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Management: Electronic Health Records (EHR)

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Total 266 results found since Jan 2013.

Identifying opportunities in EHR to improve the quality of antibiotic allergy data
Conclusions Findings suggest that current EHR documentation practices among the health centers reviewed do not provide enough information on allergic reactions to allow providers to discern between true allergies and common, but anticipated, drug side effects. Improved EHR documentation guidance, training that reinforces the use of standardized data and more detailed recording of allergic reactions, combined with initiatives to address patient barriers including health literacy, may help to improve the accuracy of drug allergies in patients’ records. These initiatives, combined with antimicrobial stewardship programs...
Source: Journal of the American Medical Informatics Association - November 9, 2015 Category: Information Technology Authors: Moskow, J. M., Cook, N., Champion-Lippmann, C., Amofah, S. A., Garcia, A. S. Tags: Research and Applications Source Type: research

Estimating the prevalence of aero-allergy and/or food allergy in infants, children and young people with moderate-to-severe atopic eczema/dermatitis in primary care: multi-centre, cross-sectional study.
CONCLUSIONS: Although atopic eczema/dermatitis is a very common diagnosis in children in primary care, most appear to be relatively mild and/or transient. Only a small proportion of children had evidence of ongoing underlying IgE-mediated atopic eczema/dermatitis. PMID: 25567768 [PubMed - as supplied by publisher]
Source: J R Soc Med AND (has... - January 7, 2015 Category: Journals (General) Authors: Dhami S, Sheikh A Tags: J R Soc Med Source Type: research

Documentation of Penicillin Adverse Drug Reactions in Electronic Health Records: Inconsistent Use of Allergy and Intolerance Labels
ConclusionThe frequency of penicillin allergy label in this dataset is consistent with the known overdiagnosis of penicillin allergy in the hospital population. ADR documentation was poor with incomplete entries and inconsistent categorisation. The concepts of allergy and intolerance for ADR classification, whilst mechanistically valid, may not be useful at the point of ADR entry by generalist clinicians. Systematic evaluation of reported ADRs is needed to improve the quality of information for future prescribers.
Source: Internal Medicine Journal - July 1, 2017 Category: Internal Medicine Authors: Joshua M. Inglis, Gillian E. Caughey, William Smith, Sepehr Shakib Tags: Original Article Source Type: research

Implementation of a Pharmacist-Driven Detailed Penicillin Allergy Interview.
Conclusions and Relevance: Implementation of pharmacist-driven DPAIs can provide updated and corrected allergy information within the EHR, allowing for de-escalation and/or optimization of antimicrobial therapy. PMID: 31701755 [PubMed - as supplied by publisher]
Source: The Annals of Pharmacotherapy - November 7, 2019 Category: Drugs & Pharmacology Authors: Mann KL, Wu JY, Shah SS Tags: Ann Pharmacother Source Type: research

Trends in Antimicrobial Allergies in Patients Seen in Infectious Disease Consultation During Selected Periods 2007–2016: Increases in Multidrug-Intolerant Individuals but Relative Stability in Antimicrobial Allergy Prevalence
Conclusions Overall allergy rates for several antimicrobials were high but stable over study period; nonantibiotic allergies rose. Multidisciplinary allergy documentation is crucial in accurate data collection. Antibiotic-allergic and multiple drug intolerant patients are a good focus for prospective allergy education and “delabeling” programs.
Source: Infectious Diseases in Clinical Practice - March 1, 2022 Category: Infectious Diseases Tags: Original Articles Source Type: research

Estimating the prevalence of aero-allergy and/or food allergy in infants, children and young people with moderate-to-severe atopic eczema/dermatitis in primary care: multi-centre, cross-sectional study
Conclusions Although atopic eczema/dermatitis is a very common diagnosis in children in primary care, most appear to be relatively mild and/or transient. Only a small proportion of children had evidence of ongoing underlying IgE-mediated atopic eczema/dermatitis.
Source: JRSM - June 17, 2015 Category: UK Health Authors: Dhami, S., Sheikh, A. Tags: Research Source Type: research

Rising drug allergy alert overrides in electronic health records: an observational retrospective study of a decade of experience
Conclusions These findings underline the urgent need for more efforts to provide more accurate and relevant drug allergy alerts to help reduce alert override rates and improve alert fatigue.
Source: Journal of the American Medical Informatics Association - November 17, 2015 Category: Information Technology Authors: Topaz, M., Seger, D. L., Slight, S. P., Goss, F., Lai, K., Wickner, P. G., Blumenthal, K., Dhopeshwarkar, N., Chang, F., Bates, D. W., Zhou, L. Tags: Research and Applications Source Type: research

AllergyMap: An Open Source Corpus of Allergy Mention Normalizations
AMIA Annu Symp Proc. 2021 Jan 25;2020:1249-1257. eCollection 2020.ABSTRACTAllergy mention normalization is challenging because of the wide range of possible allergens including medications, foods, plants, animals, and consumer products. This paper describes the process of mapping free-text allergy information from an electronic health record (EHR) system in a university hospital to standard terminologies and migration of those data into an enterprise EHR system. The review, mapping, and migration revealed interesting issues and challenges with the free-text allergy information and the mapping in preparation for implementat...
Source: AMIA Annual Symposium Proceedings - May 3, 2021 Category: Bioinformatics Authors: Amy Y Wang John D Osborne Maria I Danila Andrew M Naidech David M Liebovitz Source Type: research