The I‐STOP Program and Narcotic Prescriptions Following Facial Reconstructive Plastic Surgeries
0
Citation
14
Reference
10
Related Paper
Abstract:
Objectives To explore the effect of e‐prescribing requirements on narcotic dispersion in New York State. Slicer Dicer was used to identify patient records based on CPT codes. Methods We investigated the influence of New York State e‐prescribing requirements on narcotic dispersion following five common facial plastics procedures. Slicer Dicer was used to identify patient records based on CPT codes.We then looked at narcotic prescription rates following those surgeries between March 2014 and March 2018 at an academic institution. Results Overall, between March 2014 and March 2018, 76.1% of the sample received a narcotic prescription following a facial reconstructive plastic surgery. Patients who underwent rhinoplasty were most likely to receive a prescription for postoperative narcotics. The implementation of ISTOP, CPT code, use of non‐narcotic adjuvant, and insurance type were each significantly associated with prescription of postoperative narcotics. Surgery time and age in years were significantly associated with prescription of postoperative narcotics. Ultimately, when controlling for the aforementioned clinical and sociodemographic variables included in the study, those who underwent surgery after the implementation of ISTOP were 42.8% less likely to receive a prescription for postoperative narcotics, aOR = 0.572, 95% CI 0.356, 0.919, p = 0.021. Conclusions New York State's ISTOP program has succeeded in reducing the number of postoperative narcotic prescriptions following facial plastic reconstructive surgeries at this academic institution. However, opioid medications can still be utilized for postoperative analgesia when clinically appropriate. Level of Evidence 3 Laryngoscope , 134:1208–1213, 2024Keywords:
Narcotic
Reconstructive Surgery
We began to print the laboratory data of each patient on their in-hospital prescription in April, 2010 and further introduced a prescription checking system associated with laboratory data in December, 2014. This study evaluated the changed prescriptions based on prescription queries and the usefulness of using prescriptions with laboratory data as well as the prescription checking system. We examined the number of changed in-hospital prescriptions after the prescription queries in three periods: before and after using prescriptions with laboratory data (from June, 2009 to November, 2009 and from June, 2010 to November, 2010, respectively), and after the introduction of the prescription checking system (from September, 2016 to August, 2017). Although there were no changed prescriptions based on the laboratory data before using prescriptions with laboratory data, 6.6％ of changed prescriptions were based on laboratory data after using prescriptions with laboratory data. In addition, the changed prescription ratio based on laboratory data significantly increased after the introduction of the prescription checking system compared with that after using prescriptions with laboratory data (8.9％ versus 6.6％, P = 0.015). In conclusion, using prescriptions with laboratory data and the prescription checking system associated with laboratory data were useful for checking prescriptions effectively in order to avoid adverse drug reactions.
Cite
Citations (0)
Objective To advance prescription quality and standardize prescriptions by analyzing outpatient prescriptions,so as to accommodate the clinic treatment.Methods Judging and analyzing 300 random samples of outpatient prescriptions drew out in the second season in 2010,according to measures for the administration of prescriptions and measures for the administration of prescriptions in hospital.Results There are 144 illogical prescriptions(48.00 percent),114 nonstandard prescriptions(38.00 percent),13 inexact prescriptions(4.33 percent) and 17 excess prescriptions(5.67 percent) in the 300 random samples.Conclusion There is much matter in outpatient prescriptions,and eligible prescriptions are deficient.We shoud study measures for the administration of prescriptions more hard to advance prescription quality and standardize prescriptions,so as to accommodate the clinic treatment.
Outpatient clinic
Cite
Citations (0)
Abstract Objectives This study evaluated prescribing in children under the age of five attending paediatric outpatient clinics at three Central hospitals in Delta State, Nigeria and determined the conditions mostly associated with inappropriate prescriptions and omissions. Methods This was a retrospective study of prescriptions made to children from 0 to 59 months who attended the clinics. Prescriptions were evaluated using the POPI tool, occurrence of potentially inappropriate prescriptions and prescribing omissions were reported as percentages and inappropriate prescription types and prescription omissions were also reported as frequencies. Relationship between inappropriate prescriptions, omissions of prescriptions and age group and gender were determined, P < 0.05 was considered significant. Key findings A total of 1327 prescriptions from the three centres were analyzed. There was a preponderance of infants (>1 month–12 months of age) in the study (43.0%) and a somewhat even gender distribution. Exactly 29.8% of all the prescriptions studied had at least one occurrence of inappropriate prescription. The use of H1 antagonists with sedative or atropine-like effects accounted for the majority of inappropriate prescriptions (49.5%), while the prescription of drinkable amoxicillin or other antibiotics in doses other than mg was the most frequent omission of prescription (97.2%). There was a significant relationship between the occurrence of inappropriate prescription and age group (P > 0.001). Conclusions Inappropriate prescriptions and omissions of prescriptions were high and effectively detected by the POPI tool.
Cite
Citations (0)
Objective To explore the effect of prescription evaluation system on rational drug use.Methods A total of 825 prescriptions written for medications in Shenzhen Bao'an District Fuyong People's Hospital between 2012-2013 were selected as the research subjects and were divided into two groups. The prescription evaluation system was used in intervention group,but not in non-intervention group. The basic prescription indexes and the proportion of irrational prescriptions were compared between the two groups. Results Compared with non-intervention group,the basic prescription indexes were significantly improved in intervention group( P 0. 05). In addition, the proportions of non-standard prescriptions,inappropriate medication prescriptions and unconventional prescriptions in intervention group were significantly lower than those in non-intervention group(P0.05). Conclusion Prescription evaluation system can significantly increase the proportion of rational prescriptions and reduce unreaso-nable prescription-induced adverse reactions and medical costs.Therefore,prescription evaluation system has an important clinical value.
Cite
Citations (0)
This essay systematically discussed the creation idea and application mode of ‘main disease-main prescription'on the basis of defining the connotation of ‘main disease-main prescription' ‘specific disease-specific prescription' and ‘prescriptions that can cure many diseases'.It also pointed out that ‘main disease-main prescription' is aimed at the main pathogenesis through the whole course of disease, and one prescription is used as the main prescription, modified according to the state of illness, syndrome and constitution of patients.It reflects the view of uniform of disease, constitution and syndrome. It differed from‘specific disease-specific prescription' and prescriptions that can cure many diseases. Its creation idea mainly includes discriminating pathogenesis, differentiating constitutions, transplantation, combination and creation. Its application mode includes main prescription-plus minus, jointed prescriptions-dissemble, constitution regulation prescription and sequential prescription. 2 cases were attached in the back part of the text for further demonstration.
Connotation
Cite
Citations (0)
Objective: To analyse Chinese medicine prescriptions of our hospital,to promote clinic prescription better.Methods: 1 825 Chinese medicine prescriptions of our hospital were analysed from January to December in 2010.Results: The failure prescriptions had a 21.2% share in the whole prescriptions,there were some ways in the prescriptions such as incomplete prescription,drug use and diagnostics discrepant,improper usage and dosage,incompatibility of drugs in a prescription,repeat medication and combination not appropriate.Conclusion: The author considers we should analyse prescription regularly in order to promote doctors and pharmacists' medicine knowledge and use Chinese medicine reasonable.
Cite
Citations (0)
Objective To compare and analyze the changes in quality of outpatient prescription before and after the implementation of comment on prescription,which includes the reasonableness of the use of medicine and the qualified rate of the writing of prescription.Methods The comment was made on the prescriptions of the patients who were diagnosed in the outpatient department of our hospital from 2006 to 2007.Results After the impIementation of comment on prescription,the rate of probiem prescription was 3.66%,which was absolutely lower than that before the implementation of comment on prescription(14.1%).Conclusions After the comment on unreasonable prescriptions and unreasonable use of medicine,the interference and warning for the reasonable prescription of medical practi-tioner would be strengthened,which would make the management of medicine,writing out and adjustment of prescription and control of medical cost more Scientific,reasonable and standard.
Key words:
Comment on prescription; Quality of prescription; Comparative analvsis
Cite
Citations (0)
The object of this paper is to show the trend of the physician in his prescribing at the present time. Five hundred prescriptions were carefully examined as they were received and filed in each of two of Philadelphia's best prescription stores, both of which are managed by able and energetic pharmacists, who have had collegiate training. Five hundred prescriptions were examined in each store in order to make proper comparisons, and also to give a more general report of the type of the modern prescription. These stores were so located that they received prescriptions from all the leading physicians of the city, and a large number of the prescriptions were from the pens of the professors and instructors on our medical school and hospital staffs, as well as a number from physicians in general practice, so that these prescriptions represent the type of prescription as written by our best practitioners
Cite
Citations (0)
Duplicate prescription pads are used in many family practice residency programs to monitor prescribing patterns and detect errors in the actual prescription-writing process. This study looked at whether the review of duplicate prescriptions could be enhanced by adding the patient's diagnosis to the prescription.The prescription-writing errors of Shaughnessy and Nickel were revised to include prescription-writing markers. These markers were defined as either an indication of use or a duration of therapy that differed from current medical literature or manufacturers' recommendations. Duplicate prescriptions of first-year family practice residents were reviewed for prescription-writing errors and markers before and after an in-service training regarding prescription writing.Following the in-service training, the number of prescriptions containing the patient's diagnosis increased significantly (20% to 61%). Nineteen percent of all prescriptions contained prescription-writing errors. Eight percent of the prescriptions with the patient's diagnosis contained prescription-writing markers.The addition of the patient's diagnosis to the prescription enhanced the review of duplicate prescriptions. It permitted the evaluation of not only the prescription-writing process but also the decision-making process that led to writing the prescription. It also permitted a more thorough evaluation of appropriate drug use.
Cite
Citations (21)