AMIA Annu Symp Proc - How many medication orders are entered through free-text in EHRs?--a study on hypoglycemic agents.

Tópicos

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{ detect(2391) sensit(1101) algorithm(908) }

Resumo

Computerized Provider Order Entry (CPOE) can reduce medication errors; however, its benefits are only achieved when data are entered in a structured format and entries are properly coded. This paper aims to explore the incidence of free-text medication order entries involving hypoglycemic agents in an ambulatory electronic health record (EHR) system with CPOE. Our results showed that free-text order entry continues to be frequent. During 2010, 9.3% of hypoglycemic agents were entered as free-text for 2,091 patients. 17.4% of the entries contained misspellings. The highest proportion of free-text entries were found in urgent care clinics (49.4%) and among registered nurses (31.5%). Additionally, 92 drug-drug interaction alerts were not triggered due to free-text entries. Only 25.9% of the patients had diabetes recorded in their problem list. Solutions will require policy to enforce structured entry, ongoing improvement in user-interface design, improved training for users, and strategies for maintaining a complete medication list.

Resumo Limpo

computer provid order entri cpoe can reduc medic error howev benefit achiev data enter structur format entri proper code paper aim explor incid freetext medic order entri involv hypoglycem agent ambulatori electron health record ehr system cpoe result show freetext order entri continu frequent hypoglycem agent enter freetext patient entri contain misspel highest proport freetext entri found urgent care clinic among regist nurs addit drugdrug interact alert trigger due freetext entri patient diabet record problem list solut will requir polici enforc structur entri ongo improv userinterfac design improv train user strategi maintain complet medic list

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