Completeness of prescription recording in outpatient medical records from a health maintenance organization

West, Suzanne L.; Strom, Brian L.; Freundlich, Bruce; Normand, Esther H.; Koch, Gary G.; Savitz, David A.

doi:10.1016/0895-4356(94)90021-3

Cited by 74 publications

(40 citation statements)

References 15 publications

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“…This was primarily due to differences in or lack of documentation of the formulation and strength of the antiretroviral drug (ritonavir liquid and capsule, and stavudine 30 and 40 mg). West et al 8 showed similar results in their study on the completeness of medical records for drug therapy relative to a database of dispensed pharmaceuticals. Of the 501 medical records reviewed, 11% of dispensed nonsteroidal antiinflammatory drugs (NSAIDs) were not entered into the medical record as having been prescribed to the patient.…”

Section: Discussionsupporting

confidence: 62%

Discrepancies between Medical and Pharmacy Records for Patients on Anti-HIV Drugs

et al. 2002

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OBJECTIVE: To compare and evaluate drug notations in outpatient medical records and in pharmacy records in a cohort of HIV-1–infected patients treated with antiretroviral drugs. METHODS: Data on 103 patients were obtained from January 1, 1998, through December 31, 1999, by medical chart review and collection of pharmacy records. Two analyses were performed. First, antiretroviral drugs and comedication in the pharmacy records were documented and compared with their appearance in the outpatient medical records. Second, a detailed comparison was performed at 5 time points during the study period for the antiretroviral drugs. Generic name, formulation, strength, and frequency of dosing as registered in the outpatient medical records were compared with those registered in the pharmacy records. RESULTS: Total drug dispensation was 1607 (366 and 1241 antiretroviral drugs and comedication, respectively). The first screening resulted in a total discrepancy of 55.1% (n = 885), of which 97.1% (n = 859) was attributed to the comedication and 2.9% (n = 26) to the antiretroviral drugs. The discrepancy for the antiretroviral drugs at the specific time points ranged from 5.1% to 12.6% when the generic name only was used, and from 7.1% to 17% when formulation, strength, and frequency of dosing were also taken into account. CONCLUSIONS: The observed discrepancy between outpatient medical records and pharmacy records mainly concerns the comedication. For the antiretroviral drugs fewer, but still substantial, discrepancies were observed. These results indicate that full exchange of information concerning drug use in this population between general practitioners and specialists (infectious disease) is lacking.

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Section: Discussionsupporting

confidence: 62%

Discrepancies between Medical and Pharmacy Records for Patients on Anti-HIV Drugs

et al. 2002

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“…Duration of treatment had been documented in less than three-fourth of encounters. The legality, validity, reliability and completeness of prescription papers have overwhelming influence on rational utilization of drugs throughout the globe [15]. However, prescribers have often used prescription in the wrong way.…”

Section: Discussionmentioning

confidence: 99%

Drug Prescribing and Dispensing Practices in Tertiary Care Hospital of Eastern Ethiopia: Evaluation with World Health Organization Core Prescribing and Patient Care Indicators

Sisay¹,

Abdela²,

Kano³

et al. 2017

Clin Exp Pharmacol

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Background: Rational prescribing, dispensing and patient use are the major components of rational drug use; however, the actual drug use pattern is not in line with World Health Organization (WHO) guidelines and is often irrational in many healthcare settings, particularly in developing countries. Therefore, this study aimed to highlight general prescribing and dispensing practices at Hiwot Fana Specialized University Hospital (HFSUH) outpatient settings.

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“…On the other hand, diversion or not taking filled prescriptions of opioid analgesic would result in an overestimation of the actual opioid ingestion. Nevertheless, automated pharmacy dispensing information is usually seen as the gold standard of drug exposure compared to self-reported information (15) or prescribing records in outpatient medical records (16).…”

Section: Discussionmentioning

confidence: 99%

Increase in Prescription Opioid Use During Pregnancy Among Medicaid-enrolled Women

Desai

Hernández–Dı́az

Bateman

et al. 2015

Obstetric Anesthesia Digest

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Objective-To report the prevalence of prescription opioid use and evaluate the trends in a large cohort of Medicaid-enrolled pregnant women.Methods-A cohort of pregnancies was identified using data from the Medicaid Analytical eXtract for the period of 2000-2007. Dispensing of opioids, as a class and separately for individual agents, was evaluated using claims from filled prescriptions. Variations in patterns of prescription opioid fills were examined by demographic characteristics, by geographic region, and over time. Median number of opioid prescriptions dispensed and cumulative days of availability for prescription opioids during pregnancy were reported.Results-The study population consisted of over 1.1 million women with completed pregnancies, from 46 US states and Washington, DC. One out of five women from our cohort (21.6%) filled a prescription for an opioid during pregnancy; this proportion increased from 18.5% in 2000 to 22.8% in 2007. Substantial regional variation was seen with the proportion of women who filled a prescription during pregnancy, ranging between 9.5% and 41.6% across the states. Codeine and hydrocodone were the most commonly prescribed opioids. Among women filling at least one opioid prescription, the median (IQR) number of prescriptions filled was 1 (1-2) and the median (IQR) cumulative days of opioid availability during pregnancy were 5 (3-13) days.Conclusion-We observed high and increasing number of filled prescriptions for opioids during pregnancy among Medicaid-enrolled women. These findings call for further safety evaluations of these drugs and their effects on the developing fetus in order to inform clinical practice.

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Completeness of prescription recording in outpatient medical records from a health maintenance organization

Cited by 74 publications

References 15 publications

Discrepancies between Medical and Pharmacy Records for Patients on Anti-HIV Drugs

Discrepancies between Medical and Pharmacy Records for Patients on Anti-HIV Drugs

Drug Prescribing and Dispensing Practices in Tertiary Care Hospital of Eastern Ethiopia: Evaluation with World Health Organization Core Prescribing and Patient Care Indicators

Increase in Prescription Opioid Use During Pregnancy Among Medicaid-enrolled Women

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