Drug prescriptions and legibility

Post Reply
K.Snyder
Posts: 10253
Joined: Thu Mar 24, 2005 2:05 pm

Drug prescriptions and legibility

Post by K.Snyder »

With technology ever increasing do you feel comfortable with prescription drugs being processed through computers and fax machines? Why?

Do you trust the competence of people being able to read most doctors' handwriting?

Have you ever received a drug prescription from a physician that looked like chicken scratch? You’re not alone. Pharmacists sometimes have a hard time reading prescriptions and in some cases they also are incomplete. To avoid errors, pharmacists have to spend precious time tracking down prescribers to clarify illegible or possibly inaccurate prescriptions. A new study by researchers at Oregon Health & Science University shows that prescriptions written on a computer are less likely to contain errors.

A study by the OHSU School of Medicine’s Department of Emergency Medicine study found that prescriptions initially entered into a computer reduce errors in the prescription by one-third and are five times less likely to require pharmacist clarification than handwritten prescriptions. The study was published in the November 2002 issue of Academic Emergency Medicine (www.aemj.org), published by Hanley & Belfus.

"This new computer system is really the foundation for ongoing improvements in safe prescribing practice," said Kenneth E. Bizovi, M.D., assistant professor of emergency medicine in the OHSU School of Medicine, toxicologist and emergency physician. Continued... OHSU study finds computers greatly reduce prescription errors


On that, I strongly recommend that anyone being prescribed a drug double check your pills as sometimes errors do occur and even one out of a billion could be the last, so DOUBLE CHECK!

As a side note, if anyone is taking Warfarin (Coumadin) I recommend not combining this with aspirin and you should contact your doctor if you wish to do so. Also, combination drugs containing a narcotic combined with aspirin or acetaminophen those nonnarcotic dosages should be considered and make sure you're not consuming more than 4 grams of each per day(Not to mention if you're taking anything close to 4 grams of Aspirin, Acetaminophen, or NSAID's a day for more than 3-4 days you need to contact your doctor) as this will lead to visceral toxicity! Roughly 10 grams a day is lethal! :yh_wink
User avatar
LarsMac
Posts: 13701
Joined: Fri Nov 27, 2009 9:11 pm
Location: on the open road
Contact:

Drug prescriptions and legibility

Post by LarsMac »

K.Snyder;1299773 wrote: With technology ever increasing do you feel comfortable with prescription drugs being processed through computers and fax machines? Why?
Sure, It works just fine.

Why not.

K.Snyder;1299773 wrote:

Do you trust the competence of people being able to read most doctors' handwriting?




Last time my doc wrote a script. they couldn't read it, and had to call the doc and ask him what it was.

He then told them something entirely different from what we had discussed. I had to go back and get it sorted out.

Now they are all faxed directly to my pharmacy, once a year and I get my quarterly shipment, and don't sweat the small stuff.

Technology can be great, though you still have to follow up, and double check.

Can't let others be responsible for your health.
The home of the soul is the Open Road.
- DH Lawrence
User avatar
chonsigirl
Posts: 33633
Joined: Mon Mar 07, 2005 8:28 am

Drug prescriptions and legibility

Post by chonsigirl »

It would be a lost art in deciphering doctor's handwriting, it might disappear like cuneiform!

I do not think I would trust a computer, I don't trust automated computer voices when dealing with bill inquiries and things like that. In fact, I find it very annoying and lazy on the part of that company to not have live operators right away on the line.
K.Snyder
Posts: 10253
Joined: Thu Mar 24, 2005 2:05 pm

Drug prescriptions and legibility

Post by K.Snyder »

chonsigirl;1299950 wrote: It would be a lost art in deciphering doctor's handwriting, it might disappear like cuneiform!

I do not think I would trust a computer, I don't trust automated computer voices when dealing with bill inquiries and things like that. In fact, I find it very annoying and lazy on the part of that company to not have live operators right away on the line.


Well, I have to say that the writing on these prescriptions are horrid.

But all in all one has to weigh the level of people's competency in deciphering a doctors handwriting compared with the level of competency associated with typing those prescriptions.

I'd much rather read typed out prescriptions but when I think of myself being the patient I don't like the idea of machines dictating my immediate and future health.
User avatar
LarsMac
Posts: 13701
Joined: Fri Nov 27, 2009 9:11 pm
Location: on the open road
Contact:

Drug prescriptions and legibility

Post by LarsMac »

K.Snyder;1300245 wrote: Well, I have to say that the writing on these prescriptions are horrid.

But all in all one has to weigh the level of people's competency in deciphering a doctors handwriting compared with the level of competency associated with typing those prescriptions.

I'd much read typed out prescriptions but when I think of myself being the patient I don't like the idea of machines dictating my immediate and future health.


The machine is writing the prescription?

I thought the doc, or his nurse would be writing it, just as usual, but using computer and printer, as opposed to writing it with pen.

Don't see how the machine has much to say about it.

I am perfectly comfortable with the new technology.
The home of the soul is the Open Road.
- DH Lawrence
User avatar
Bryn Mawr
Posts: 16117
Joined: Mon Feb 27, 2006 4:54 pm

Drug prescriptions and legibility

Post by Bryn Mawr »

The Doctor has to record what he has prescribed in my computer records anyway so I see no reason why a database on the same machine should not give it a sanity check (warning to Doctor with over-ride facility for unusual circumstances) before printing it onto a standard form.

Saves the Doctor time and is more accurate (single point of entry rather than doing the work twice) and includes checks and audit to include reliability.

On top of that, the Pharmacist can read the result.
K.Snyder
Posts: 10253
Joined: Thu Mar 24, 2005 2:05 pm

Drug prescriptions and legibility

Post by K.Snyder »

LarsMac;1300295 wrote: The machine is writing the prescription?

I thought the doc, or his nurse would be writing it, just as usual, but using computer and printer, as opposed to writing it with pen.

Don't see how the machine has much to say about it.

I am perfectly comfortable with the new technology.


Lars,..where there is a machine there is a human being typing into it and operating it. If it were the machines entirely then we'd, as human beings, successfully house robots to do our every day chores around the house.

Here's an experiment for you if you're instinctively curious. Go around to each thread you visit for the next 24 hours and gather up as many typing errors you can notice and then report back here. We'll then go back and assess those errors and then see how many you'd left out compared to how many you'd found. If by then you're not in the very least concerned about computer grafted prescriptions then you sire have a much more of a stalled neurological response than I :yh_wink Perhaps you're on Restoril(Temazepam)?:thinking:
K.Snyder
Posts: 10253
Joined: Thu Mar 24, 2005 2:05 pm

Drug prescriptions and legibility

Post by K.Snyder »

Bryn Mawr;1300309 wrote: The Doctor has to record what he has prescribed in my computer records anyway so I see no reason why a database on the same machine should not give it a sanity check (warning to Doctor with over-ride facility for unusual circumstances) before printing it onto a standard form.

Saves the Doctor time and is more accurate (single point of entry rather than doing the work twice) and includes checks and audit to include reliability.

On top of that, the Pharmacist can read the result.


Personally with computers being incorporated more and more into the medical field I can't see the doctors themselves being the ones entering the data into them for very long for the cases of those that do. Doctor's already feel overburdened and what will happen will be medical assistants of some sort will be placed with the job of taking those written prescriptions from the doctor and entering them into the computer doing nothing but adding to the potential of making mistakes. Now not only is there people still having to decipher these prescriptions but carrying the potential in typing errors as well.

Personally I'd rather see prescriptions by computer but that's only because of the horrible penmanship I notice these doctor's have and I have a hard to making out some prescriptions. If we could move to make doctor's slow down and write legibly I would much prefer they were written but as of now I'm undecided atm.

I think the real question is how we implement computers into medical facilities without them being horribly time consuming.
User avatar
LarsMac
Posts: 13701
Joined: Fri Nov 27, 2009 9:11 pm
Location: on the open road
Contact:

Drug prescriptions and legibility

Post by LarsMac »

K.Snyder;1300311 wrote: Lars,..where there is a machine there is a human being typing into it and operating it. If it were the machines entirely then we'd, as human beings, successfully house robots to do our every day chores around the house.

Here's an experiment for you if you're instinctively curious. Go around to each thread you visit for the next 24 hours and gather up as many typing errors you can notice and then report back here. We'll then go back and assess those errors and then see how many you'd left out compared to how many you'd found. If by then you're not in the very least concerned about computer grafted prescriptions then you sire have a much more of a stalled neurological response than I :yh_wink Perhaps you're on Restoril(Temazepam)?:thinking:


I know all about typos, brother.

I have to clean plenty of my own.

Mistakes happen any time humans are involved.

That won't change when the machines are used.
The home of the soul is the Open Road.
- DH Lawrence
K.Snyder
Posts: 10253
Joined: Thu Mar 24, 2005 2:05 pm

Drug prescriptions and legibility

Post by K.Snyder »

LarsMac;1300358 wrote: I know all about typos, brother.

I have to clean plenty of my own.

Mistakes happen any time humans are involved.

That won't change when the machines are used.


Perhaps someone could work on a software much like spellchecker that enables words to be underlined in red not only with unfamiliar data entries but also in association with patient history and a sort of A.I. intelligence designed to also have suggested entries associated with each past illness... :thinking:

By God I really think that's a good idea! :wah:
K.Snyder
Posts: 10253
Joined: Thu Mar 24, 2005 2:05 pm

Drug prescriptions and legibility

Post by K.Snyder »

K.Snyder;1300380 wrote: Perhaps someone could work on a software much like spellchecker that enables words to be underlined in red not only with unfamiliar data entries but also in association with patient history and a sort of A.I. intelligence designed to also have suggested entries associated with each past illness... :thinking:

By God I really think that's a good idea! :wah:


"So Mr. Claud, it looks like you have an arm growing out of your ear!"

"Oh really?...Because I hadn't noticed one there before!!!!!!!"

"Oh well we'll just put you on,..it says here you should receive Indomethacin along with a years supply of marijuana!!!!!!!*DING DING DING(Bells erupt in a furry of enthusiastic triumph!)* That means you're the 1000th patient of the day!!!!!!!! You win a free trip to the local Chucky Cheese!!!!!!!!!"

Attached files
User avatar
LarsMac
Posts: 13701
Joined: Fri Nov 27, 2009 9:11 pm
Location: on the open road
Contact:

Drug prescriptions and legibility

Post by LarsMac »

Actually, there is some logic there.

Right now, the doc works off his notes. But he has to READ the notes.

Doc does a script for one symptom. Then another for another one.

then you get some side effects from one of those, and he gives another script. More side effects, another script.

My mom ended up on 12 different scripts. I started digging, and found that half the drugs she was on were for side effects from the other ones, and there were some that if you ran them through Drugs.com | Drug Interactions Checker together came up with definite interactions that could cause problems.

So when she reported symptoms that were cause by the interaction, rather than prescribe a new drug for those symptoms, he should have taken her off the other two and found something else to prescribe.

The 'machine' could automatically check those interactions, and could even be programmed to check for side effects, that could explain new complaints.

So doc could know ahead of time, of the drug he plans on prescribing might be a problem for this patient.

Like the time he gave me a script for my sinus that ran my blood sugar through the roof, in spite of my Glipizide and metformin, prompting him to suggest it was time I started using insulin.

I read the label on the sinus stuff, and saw the warning about blood sugar.

I stopped taking the sinus stuff, and voila! no more blood sugar problem.

Hmmm.
The home of the soul is the Open Road.
- DH Lawrence
K.Snyder
Posts: 10253
Joined: Thu Mar 24, 2005 2:05 pm

Drug prescriptions and legibility

Post by K.Snyder »

LarsMac;1300429 wrote: Actually, there is some logic there.

Right now, the doc works off his notes. But he has to READ the notes.

Doc does a script for one symptom. Then another for another one.

then you get some side effects from one of those, and he gives another script. More side effects, another script.

My mom ended up on 12 different scripts. I started digging, and found that half the drugs she was on were for side effects from the other ones, and there were some that if you ran them through Drugs.com | Drug Interactions Checker together came up with definite interactions that could cause problems.

So when she reported symptoms that were cause by the interaction, rather than prescribe a new drug for those symptoms, he should have taken her off the other two and found something else to prescribe.

The 'machine' could automatically check those interactions, and could even be programmed to check for side effects, that could explain new complaints.

So doc could know ahead of time, of the drug he plans on prescribing might be a problem for this patient.

Like the time he gave me a script for my sinus that ran my blood sugar through the roof, in spite of my Glipizide and metformin, prompting him to suggest it was time I started using insulin.

I read the label on the sinus stuff, and saw the warning about blood sugar.

I stopped taking the sinus stuff, and voila! no more blood sugar problem.

Hmmm.


Actually Lars there is a computer system that checks over patient history that alerts the operator to a potential problem when prescribing new drugs based off of the information currently available.

But what the real problem in America is that too many Hospitals and doctors are in bed with big business and they allow them to influence their decisions to prescribe medicines and something needs to be done about that.

American health systems are atrocious and it's blatantly evident. Why we couldn't allow for the purchasing of drugs outside of America is beyond any moral standpoint but don't let "Americans" hear you say it because you'll be labeled a "Fn communist!" before you show your teeth :yh_sick
User avatar
LarsMac
Posts: 13701
Joined: Fri Nov 27, 2009 9:11 pm
Location: on the open road
Contact:

Drug prescriptions and legibility

Post by LarsMac »

K.Snyder;1301177 wrote: Actually Lars there is a computer system that checks over patient history that alerts the operator to a potential problem when prescribing new drugs based off of the information currently available.


There's the rub. The information has to be in the system, to begin with, and since every doctors office, and every hospital, and every clinic, and every nursing/rehab center has its own system, and there is NO interconnection, or sharing of records and information between them, how is the system supposed to know?

Well, when you go to a new Doc, or go to the ER, or a clinic, they ask you to bring all your meds with you, and if you don't then they sit down with you and have you list them for them.

So, if you forget one, they don't have that info.

Or if you are transferred from one hospital or clinic to another, they only get the information the staff at the first place can think of that might be relevant.

So the first step is to centralized, or somehow share that information automagically between facilities.

Certainly can't wait for the doctors and nurses to write it all down every time, can we?

K.Snyder;1301177 wrote:

But what the real problem in America is that too many Hospitals and doctors are in bed with big business and they allow them to influence their decisions to prescribe medicines and something needs to be done about that.


I am all too aware of that game.

Another problem. We, the patient can no longer trust the medicos to be our keeper and healer. We must take responsibility for our own health. In my parents early years (and even in mine for a while) the Doctor knew all about you, and knew what was best for you. and you literally trusted him/her with your life. Now, you are a 15 minute slot in the doc's appointment book, and if he/she gets the wrong chart, or gets a single piece of information incorrect, you can be screwed in a heartbeat if you're not paying attention.

I always argue with the doc about how he wants to treat me, just to see why he is thinking that way and to see if he is really paying attention.

And I don't go for the stuff he wants to give me unless he can show me where data proves it is effective for the condition we are working on.

K.Snyder;1301177 wrote:

American health systems are atrocious and it's blatantly evident. Why we couldn't allow for the purchasing of drugs outside of America is beyond any moral standpoint but don't let "Americans" hear you say it because you'll be labeled a "Fn communist!" before you show your teeth :yh_sick
Won't get much argument from me here, but then I am an F'n Socialist.

:D
The home of the soul is the Open Road.
- DH Lawrence
K.Snyder
Posts: 10253
Joined: Thu Mar 24, 2005 2:05 pm

Drug prescriptions and legibility

Post by K.Snyder »

LarsMac;1301182 wrote: There's the rub. The information has to be in the system, to begin with, and since every doctors office, and every hospital, and every clinic, and every nursing/rehab center has its own system, and there is NO interconnection, or sharing of records and information between them, how is the system supposed to know?

Well, when you go to a new Doc, or go to the ER, or a clinic, they ask you to bring all your meds with you, and if you don't then they sit down with you and have you list them for them.

So, if you forget one, they don't have that info.

Or if you are transferred from one hospital or clinic to another, they only get the information the staff at the first place can think of that might be relevant.

So the first step is to centralized, or somehow share that information automagically between facilities.

Certainly can't wait for the doctors and nurses to write it all down every time, can we? Well this new bill should take care of this. Hospitals and private sector health offices are to transfer medical records without the blatant greed.

LarsMac;1301182 wrote:

I am all too aware of that game.

Another problem. We, the patient can no longer trust the medicos to be our keeper and healer. We must take responsibility for our own health. In my parents early years (and even in mine for a while) the Doctor knew all about you, and knew what was best for you. and you literally trusted him/her with your life. Now, you are a 15 minute slot in the doc's appointment book, and if he/she gets the wrong chart, or gets a single piece of information incorrect, you can be screwed in a heartbeat if you're not paying attention.

I always argue with the doc about how he wants to treat me, just to see why he is thinking that way and to see if he is really paying attention.

And I don't go for the stuff he wants to give me unless he can show me where data proves it is effective for the condition we are working on. I think more people should take better precaution when autonomically worshiping doctors.

LarsMac;1301182 wrote:

Won't get much argument from me here, but then I am an F'n Socialist.

:DAnd the horribly worrisome aspect of this is the fact Americans will ridicule "you" faster when claiming to be a Marxist than if "you" were to share a communist viewpoint because most are ignorant to Marxism. Ironically The critique of capitalism — In capitalist society, an economic minority (the bourgeoisie) dominate and exploit the working class (proletariat) majority. Marx uncovered the interworkings of capitalist exploitation, the specific way in which unpaid labor (surplus value) is extracted from the working class (the labor theory of value), extending and critiquing the work of earlier political economists on value. Although the production process is socialized, ownership remains in the hand of the bourgeoisie. This forms the fundamental contradiction of capitalist society. Without the elimination of the fetter of the private ownership of the means of production, human society is unable to achieve further development. Marxism - Wikipedia, the free encyclopedia brainwashing isn't peculiar to religion
Post Reply

Return to “Health Wellness”