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Impact of Clinical Decision Support on Time to Order Resolution for Patients with Documented Allergies

Failure to appropriately document patient medical information, such as allergies, is an important cause of medication errors. Lack of allergy details in the electronic medical record (EMR) may prolong the pharmacist order verification process. A retrospective chart review was conducted in October 20...

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Autores principales: Watkins, Tenielle, Aguero, Sandra M., Jaecks, Michael
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6164232/
https://www.ncbi.nlm.nih.gov/pubmed/30081461
http://dx.doi.org/10.3390/pharmacy6030080
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author Watkins, Tenielle
Aguero, Sandra M.
Jaecks, Michael
author_facet Watkins, Tenielle
Aguero, Sandra M.
Jaecks, Michael
author_sort Watkins, Tenielle
collection PubMed
description Failure to appropriately document patient medical information, such as allergies, is an important cause of medication errors. Lack of allergy details in the electronic medical record (EMR) may prolong the pharmacist order verification process. A retrospective chart review was conducted in October 2017, to evaluate the impact of incomplete allergy details on time to antibiotic order resolution at the Einstein Medical Center Philadelphia. Details were present on 71% of orders. The difference in median time to order resolution, for orders with versus without details, was –21 min (95% CI (confidence interval), –39 to –2.9; p = 0.02). The difference in median time to order resolution for orders, based on pharmacist work shift was, –21 min for the first shift (95% CI, –41.2 to –0.8; p = 0.04), –50 min for the second shift (95% CI, –109.8 to 9.8; p = 0.10), and +3 min for the third shift (95% CI, –36.1 to 30.1; p = 0.85). Orders with an allergy intervention by a pharmacist were 2.75 times more likely (adjusted odds ratio = 2.75; 95% CI, 0.98 to 7.7; p = 0.06) to have a therapy change than orders without allergy interventions. Based on the results, when information about antibiotic allergies lacks details, it takes more time for pharmacists to resolve alerted orders.
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spelling pubmed-61642322018-10-10 Impact of Clinical Decision Support on Time to Order Resolution for Patients with Documented Allergies Watkins, Tenielle Aguero, Sandra M. Jaecks, Michael Pharmacy (Basel) Article Failure to appropriately document patient medical information, such as allergies, is an important cause of medication errors. Lack of allergy details in the electronic medical record (EMR) may prolong the pharmacist order verification process. A retrospective chart review was conducted in October 2017, to evaluate the impact of incomplete allergy details on time to antibiotic order resolution at the Einstein Medical Center Philadelphia. Details were present on 71% of orders. The difference in median time to order resolution, for orders with versus without details, was –21 min (95% CI (confidence interval), –39 to –2.9; p = 0.02). The difference in median time to order resolution for orders, based on pharmacist work shift was, –21 min for the first shift (95% CI, –41.2 to –0.8; p = 0.04), –50 min for the second shift (95% CI, –109.8 to 9.8; p = 0.10), and +3 min for the third shift (95% CI, –36.1 to 30.1; p = 0.85). Orders with an allergy intervention by a pharmacist were 2.75 times more likely (adjusted odds ratio = 2.75; 95% CI, 0.98 to 7.7; p = 0.06) to have a therapy change than orders without allergy interventions. Based on the results, when information about antibiotic allergies lacks details, it takes more time for pharmacists to resolve alerted orders. MDPI 2018-08-03 /pmc/articles/PMC6164232/ /pubmed/30081461 http://dx.doi.org/10.3390/pharmacy6030080 Text en © 2018 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Watkins, Tenielle
Aguero, Sandra M.
Jaecks, Michael
Impact of Clinical Decision Support on Time to Order Resolution for Patients with Documented Allergies
title Impact of Clinical Decision Support on Time to Order Resolution for Patients with Documented Allergies
title_full Impact of Clinical Decision Support on Time to Order Resolution for Patients with Documented Allergies
title_fullStr Impact of Clinical Decision Support on Time to Order Resolution for Patients with Documented Allergies
title_full_unstemmed Impact of Clinical Decision Support on Time to Order Resolution for Patients with Documented Allergies
title_short Impact of Clinical Decision Support on Time to Order Resolution for Patients with Documented Allergies
title_sort impact of clinical decision support on time to order resolution for patients with documented allergies
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6164232/
https://www.ncbi.nlm.nih.gov/pubmed/30081461
http://dx.doi.org/10.3390/pharmacy6030080
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