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Management: Electronic Health Records (EHR)

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Total 266 results found since Jan 2013.

P107 food allergy and informatics: using natural language processing to identify clinical predictors in progress notes
The objective of this study is to test whether text notes from general pediatrician visits can predict the diagnosis of FA by an allergist.
Source: Annals of Allergy, Asthma and Immunology - November 1, 2021 Category: Allergy & Immunology Authors: L. Bilaver, H. Wang, A. Naidech, Y. Luo, R. Das, S. Sehgal, R. Gupta Source Type: research

Accuracy of phenotyping chronic rhinosinusitis in the electronic health record.
CONCLUSION: These algorithms are an important first step to identify patients with CRS, and may facilitate EHR-based research on CRS pathogenesis, morbidity, and management. Exclusive use of coded data for phenotyping CRS has limited accuracy, especially because CRS symptomatology overlaps with that of other illnesses. Incorporating natural language processing (e.g., to evaluate results of nasal endoscopy or sinus computed tomography) into future work may increase algorithm accuracy and identify patients whose disease status may not be ascertained by only using billing codes. PMID: 24717952 [PubMed - in process]
Source: American Journal of Rhinology and Allergy - March 1, 2014 Category: ENT & OMF Authors: Hsu J, Pacheco JA, Stevens WW, Smith ME, Avila PC Tags: Am J Rhinol Allergy Source Type: research

Food Allergy Trends and Epinephrine Autoinjector Presence in Summer Camps
Conclusions Life-saving epinephrine is not necessarily available for food-allergic children in camp settings. A substantial proportion of food-allergic campers are at higher risk for anaphylaxis based on concurrent asthma status.
Source: The Journal of Allergy and Clinical Immunology: In Practice - December 4, 2016 Category: Allergy & Immunology Source Type: research

How does autism spectrum disorder affect the risk and severity of childhood asthma?
CONCLUSION: Among children with asthma, concomitant ASD is associated with better asthma-related outcomes but a higher controller treatment burden. In addition, our data did not support ASD as a risk factor for incident asthma. PMID: 28477788 [PubMed - in process]
Source: Annals of Allergy, Asthma and Immunology - May 1, 2017 Category: Allergy & Immunology Authors: Jónsdóttir U, Lang JE Tags: Ann Allergy Asthma Immunol Source Type: research

P002 Multiple drug allergy syndrome: epidemiology and association with anxiety disorders
Multiple Drug Intolerance Syndrome (MDIS) is associated with increased patient anxiety. We used electronic health record (EHR) data to define the epidemiology of MDIS and Multiple Drug Allergy Syndrome (MDAS), and assess whether anxiety was independently associated with these conditions.
Source: Annals of Allergy, Asthma and Immunology - October 27, 2017 Category: Allergy & Immunology Authors: K. Blumenthal, Y. Li, W. Acker, A. Banerji, S. Ghaznavi, C. Camargo, L. Zhou Source Type: research

OR001 Drug rash eosinophilia and systemic symptoms (DRESS) syndrome identified in electronic health record allergy module
Drug rash eosinophilia and systemic symptoms (DRESS) syndrome is a rare and severe hypersensitivity reaction. Due to challenges in case identification, DRESS epidemiology remains poorly characterized in the US. We used the electronic health record (EHR) allergy module to identify and describe DRESS syndrome cases in an integrated US healthcare system.
Source: Annals of Allergy, Asthma and Immunology - October 27, 2017 Category: Allergy & Immunology Authors: A. Wolfson, L. Zhou, Y. Li, K. Blumenthal Source Type: research

Implications of electronic health record transition on drug allergy labels
Publication date: Available online 24 July 2019Source: The Journal of Allergy and Clinical Immunology: In PracticeAuthor(s): Christine R.F. Rukasin, Susanne Henderlight, Terry Bosen, Scott D. Nelson, Elizabeth J. Phillips
Source: The Journal of Allergy and Clinical Immunology: In Practice - July 26, 2019 Category: Allergy & Immunology Source Type: research

Natural language processing to advance EHR-based clinical research in Allergy, Asthma, and Immunology
The wide adoption of electronic health record systems (EHRs) in health care generates big real-world data that opens new venues to conduct clinical research. As a large amount of valuable clinical information is locked in clinical narratives, natural language processing (NLP) techniques as an artificial intelligence approach have been leveraged to extract information from clinical narratives in EHRs. This capability of NLP potentially enables automated chart review for identifying patients with distinctive clinical characteristics in clinical care and reduces methodological heterogeneity in defining phenotype obscuring bio...
Source: Journal of Allergy and Clinical Immunology - December 25, 2019 Category: Allergy & Immunology Authors: Young Juhn, Hongfang Liu Source Type: research

Evaluation of Drug-Induced Liver Injury Developed During Hospitalization Using Electronic Health Record (EHR)-Based Algorithm.
CONCLUSIONS: Using our EHR-based algorithm, we identified that approximately 0.14% of patients developed DILI during hospitalization. Further studies are needed to modify criteria for more accurate identification of DILI. PMID: 32141257 [PubMed]
Source: Allergy, Asthma and Immunology Research - March 8, 2020 Category: Allergy & Immunology Tags: Allergy Asthma Immunol Res Source Type: research

Active Pharmacovigilance of Drug-Induced Liver Injury Using Electronic Health Records.
Authors: Kim SH PMID: 32141253 [PubMed]
Source: Allergy, Asthma and Immunology Research - March 8, 2020 Category: Allergy & Immunology Tags: Allergy Asthma Immunol Res Source Type: research

The Burden Of Self-Reported Adverse Drug Reactions in Patients Referred To An Outpatient Allergy Practice At A Tertiary Referral Center
Adverse drug reactions (ADRs) play a significant role in patient care. With the use of electronic health records (EHR) patients self-report ADRs, but these are not always confirmed/validated by healthcare providers. Studies have described the prevalence in outpatient (11.4%)/inpatient (15.9%) settings, but to our knowledge, no data is available to describe self-reported ADRs in patients referred to an allergy practice. We aimed to describe such patients referred to our tertiary referral center.
Source: Journal of Allergy and Clinical Immunology - February 1, 2021 Category: Allergy & Immunology Authors: Becky Buelow, Suhita Alluri Source Type: research

Developing Structured Data Entry Forms for Food Allergy Clinical Documentation in The Electronic Health Record
Food allergy (FA) clinical documentation in electronic health records (EHRs) varies widely due to extensive use of free-text entry and lack of a common FA terminology. This limits FA research and integration of FA data across institutions. Structured data entry (SDE) forms are needed to improve FA documentation in EHRs.
Source: Journal of Allergy and Clinical Immunology - February 1, 2022 Category: Allergy & Immunology Authors: Shruti Sehgal, Ruchi Gupta, Mark Wlodarski, Lucy Bilaver, Firas Wehbe, Jonathan Spergel, Julie Wang, Christina Ciaccio, Sai Nimmagadda, Melanie Makhija, Justin Starren Source Type: research

Factors Contributing to CPOE Opiate Allergy Alert Overrides.
CONCLUSION: With an increasingly complex, information dependent healthcare culture, clinicians do not have unlimited time and cognitive capacity to interpret and effectively act on high volumes of low value alerts. Drug allergy alerting was one of the earliest and supposedly simplest forms of CPOE clinical decision support (CDS), yet still has unacceptably high override rates. Targeted strategies to exclude GI non-allergic type hypersensitivities, mild overdose, or adverse effects could yield large reductions in overall drug overrides rates. Explicit allergy and severity definitions, staff training, and improved clinical d...
Source: AMIA Annual Symposium Proceedings - October 3, 2015 Category: Bioinformatics Tags: AMIA Annu Symp Proc Source Type: research

Clinical Decision Support Systems for Drug Allergy Checking: Systematic Review
Conclusions: Accurate and comprehensive recording of drug allergies is required for good use of CDSS for drug allergy screening. We found considerable variation in the way drug allergy are recorded in EHRs. It remains difficult to reduce drug allergy alert overload while maintaining patient safety as the highest priority. Future research should focus on improving alert specificity, thereby reducing override rates and alert fatigue. Also, the effect on patient outcomes and cost-effectiveness should be evaluated.
Source: Journal of Medical Internet Research - September 7, 2018 Category: General Medicine Authors: Laura L égat Sven Van Laere Marc Nyssen Stephane Steurbaut Alain G Dupont Pieter Cornu Source Type: research

Clinical Manifestations and Diagnostic Evaluation of Opioid Allergy Labels - A Review.
Authors: Kalangara J, Potru S, Kuruvilla M Abstract While opioids represent one of the most common medication allergy labels, these labels are often unsubstantiated in clinical practice. The removal of erroneous opioid allergy labels has a unique importance in the population with acute or chronic pain. The current approach to patients with pseudo-allergy to opioids is switching to an alternative opioid with less histamine release. Thus, allergy labels to relatively lower potency opioids such as codeine may be feasibly result in the prescription of stronger medications like fentanyl that would otherwise not be indic...
Source: Journal of Pain and Palliative Care Pharmacotherapy - October 24, 2019 Category: Palliative Care Tags: J Pain Palliat Care Pharmacother Source Type: research