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However, the study was based on identifying discrepancies between electronic prescription records and electronic dispensing records; there was no check of dispensed items.
Furthermore, electronic dispensing is rare in the health facilities because of its associated technological challenges.
By contrast, short term adherence measured by pharmacy refill can be easily implemented, especially in clinics with electronic dispensing, without incurring large additional costs.
Although our study was conducted in the context of a randomized clinical trial, we believe our findings have applicability to any pharmacoepidemiologic study that might be conducted using electronic dispensing records.
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The selection was based on the availability of the electronic ARV dispensing tool which captured data at least 12 months before and 12 months after the deployment of the ASWs.
The majority of respondents (eight) also reported receiving electronic repeat dispensing prescriptions.
Electronic pharmacy dispensing records are considered the gold standard of prescribed medicines exposure information, compared with patient notes and self-reported information.
A closed loop electronic prescribing, dispensing and administration system may help confront some of the problems between different healthcare professionals identified above [ 103].
The DBI will be measured for all participants at baseline and follow-up using electronic pharmacy dispensing records corrected for actual medication intake based on a double check with the patient by telephone.
Daily hand searching of ED charts, pharmacy record queries and electronic medication dispensing system queries are used depending on site opinion of the most reliable method at their institution.
In December 2009, a cumulative total of 16 million electronic prescriptions dispensed was reached, adding more than 800 000 of the insured population and more than 5000 health professionals (3289 general practitioners and 2497 pharmacists).
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