With new treatments and drugs coming out all the time, careful prescription management and oversight are critical to patients' health and a major issue for physicians, nurses and other clinicians. EMR software and other technologies offer prescription management help to make things somewhat less complex, but clinicians still need to stay up-to-date with the latest research and advances.
This week's Clinical Documentation News Roundup includes some of the latest research on prescription drugs as well as updates on how technology is helping with prescription management.
- Clinical Decision Support Tool Reduces Tests, Antibiotic Use at Medscape: "Providers who used an integrated clinical decision support tool for the management of patients with respiratory tract infections were less likely to prescribe antibiotics or order point-of-care testing when compared with providers not using the tool. Results of the randomized controlled trial were published online July 29 in JAMA Internal Medicine."
- Deadly Epidemic: Prescription Drug Overdoses at USA TODAY: "A growing epidemic of overdoses of prescription painkillers is leading to a record numbers of deaths, especially among women, according to the Centers for Disease Control and Prevention. 'More women are dying at rates that we have never seen before,' CDC Director Dr. Thomas Frieden said about the findings, which were released earlier this month. 'Stopping this epidemic in women—and men—is everyone's business,' Frieden added."
- How Express Scripts Uses Analytics To Improve Patient Outcomes at Forbes: "The typical prescription fulfillment process is for customers to visit a pharmacy. In many cases, the pharmacy sends Express Scripts an electronic transaction, and we do 150 safety and eligibility checks on the transaction. Information is sent back to the pharmacy so that the pharmacist knows whether the patient will have an issue with a drug interaction, whether it is OK to fill the prescription, and what the cost will be, and how much will be reimbursed for that transaction. That is done in about 0.6 seconds between eight and ten million times per day or about 1.4 billion times per year."
- Discontinuation Rates High With Type 2 Diabetes Drugs at Internal Medicine News: "Only 31% of patients with type 2 diabetes who were placed on a glucagonlike peptide-1 agonist persisted on the medication for at least 6 months in a very large national retrospective cohort study. That’s significantly lower than the 39% rate of 6-month treatment persistence in patients placed on a dipeptidyl-peptidase-4 inhibitor, Carol E. Koro, Ph.D., reported at the annual scientific sessions of the American Diabetes Association."
- Back Pain Treatment Often Not in Line With Guidelines at Reuters: "Despite guidelines to treat back pain conservatively, the proportion of people prescribed powerful painkillers or referred for surgery and other specialty care has increased in recent years, according to a new study....The American College of Physicians and the American Pain Society recommend that people with low back pain consider treatment with Tylenol or non-steroidal anti-inflammatory drugs (NSAIDs), as well as heating pads and exercise. The groups say doctors should only order CT and other scans when they suspect nerve damage. Opioids are only recommended for patients with 'severe, disabling pain' that doesn't get better with over-the-counter medicines -- and their risks, such as for abuse and addiction, should be weighed against potential benefits."
Logan Solutions uses a combination of clinical practice expertise and technological skill to help physician practices throughout the U.S. implement, customize and improve their ERM and Dragon Medical software systems. Contact us to find out how our clinical-practice expertise can help your practice with its clinical documentation software needs.