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Management: Electronic Health Records (EHR)

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Total 266 results found since Jan 2013.

Allergy entry and deletion in the electronic health record
Between 20% and 35% of the US population has 1 or more medication allergy listed in their electronic health record (EHR).1,2 However, prescribers override more than 90% of allergy alerts intended to protect patients from adverse drug events,3 recognizing that many EHR drug allergies are incorrect and/or inconsequential to patient care. The EHR allergy section contains missing reaction details,4 discrepancies with patient interview,5,6 and data entered by health care professionals with limited drug allergy training and knowledge.
Source: Annals of Allergy, Asthma and Immunology - January 22, 2017 Category: Allergy & Immunology Authors: Kimberly G. Blumenthal, Warren W. Acker, Yu Li, Niki S. Holtzman, Li Zhou Tags: Letter Source Type: research

Drug Rash Eosinophilia and Systemic Symptoms (DRESS) Syndrome Identified in the Electronic Health Record Allergy Module
ConclusionsUsing free text search of the EHR allergy module identified a large US DRESS syndrome cohort. DRESS prevalence was 2.18 per 100,000 patients. Both liver and kidney injury were frequent, and vancomycin was the most common drug culprit. DRESS cases were morbid and resource-intensive.
Source: The Journal of Allergy and Clinical Immunology: In Practice - September 1, 2018 Category: Allergy & Immunology Source Type: research

Drug Reaction with Eosinophilia and Systemic Symptoms (DRESS) Syndrome Identified in the Electronic Health Record Allergy Module
ConclusionsUsing free-text search of the EHR allergy module identified a large US DRESS syndrome cohort. DRESS prevalence was 2.18 per 100,000 patients. Both liver and kidney injury were frequent, and vancomycin was the most common drug culprit. DRESS cases were morbid and resource-intensive.
Source: The Journal of Allergy and Clinical Immunology: In Practice - February 2, 2019 Category: Allergy & Immunology Source Type: research

Characteristics of Persistent Penicillin Allergy Labels in a Large Electronic Health Record Database
Penicillin allergy labels are prevalent, and associated with inferior individual and public health outcomes. Most penicillin allergy histories are either low risk or inaccurate:>96% of patients reporting penicillin allergy are negative on formal testing. To better target specific populations for penicillin allergy de-labeling we aimed to define characteristics of patients persistently labeled as penicillin allergic.
Source: Journal of Allergy and Clinical Immunology - February 1, 2019 Category: Allergy & Immunology Authors: Cosby A. Stone, Wei-Qi Wei, Elizabeth J. Phillips Source Type: research

Characterization of Pediatric Inpatient Penicillin Allergy Documentation and Evaluation
Drug allergies may be improperly or incompletely characterized in the allergy section of the electronic health record (EHR). This can contribute to unnecessary avoidance of a drug or drug class such as penicillins which has significant implications on clinical care and healthcare utilization. We aim to characterize the documentation of penicillin allergy in the EHR of a pediatric center and hypothesize few patients admitted with penicillin allergy are referred for allergy evaluation.
Source: Journal of Allergy and Clinical Immunology - February 1, 2022 Category: Allergy & Immunology Authors: Allison Kelly, Shannon Chan, Sharon Hwang Source Type: research

Patient initiation and persistence with allergen immunotherapy.
CONCLUSION: A minority of patients initiated AIT according to allergist recommendation and a subset of these patients completed therapy. AIT might be an underused option that could benefit patients unable to manage allergic rhinitis symptoms by other means. TRIAL REGISTRATION: clinicaltrials.gov Identifier: NCT01549340. PMID: 24814759 [PubMed - as supplied by publisher]
Source: Annals of Allergy, Asthma and Immunology - May 7, 2014 Category: Allergy & Immunology Authors: Anolik R, Schwartz AM, Sajjan S, Allen-Ramey F Tags: Ann Allergy Asthma Immunol Source Type: research

Usage of allergy codes in primary care electronic health records: a national evaluation in Scotland
ConclusionsThis analysis of Read codes use suggests that, introduction of the more detailed SNOMED‐CT, in isolation, will not improve the quality of allergy coding in Scottish primary care. The introduction of SNOMED‐CT should be accompanied by initiatives aimed at improving coding quality, such as the definition of terms/codes, availability of terminology browsers, a recommended list of codes and mechanisms to incentivize detailed coding of the condition and the underlying allergic trigger.This article is protected by copyright. All rights reserved.
Source: Allergy - April 30, 2016 Category: Allergy & Immunology Authors: Mome Mukherjee, Jeremy C Wyatt, Colin R Simpson, Aziz Sheikh Tags: Original Article: Epidemiology and Genetics Source Type: research

Redesigning the allergy module of the electronic health record
Adverse drug reactions (ADRs) are a major cause of morbidity in modern health care,1,2 with 20% to 35% of patients reporting 1 or more ADRs.3,4 Some ADRs warrant entry into the electronic health record (EHR) to inform future prescribing and prevent recurrence. This clinical documentation is typically placed in the allergy section of the EHR. Although this section is termed allergy, only a few of the reactions are immunologically mediated, with even fewer mediated through antigen-specific IgE (ie, classic allergy).
Source: Annals of Allergy, Asthma and Immunology - June 13, 2016 Category: Allergy & Immunology Authors: Kimberly G. Blumenthal, Miguel A. Park, Eric M. Macy Tags: Perspective Source Type: research

Impact of Inpatient Allergy Consultation on Drug Allergy Documentation and Management at an Adult Tertiary Care Center
Allergy documentation is frequently incomplete and/or inaccurate in the electronic health record. The aim of this study was to evaluate the impact of inpatient drug allergy consultation on documentation and management.
Source: Journal of Allergy and Clinical Immunology - January 31, 2020 Category: Allergy & Immunology Authors: Brynne Underwood, Kara Wada Source Type: research

Methods for Identifying and Reconciling Allergy Information in the Electronic Health Record
Patient allergies are documented in multiple areas of the electronic health records (EHRs) including areas beyond the allergy list (e.g., notes, laboratory tests, and flowsheets). Systematically reconciling allergy information is critical to improve the accuracy of the EHR allergy list and facilitate clinical decision support to maintain patient safety.
Source: Journal of Allergy and Clinical Immunology - February 1, 2021 Category: Allergy & Immunology Authors: Carlos Ortega, Ying-Chih Lo, Suzanne Blackley, Sachin Vallamkonda, Frank Chang, Oliver James, Sharmitha Yerneni, Diane Seger, Liqin Wang, Kimberly Blumenthal, Foster Goss, Paige Wickner, Li Zhou Source Type: research

Impact of electronic health record transition on drug allergy labels: gains, losses, alterations and learning opportunities
Maintenance of accurate drug allergy labels is critical to the safety and efficacy of future treatment choices. We assessed the accuracy and quality of drug allergy label transfer during the implementation of a simultaneous inpatient and outpatient electronic health record (EHR) transition.
Source: Journal of Allergy and Clinical Immunology - February 1, 2019 Category: Allergy & Immunology Authors: Christine Rukasin, Susanne Henderlight, Terry Bosen, Paige Melling, Scott Karpowicz, Elizabeth J. Phillips Source Type: research

Removing the warning not to use cephalosporins in individuals with a penicillin allergy: the effect on cephalosporin allergy and anaphylaxis incidence
After careful consideration with stakeholders, the warning to avoid cephalosporins when penicillin allergy present was removed from the electronic health record in Kaiser Permanente Southern California (KPSC) on 12-20-2017.
Source: Journal of Allergy and Clinical Immunology - January 31, 2020 Category: Allergy & Immunology Authors: Eric Macy, William Crawford, Myngoc Nguyen, John Adams, Anna Davis, Elizabeth McGlynn, Thomas McCormick Source Type: research

Electronic Consultations in Inpatient Allergy/Immunology
Despite rising inpatient Allergy/Immunology (A/I) consultation need, allergist access is limited; even hospitals with on-site allergists have insufficient resources to address all inpatient allergy questions. Allergists are reticent to be pulled from ambulatory duties, particularly for consults that prioritize documentation or medicolegal protection over need for in-person allergist evaluation. Electronic consultations (e-consults) offer an electronic health record-based solution that has improved access while maintaining quality in ambulatory A/I but has not been studied in inpatient A/I.
Source: Journal of Allergy and Clinical Immunology - January 31, 2020 Category: Allergy & Immunology Authors: Neelam Phadke, Anna Wolfson, Mark Matza, Eli Miloslavsky, Ohn Chow, Lacey Robinson, Aidan Long, Kimberly Blumenthal, Aleena Banerji Source Type: research

Scribes, EHRs, and Workflow Efficiencies in Allergy Practices
AbstractPurpose of ReviewIn the ever-changing healthcare system, along with new advancements in the field of allergy, the workflow for the allergist continues to evolve requiring more time spent doing non-clinical duties such as documentation and reviewing reimbursement challenges in the midst of busy clinics. The use of electronic medical records and medical scribes has emerged as tactics to aid the clinic ’s workflow and efficiency in the modern allergy and immunology clinic.Recent FindingsThe practicing allergist can implement various additional strategies in their office workflow to maximize and synthesize good medic...
Source: Current Allergy and Asthma Reports - July 8, 2020 Category: Allergy & Immunology Source Type: research