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In another example, specific education was done after prescribers expressed difficulty in navigating the electronic formulary.
Although an electronic formulary is available on the intranet, it cannot be accessed directly from the CPOE system when it is most needed during order entry.
Although the proper drug regimens are outlined in the electronic formulary, they are not easily available at the time of prescribing.
From a systems standpoint, antibiotic prescribing may require additional system fixes, such as easier access to electronic formulary at the time of prescribing, to drive the desired behaviours.
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Other negative comments included problems with penalties due to noncompliance with formularies, the lack of electronic formularies, the potential to cause confusion, questionable benefit for patients and consent issues.
We assessed the effect of electronic prescribing (e-prescribing) with formulary decision support on preferred formulary tier usage, copayment, and concomitant adherence.
Our analysis focuses on the potential of electronic prescribing (e-prescribing) with formulary decision support (FDS) to help physicians know, and thus choose, the lowest-tiered medication within a given class.
Information resources that doctors may benefit from include easy access to hospital addresses, protocols, evidence-based guidelines, textbooks, electronic patient records and drug formularies, to mention but a few [ 3, 4].
We follow the dosing regimen indicated by the marketing authorisation for a given biologic drug, gathering this information from the posology described in the drug's package inserts, the summary of product characteristics (Sm PC) posted on the European Medicines Agency (EMA) website; the British National Formulary (BNF) or the electronic Medicines Compendium (eMC).
Examples of CDSS are electronic reminders, alerts, medication pick-lists, formularies, dose calculators, medication regime management suggestions or guideline presentation.
Lexi-Comp: a pediatric-specific reference for pharmacotherapy guidance and drug formulary information (available in hardcopy and electronic formats; CHOP has on-line version accessible from EMR system).
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