interviews revealed that the intervention was highly acceptable. Conclusions mHealth app prescription in general practice is feasible, and our implementation intervention was effective in increasing app prescription. GPs need more tailored education and training on the value of mHealth apps and knowledge of prescribable apps to be able to successfully change their prescribing habits to include apps. The future of sustainable and scalable app prescription requires a trustworthy electronic app repository of prescribable mHealth apps for GPs.
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Molina, Kaitlyn E., Brie N. Noble, Christopher J. Crnich, et al. "63. Frequency and Outcomes of Patients Prescribed Antibiotics for Extended Durations on Discharge from the Hospital to Nursing Homes." Open Forum Infectious Diseases 7, Supplement_1 (2020): S51—S52. http://dx.doi.org/10.1093/ofid/ofaa439.108.
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Abstract Background Nursing home (NH) residents are at increased risk of being prescribed antibiotic for extended durations and experiencing antibiotic-associated adverse events. However, many of these antibiotics are prescribed in the hospital prior to NH admission. We quantified the frequency, characteristics and outcomes of patients receiving antibiotic treatment in the hospital and discharged to NHs with an antibiotic prescription for greater than 7 days. Methods This was a retrospective cohort study of adult (age >18 years) patients with a prescription for an antibiotic on discharge from Oregon Health & Science University Hospital (OHSU) to a NH between January 1, 2016 and December 31, 2018. Study data were collected from an electronic repository of patients’ electronic health record data. Outcomes of interest included having an emergency department (ED) visit, inpatient hospital admission, or inpatient admission for Clostridioides difficile infection (CDI) at the index facility within 30 days of discharge. Results Among 2969 antibiotic prescriptions on discharge, 1267 (42.7%) were prescribed for greater than 7 days to a total of 1059 patients. A diagnosis of a bacterial infection was present for 902 (85.2%) patients. The most frequent diagnoses were bloodstream/endocarditis (21.8%), osteomyelitis (11.6%), and skin and soft tissue infections (10.6%). The most frequently prescribed antibiotics were cephalosporins (24.2%), penicillins (14.1%), glycopeptides (12.9%), and fluoroquinolones (12.6%). Of the 1059 identified patients, 126 (11.9%) had an ED visit, 216 (20.4%) inpatient admission, and 16 (1.5%) had an admission for CDI within 30 days of discharge. Conclusion More than 40% of antibiotic prescriptions on discharge to a NH were for greater than 7 days. This frequency and associated poor outcomes suggest extended antibiotic duration are a high-value target to improve antibiotic prescribing on discharge to NHs. Disclosures All Authors: No reported disclosures
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Paget, Chris. "APPROPRIATE DOSE ROUNDING OF CYTOKINE MODULATORS FOR PAEDIATRIC RHEUMATOLOGY INPATIENTS." Archives of Disease in Childhood 101, no. 9 (2016): e2.40-e2. http://dx.doi.org/10.1136/archdischild-2016-311535.45.
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BackgroundCytokine modulators (adalimumab, infliximab, etanercept, anakinra, canakinumab, rituximab, tocilizumab and abatacept) are high-cost biologics used primarily in paediatrics to treat patients with juvenile idiopathic arthritis.1 Funding mechanisms are unreliable and inconsistent hence appropriate dose rounding is a key cost-saving measure.2 However, there is a lack of evidence-based guidance for dose rounding in paediatrics.3 Aims and objectivesDetermine if 100% of inpatient cytokine modulator prescriptions in rheumatology are dose rounded up or down to the nearest whole vial, pen or syringe if within 5 or 10% of the dose for patients less or more than 10 kg respectively.Establish financial impact of drug wastage due to failures in dose rounding.MethodRetrospective data collection of electronic prescriptions for all cytokine modulators prescribed for rheumatology inpatients from January 2011 to December 2014. Prescriptions analysed using a five step process to determine if doses could have been rounded to nearest whole dose unit. Cost of waste resulting from failure to dose round also calculated.ResultsOnly 35% (380/1100) of prescriptions rounded to the nearest whole dose unit therefore audit standard not met. 97% (698/720) of all prescriptions not dose rounded were for tocilizumab and infliximab with approximate annual wastage of £11,000. Unexpected and significant unavoidable wastage identified due to lack of paediatric-friendly dose unit sizes, particularly for canakinumab (approximately £740,000/year).DiscussionAppropriate dose rounding does not appear to be common practice. Raising awareness and educating rheumatology and pharmacy teams as well as establishing local dose banding or rounding guidelines may improve future results. Tocilizumab is available in 80 mg, 200 mg and 400 mg vials therefore there is scope for flexibility in dose rounding if combinations are used appropriately. Unavoidable waste may be reduced through use of pharmacy central intravenous additive service (CIVAS) for preparation or use of biosimilars.
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Jordán, Jaume, Soledad Valero, Carlos Turró, and Vicent Botti. "Using a Hybrid Recommending System for Learning Videos in Flipped Classrooms and MOOCs." Electronics 10, no. 11 (2021): 1226. http://dx.doi.org/10.3390/electronics10111226.
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New challenges in education require new ways of education. Higher education has adapted to these new challenges by means of offering new types of training like massive online open courses and by updating their teaching methodology using novel approaches as flipped classrooms. These types of training have enabled universities to better adapt to the challenges posed by the pandemic. In addition, high quality learning objects are necessary for these new forms of education to be successful, with learning videos being the most common learning objects to provide theoretical concepts. This paper describes a new approach of a previously presented hybrid learning recommender system based on content-based techniques, which was capable of recommend useful videos to learners and lecturers from a learning video repository. In this new approach, the content-based techniques are also combined with a collaborative filtering module, which increases the probability of recommending relevant videos. This hybrid technique has been successfully applied to a real scenario in the central video repository of the Universitat Politècnica de València.
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McGarrity, Orlagh, and Coralie Robson. "P33 Antimicrobial prescribing point prevalence study at a paediatric tertiary/quaternary centre." Archives of Disease in Childhood 105, no. 9 (2020): e23.2-e24. http://dx.doi.org/10.1136/archdischild-2020-nppg.42.
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AimsIncreasing antibiotic resistant organisms combined with frequent, inappropriate use of antibiotics is giving rise to infections which may no longer be able to be treated1. The aim of this prevalence study was to audit antimicrobial prescribing at a Hospital against Trust antimicrobial policies to determine whether the rising trend in antimicrobial prescribing is appropriate.MethodsThe data was collected in a point prevalence manner; prescriptions that were active at the time of auditing were included and those which were discontinued or prescribed and not yet administered were excluded. A data collection template was designed and distributed to ward pharmacists with education on how to complete. The following parameters were audited; allergy status, antibiotic name, route, indication, duration, review date as well as the ward and speciality. Ward pharmacists assessed whether the prescription was in line with Trust guidelines/ID/Micro recommendations. Data was collected into a central database, as well time taken to audit.The audit standards were90% of patients prescribed an antimicrobial for an indication in line with Trust policy or ID/Micro90% of patients prescribed an antimicrobial for a duration in line with Trust policy or ID/Micro90% of patients have an allergy status documentedResults272 inpatient charts were reviewed. 153 of these patients (56%) were prescribed an antimicrobial.398 antibiotic prescriptions were included for audit. 38% of prescriptions were for medical/surgical prophylaxis. Prophylactic prescriptions were not included for further analysis. 85% of prescriptions had an indication documented either on the electronic chart (JAC) or written in the paper medical notes. 98% of prescriptions were as per policy or in line with recommendations from ID/Micro. 61% of prescriptions had a review date documented. 100% of patients had an allergy status documented. Average duration of antibiotic prescription was 8 days, range 1–50 days, median 5. 80% of prescriptions were IV. 70% of antimicrobial prescribing takes place in the ICU/cancer/transplant setting. Respiratory tract infections were the most common indication for antimicrobial prescribing, 35%. Amikacin was the most commonly prescribed antibiotic (15%), followed by piperacillin/tazobactam (14%). The audit cost in terms of pharmacist time was £763, at a total of 33 hours.ConclusionsPolicy compliant prescribing was very high at 98%; this figure is surprisingly high and poses questions as to the accuracy of data collection and whether bias was present. As a Trust we are now interested and will focus on improving intravenous to oral switches and reviewing and documenting patients’ antimicrobial therapy regularly. As a tertiary/quaternary centre we treat complicated immunocompromised patients; we are unlikely to lower the burden of infection. Approximately 75% of antimicrobial prescribing was in the ICU and cancer and transplant setting, however we must optimise the use of antimicrobials and demonstrate good antimicrobial stewardship. This data will act as a baseline for a subsequent audits which will be carried out using the newly implemented EPIC® patient management system.ReferenceGOV.UK. 2019. Antimicrobial Resistance (AMR). [ONLINE]Available at: https://www.gov.uk/government/collections/antimicrobial-resistance-amr-information-and-resources [Accessed 2 July 2019].
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Okite-Amughoro, Faith, Lefose Makgahlela, and Solomon Bopape. "CHALLENGES OF USING ELECTRONIC INFORMATION RESOURCES FOR ACADEMIC RESEARCH BY POSTGRADUATE STUDENTS AT DELTA STATE UNIVERSITY, ABRAKA, NIGERIA." Mousaion: South African Journal of Information Studies 33, no. 4 (2016): 23–37. http://dx.doi.org/10.25159/0027-2639/186.
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This article reports on a study that explored the challenges of using electronic information resources (EIRs) for academic research by post-graduate students at Delta State University (DELSU), Abraka, Nigeria. The study used a structured questionnaire, distributed to 150 post-graduate students from the faculties of Sciences, Social Sciences and Arts, that is, 50 post-graduate students per faculty, and personal interviews were held with selected individuals within the institution to collect data. The central focus of the study was the post-graduate students’ access to EIRs; the current status of EIRs in their institution; how often they use these resources for academic research purposes; and above all, the challenges that they encounter when using EIRs. The findings showed that post-graduate students’ optimal use of EIRs at DELSU is hampered by limited access to some EIRs due to limited space, low bandwidth, and erratic power supply. It is, therefore, recommended that DELSU should provide adequate space and power supply and should address some of the issues deterring equitable access to EIRs. Development of an institutional repository and use of open access resources would also improve access to scientific and electronic information.
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Gao, Shang, Xuewu Dai, Yu Hang, Yuyan Guo, and Qian Ji. "Airborne Wireless Sensor Networks for Airplane Monitoring System." Wireless Communications and Mobile Computing 2018 (2018): 1–18. http://dx.doi.org/10.1155/2018/6025825.
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In traditional airplane monitoring system (AMS), data sensed from strain, vibration, ultrasound of structures or temperature, and humidity in cabin environment are transmitted to central data repository via wires. However, drawbacks still exist in wired AMS such as expensive installation and maintenance, and complicated wired connections. In recent years, accumulating interest has been drawn to performing AMS via airborne wireless sensor network (AWSN) system with the advantages of flexibility, low cost, and easy deployment. In this review, we present an overview of AMS and AWSN and demonstrate the requirements of AWSN for AMS particularly. Furthermore, existing wireless hardware prototypes and network communication schemes of AWSN are investigated according to these requirements. This paper will improve the understanding of how the AWSN design under AMS acquires sensor data accurately and carries out network communication efficiently, providing insights into prognostics and health management (PHM) for AMS in future.
Dissertations / Theses on the topic "Central Repository of electronic prescriptions"
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Křížek, Josef. "Řízení kvality zdraví v ČR." Master's thesis, Vysoká škola ekonomická v Praze, 2009. http://www.nusl.cz/ntk/nusl-15360.
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A large number of attitudes and methods of dealing with health service, or, more precisely, health, occur in theory and practice. The aim is to examine the efficiency of the implementation of the current projects, i.e. efficient application of tools of managing the quality of health. Theoretical rationales characterize understanding of conception of the quality of health especially in the sphere of health service. Moreover, this part introduces selected tools of managing the quality of health. The analytical part is focused on the institutional environment in connection with current challanges of eHealth implementation. The Central Repository of electronic prescriptions as the tool of managing the quality of health and the basis for ePrescription is one of the mentined challenges. The final part concerns with future trends in the Central Repository of electronic prescriptions and international projects, e.g. epSOS project. The EU is established on the principle of benchmarking, among other things. Possible future advances need to be considered in the context of foreign projects. For this reason, the Danish eHealth situation is included in the conclusion.
Book chapters on the topic "Central Repository of electronic prescriptions"
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Leong, Hong Va. "Database Support for M-Commerce and L-Commerce." In Electronic Services. IGI Global, 2010. http://dx.doi.org/10.4018/978-1-61520-967-5.ch047.
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M-commerce (mobile commerce) applications have evolved out of e-commerce (electronic commerce) applications, riding on recent advancement in wireless communication technologies. Exploiting the most unique aspect inherent in m-commerce, namely, the mobility of customers, l-commerce (location-dependent m-commerce) applications have played an increasingly important role in the class of m-commerce applications. All e-commerce, m-commerce, and l-commerce applications rely on the provision of information retrieval and processing capability. L-commerce applications further dictate the maintenance of customer and service location information. Various database systems are deployed as the information source and repository for these applications, backed by efficient indexing mechanisms, both on regular data and location-specific data. Bean (2003) gave a good report on supporting Web-based e-commerce with XML, which could be easily extended to m-commerce. An m-commerce framework, based on JINI/XML and a workflow engine, was defined by Shih and Shim (2002). Customers can receive m-commerce services through the use of mobile devices such as pocket PCs, PDAs, or even smart phones. These mobile devices together with their users are often modeled as mobile clients. There are three types of entities central to m-commerce and l-commerce applications: mobile device, wireless communication, and database. In this article, we focus our discussion on mobile-client enabled database servers, often referred to as mobile databases. Mobile databases maintain information for the underlying m-commerce and l-commerce applications in which mobile devices serve as the hardware platform interfacing with customers, connected through wireless communication. Location is a special kind of composite data ranging from a single point, a line, a poly-line, to a shape defining an area or a building. In general, locations are modeled as spatial objects. The location of a static point of interest, such as a shop, is maintained in a database supporting spatial features and operations, often a spatial database (Güting, 1994). The location of a moving object, like a mobile customer, needs to be maintained in a moving object database (Wolfson, Sistla, Xu, Zhou, & Chamberlain, 1999), a database that supports efficient retrieval and update of object locations. To enable l-commerce, both spatial databases and moving object databases need to support location-specific query processing from mobile clients and location updates they generated. The two major types of data access requirements for a mobile database are data dissemination and dedicated data access. Data dissemination is preferred, since it can serve a large client population in utilizing the high bandwidth downlink channel to broadcast information of common interest, such as stock quotations, traffic conditions, or special events. On the other hand, dedicated data access is conveyed through uplink channels with limited bandwidth. To disseminate database items effectively, the selected set of hot database items can be scheduled as a broadcast disk (Acharya, Alonso, Franklin, & Zdonik, 1995). Proper indexes can be built to facilitate access to broadcast database items (Imielinski & Badrinath, 1994). Redundancy can be included in data (Leong & Si, 1995) and index (Tan & Ooi, 1998) to combat the unreliability of wireless communication.