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Management: Electronic Health Records (EHR)
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Total 266 results found since Jan 2013.
Adverse Drug Reactions Associated with Ceftaroline Use: A 2-Center Retrospective Cohort
Conclusions Ceftaroline is used to treat a range of infections beyond SSTI and CAP. We observed a high rate of ADRs from ceftaroline, including signs of severe HSRs. More data are needed to understand the frequency and predictors of ceftaroline ADRs and HSRs.
Source: The Journal of Allergy and Clinical Immunology: In Practice - July 6, 2016 Category: Allergy & Immunology Source Type: research
Towards Improved Drug Allergy Alerts: Multidisciplinary Expert Recommendations
Drug allergy alerts represent one of the key clinical decision support features of computerized provider order entry in electronic health record systems. However, nine out of ten of these alerts are overridden by clinicians, which jeopardizes patient safety. A few reasons for high override rates include inaccurate or outdated allergy lists, alerts that are based on cross-reactivity or sensitivity inference that is overly inclusive, and alerts that are triggered by mild, non-immune mediated reactions (e.g., intolerances, typically gastrointestinal upset).
Source: International Journal of Medical Informatics - October 5, 2016 Category: Information Technology Authors: Maxim Topaz, Foster Goss, Kimberly Blumenthal, Kenneth Lai, Diane L. Seger, Sarah P. Slight, Paige G. Wickner, George A. Robinson, Kin Wah Fung, Robert C. McClure, Shelly Spiro, Warren W. Acker, David W. Bates, Li Zhou Tags: Letter to the Editor Source Type: research
Adverse and Hypersensitivity Reactions to Prescription Nonsteroidal Anti-Inflammatory Agents in a Large Health Care System
Conclusions NSAID therapeutic use can be limited by ADRs; about 1 in 5 NSAID ADRs is an HSR. Both patient and drug factors contribute to HSR risk and are important to guide patient counseling.
Source: The Journal of Allergy and Clinical Immunology: In Practice - January 18, 2017 Category: Allergy & Immunology Source Type: research
Epidemiology of ACE Inhibitor Angioedema Utilizing a Large Electronic Health Record
Conclusions The incidence of ACEI angioedema within a large EHR is consistent with large clinical trial data. We observed a persistent and relatively constant annual risk; however, angioedema risk factors and underlying genetic and pathophysiological mechanisms require further study.
Source: The Journal of Allergy and Clinical Immunology: In Practice - April 2, 2017 Category: Allergy & Immunology Source Type: research
Provider Health and Wellness
Publication date: Available online 19 July 2017 Source:The Journal of Allergy and Clinical Immunology: In Practice Author(s): Anil Nanda, Anita Wasan, James Sussman Provider health and wellness is a significant issue and can impact patient care, including patient satisfaction, quality of care, medical errors, malpractice risk, as well as provider and office staff turnover and early retirement. Health and wellness encompasses various areas including burnout, depression, divorce, and suicide and affects providers of all specialties and at all levels of training. Providers deal with many everyday stresses, including electron...
Source: The Journal of Allergy and Clinical Immunology: In Practice - July 19, 2017 Category: Allergy & Immunology Source Type: research
Technology Interventions for Nonadherence: New Approaches to an Old Problem
Publication date: Available online 29 November 2017 Source:The Journal of Allergy and Clinical Immunology: In Practice Author(s): Bruce G. Bender Nonadherence to asthma medications is well recognized. Interventions to improve adherence, however, have been only moderately successful and are not often adopted because of limited provider time, training, or institutional support. The potential for mobile communication technology to improve adherence has gathered sharply growing interest. Technology-based adherence tracking devices have been in existence for almost 3 decades, but have only recently reached a level of reliabili...
Source: The Journal of Allergy and Clinical Immunology: In Practice - December 16, 2017 Category: Allergy & Immunology Source Type: research
Drug-induced Anaphylaxis Documented in Electronic Health Records
Conclusion EHR-reported anaphylaxis occurred in approximately 1% of patients, most commonly from penicillins, sulfonamide antibiotics, and NSAIDs. Females, whites, and patients with mastocytosis, Sjögren’s syndrome, and asthma had increased odds of reporting drug-induced anaphylaxis. The low observed frequency of tryptase testing and specialist evaluation emphasize the importance of educating providers on anaphylaxis management.
Source: The Journal of Allergy and Clinical Immunology: In Practice - July 1, 2018 Category: Allergy & Immunology Source Type: research
Large Health System Databases and Drug Hypersensitivity
Publication date: September–October 2019Source: The Journal of Allergy and Clinical Immunology: In Practice, Volume 7, Issue 7Author(s): Anca Mirela Chiriac, Eric MacyLarge health system databases have revolutionized our understanding of the epidemiology of adverse drug reactions and immunologically mediated drug hypersensitivity. Population-based background rates of newly reported drug intolerance with each therapeutic exposure could not have been determined without large health system databases. Large databases have increased our understanding of multiple drug intolerance syndrome. Large health care systems, such as Ka...
Source: The Journal of Allergy and Clinical Immunology: In Practice - September 5, 2019 Category: Allergy & Immunology Source Type: research
The Use of Electronic Health Records to Study Drug-Induced Hypersensitivity Reactions from 2000 to 2021
Electronic health records (EHRs) have revolutionized the field of drug hypersensitivity reaction (DHR) research. In this systematic review, we assessed 140 articles from 2000-2021, classifying them under six themes: observational studies (n=61), clinical documentation (n=27), case management (n=22), clinical decision support (CDS) (n=18), case identification (n=9), and genetic studies (n=3). EHRs provide convenient access to millions of medical records, facilitating epidemiological studies of DHRs. Though the goal of CDS is to promote safe drug prescribing, allergy alerts must be designed and used in a way that supports th...
Source: Immunology and Allergy Clinics of North America - March 31, 2022 Category: Allergy & Immunology Authors: Fatima Bassir, Sheril Varghese, Liqin Wang, Yen Po Chin, Li Zhou Source Type: research
Cohort Study of Severe Bronchiolitis during Infancy and Risk of Asthma by Age 5 Years
Conclusions: In a large Boston birth cohort, the frequency of severe bronchiolitis and childhood asthma was similar to published data. Among children with severe bronchiolitis, the risk of developing asthma was lower than prior studies but still high (27.6%). This difference may be due to different study designs, populations, and outcome definitions studied.
Source: The Journal of Allergy and Clinical Immunology: In Practice - August 12, 2016 Category: Allergy & Immunology Source Type: research
Analysis of Allergy Alerts Registered in a Hospital Electronic Health Record System.
PMID: 27996957 [PubMed - in process]
Source: Journal of Investigational Allergology and Clinical Immunology - December 22, 2016 Category: Allergy & Immunology Authors: Huerta-Vena A, González-de-Olano D, González-Mancebo E, Sebastián-Viana T, Lechuga-Suárez LA, Mohedano-Vicente E, Gandolfo-Cano M Tags: J Investig Allergol Clin Immunol Source Type: research
The Clinical Significance of Specific Antibody Deficiency (SAD) Severity in Chronic Rhinosinusitis (CRS)
Conclusions This study provides real world data supporting stratification of SAD by severity, demonstrating a significant increase in the comorbid severity of asthma and infections in CRS patients with moderate-to-severe SAD compared with those with mild SAD and those without SAD.
Source: The Journal of Allergy and Clinical Immunology: In Practice - January 26, 2017 Category: Allergy & Immunology Source Type: research
Prevalence of food allergies and intolerances documented in electronic health records
Food allergy prevalence is reported to be increasing, but epidemiological data using patients ’ electronic health records (EHRs) remain sparse.
Source: Journal of Allergy and Clinical Immunology - May 31, 2017 Category: Allergy & Immunology Authors: Warren W. Acker, Joseph M. Plasek, Kimberly G. Blumenthal, Kenneth H. Lai, Maxim Topaz, Diane L. Seger, Foster R. Goss, Sarah P. Slight, David W. Bates, Li Zhou Source Type: research
