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Effects of Shared Electronic Health Record Systems on Drug-Drug Interaction and Duplication Warning Detection

Shared electronic health records (EHRs) systems can offer a complete medication overview of the prescriptions of different health care providers. We use health claims data of more than 1 million Austrians in 2006 and 2007 with 27 million prescriptions to estimate the effect of shared EHR systems on...

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Autores principales: Rinner, Christoph, Grossmann, Wilfried, Sauter, Simone Katja, Wolzt, Michael, Gall, Walter
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4670632/
https://www.ncbi.nlm.nih.gov/pubmed/26682218
http://dx.doi.org/10.1155/2015/380497
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author Rinner, Christoph
Grossmann, Wilfried
Sauter, Simone Katja
Wolzt, Michael
Gall, Walter
author_facet Rinner, Christoph
Grossmann, Wilfried
Sauter, Simone Katja
Wolzt, Michael
Gall, Walter
author_sort Rinner, Christoph
collection PubMed
description Shared electronic health records (EHRs) systems can offer a complete medication overview of the prescriptions of different health care providers. We use health claims data of more than 1 million Austrians in 2006 and 2007 with 27 million prescriptions to estimate the effect of shared EHR systems on drug-drug interaction (DDI) and duplication warnings detection and prevention. The Austria Codex and the ATC/DDD information were used as a knowledge base to detect possible DDIs. DDIs are categorized as severe, moderate, and minor interactions. In comparison to the current situation where only DDIs between drugs issued by a single health care provider can be checked, the number of warnings increases significantly if all drugs of a patient are checked: severe DDI warnings would be detected for 20% more persons, and the number of severe DDI warnings and duplication warnings would increase by 17%. We show that not only do shared EHR systems help to detect more patients with warnings but DDIs are also detected more frequently. Patient safety can be increased using shared EHR systems.
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spelling pubmed-46706322015-12-17 Effects of Shared Electronic Health Record Systems on Drug-Drug Interaction and Duplication Warning Detection Rinner, Christoph Grossmann, Wilfried Sauter, Simone Katja Wolzt, Michael Gall, Walter Biomed Res Int Research Article Shared electronic health records (EHRs) systems can offer a complete medication overview of the prescriptions of different health care providers. We use health claims data of more than 1 million Austrians in 2006 and 2007 with 27 million prescriptions to estimate the effect of shared EHR systems on drug-drug interaction (DDI) and duplication warnings detection and prevention. The Austria Codex and the ATC/DDD information were used as a knowledge base to detect possible DDIs. DDIs are categorized as severe, moderate, and minor interactions. In comparison to the current situation where only DDIs between drugs issued by a single health care provider can be checked, the number of warnings increases significantly if all drugs of a patient are checked: severe DDI warnings would be detected for 20% more persons, and the number of severe DDI warnings and duplication warnings would increase by 17%. We show that not only do shared EHR systems help to detect more patients with warnings but DDIs are also detected more frequently. Patient safety can be increased using shared EHR systems. Hindawi Publishing Corporation 2015 2015-11-22 /pmc/articles/PMC4670632/ /pubmed/26682218 http://dx.doi.org/10.1155/2015/380497 Text en Copyright © 2015 Christoph Rinner et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Rinner, Christoph
Grossmann, Wilfried
Sauter, Simone Katja
Wolzt, Michael
Gall, Walter
Effects of Shared Electronic Health Record Systems on Drug-Drug Interaction and Duplication Warning Detection
title Effects of Shared Electronic Health Record Systems on Drug-Drug Interaction and Duplication Warning Detection
title_full Effects of Shared Electronic Health Record Systems on Drug-Drug Interaction and Duplication Warning Detection
title_fullStr Effects of Shared Electronic Health Record Systems on Drug-Drug Interaction and Duplication Warning Detection
title_full_unstemmed Effects of Shared Electronic Health Record Systems on Drug-Drug Interaction and Duplication Warning Detection
title_short Effects of Shared Electronic Health Record Systems on Drug-Drug Interaction and Duplication Warning Detection
title_sort effects of shared electronic health record systems on drug-drug interaction and duplication warning detection
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4670632/
https://www.ncbi.nlm.nih.gov/pubmed/26682218
http://dx.doi.org/10.1155/2015/380497
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