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digital.ahrq.gov/ahrq-funded-projects/past-initiatives/state-and-regional-demonstration-projects/tennessee
January 01, 2023 - Emergency room summaries
History & physicals
Diagnostic codes
Some medication history (claims)
Allergies … data,
Laboratory results (many LOINC encoded),
Radiology results,
Dictated reports, and
Some allergy
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digital.ahrq.gov/sites/default/files/docs/resource/Dataform_5_ADE_and_Near_Miss_Incident_Classification_Form.pdf
September 30, 2009 - Drug-allergy check
2c. Drug-drug check
2d. Drug-lab check
2e. Drug frequency check
2f. … Y N U
9.10 Does the patient have a known allergy or intolerance to
the drug?
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digital.ahrq.gov/sites/default/files/docs/biblio/AHRQ_Webcast011207.pdf
January 12, 2007 - old child 68% 89%
vincristine 2 mg intrathecally
today Acute leukemia 65% 60%
Fluzone 0.5 mL IM Allergy … that fulfill this standard will use an EHR with:
– Information on age/gender diagnoses, medications, allergies … that
exceeds recommended dose ranges
cumulative dose
or
Ten-fold excess
methotrexate
dose of
Allergies … and cross-allergies Medication (or medication class)
which patient allergy has been
documented
for … Penicillin prescribed for patient
documented penicillin allergy
with
Contraindicated
administration
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs024327-ornstein-final-report-2018.pdf
January 01, 2018 - Drug allergy interaction
checking occurs during the entry of new medication. … Another described an incident of an allergic reaction to
celecoxib in a patient with sulfa allergy. … look alike-sound alike medications
could confuse staff members and result in erroneous recording of allergies … In other practices, nursing staff members record allergies, but leave edits or
deletions to these information … Additionally, practices had adopted clear protocols for regular gathering and review of allergies;
most
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digital.ahrq.gov/ahrq-funded-projects/current-health-it-priorities/clinical-decision-support-cds/chapter-1-approaching-clinical-decision/section-3-applying-cds-medication-management
appropriate) for contraindications, duplications, DDIs, drug-lab interactions, clinically significant allergies … that incorporates medication error taxonomy standards, and updating the patient record with any new allergy
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digital.ahrq.gov/ahrq-funded-projects/emerging-lessons/computerized-provider-order-entry-inpatient/inpatient-computerized-provider-order-entry-cpoe
January 01, 2023 - When asked, the providers raised concerns regarding how allergies were being associated with patients … The hospital worked to answer the question, “What is an allergy?” … and revised how patient allergies were entered into the EHR and CPOE systems. … The hospital also revised its processes for capturing and recording patient allergies. … Drug-allergy alerts were revised, resulting in a lower number and severity of alerts.
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digital.ahrq.gov/ahrq-funded-projects/current-health-it-priorities/clinical-decision-support-cds/chapter-1-approaching-clinical-decision/section-8-peek-literature-medication-use-and-cds
January 01, 2006 - to studies exploring the issues in applying CDS to various specific targets, such as reducing drug-allergy … of errors in an outpatient setting unless combined with advanced systems with CDS (drug-drug, drug allergy … realize benefits of CDS within CPOE, authors have suggested a two-stage approach: (1) basic CDS (drug-allergy
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/wolfstadt-ji-et-al-2008
January 01, 2008 - Clinical decision support can provide either basic (e.g., drug-allergy checking) or advanced (e.g., drug … Basic medication-related decision supports include drug-allergy checking, basic dosing guidance, formulary
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digital.ahrq.gov/ahrq-funded-projects/current-health-it-priorities/clinical-decision-support-cds/chapter-1-approaching-clinical-decision/section-7-vision-optimal-cds-enabled-medication-management
needed for medication-related CDS (for example, drug terminologies, and patient drug sensitivities, allergies … Accurate, complete, allergy list with associated reactions readily available.
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digital.ahrq.gov/ahrq-funded-projects/value-new-drug-labeling-knowledge-e-prescribing/annual-summary/2008
January 01, 2008 - knowledge sources improved the sensitivity of the system to detect adverse situations such as drug-allergy … The medication order entry application, which was created based on these standards, includes an allergy … example, one site had a proprietary electronic medical record system in which doctors would maintain allergies
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digital.ahrq.gov/sites/default/files/docs/page/e_prescribing_in_medicaid_chip_agencies__implementation_approaches__challenges__and_opportunities_summary_5.pdf
October 01, 2009 - Alabama
– Delaware
– Florida
– Connecticut
– New Mexico
– Arizona
– Tennessee
The e-Rx Package
• Allergy … – Alerts the provider to potential drug-drug or drug-allergy
interactions and minimizes adverse drug … • Allergy Checks—The physician can also note allergies
for patients and run drug interactions against … Medicaid HIN e-Prescribing Can Meet
Proposed Meaningful Use Criteria
• Implement drug-drug, drug-allergy … transmit permissible prescriptions.
• Maintain active medication list.
• Maintain active medication allergy
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digital.ahrq.gov/sites/default/files/docs/activity/value_of_new_drug_labeling_2009_update_2.pdf
January 01, 2009 - knowledge sources improved the sensitivity of the system to detect adverse situations such as
drug-allergy … The
medication order entry application, which was created based on these standards, includes an allergy … example, one site had a proprietary electronic medical record system in
which doctors would maintain allergies
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digital.ahrq.gov/research-method/structuredsemi-structured-interview
January 01, 2024 - Principal Investigator
Zhou, Li
Project Name
Encoding and Processing Patient Allergy … Principal Investigator
Zhou, Li
Project Name
Improving Allergy Documentation and Clinical
-
digital.ahrq.gov/sites/default/files/docs/page/09-0031-EF_cpoe.pdf
January 01, 2009 - When asked, the
providers raised concerns regarding how allergies were being associated with patients … The hospital worked to answer the
question, “What is an allergy?” … and revised how patient allergies were entered into the EHR
and CPOE systems. … The hospital also revised its processes for capturing and recording
patient allergies. … Drug-allergy alerts were revised, resulting in a lower number and severity of
alerts.
-
digital.ahrq.gov/sites/default/files/docs/lesson/09-0031-ef-inpatient-cpoe.pdf
January 01, 2009 - When asked, the
providers raised concerns regarding how allergies were being associated with patients … The hospital worked to answer the
question, “What is an allergy?” … and revised how patient allergies were entered into the EHR
and CPOE systems. … The hospital also revised its processes for capturing and recording
patient allergies. … Drug-allergy alerts were revised, resulting in a lower number and severity of
alerts.
-
digital.ahrq.gov/ahrq-funded-projects/rural-trial-clinic-order-entry-decision-support/annual-summary/2008
January 01, 2008 - Features of the prescription writer included on-the-fly drug-to-drug interaction prompts; automatic allergy … Information previously entered about the patient such as age, allergies, and weight was integrated into … The reason for not vaccinating, such as allergy or already received, was solicited when the vaccine was
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digital.ahrq.gov/research-method/qualitative
January 01, 2025 - Principal Investigator
Zhou, Li
Project Name
Encoding and Processing Patient Allergy … Principal Investigator
Zhou, Li
Project Name
Improving Allergy Documentation and Clinical
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/using-computerized-data-identify
Description: A computer program that used ICD-9 codes, allergy rules, computer-event monitoring rules
-
digital.ahrq.gov/ahrq-funded-projects/interactive-health-communication-program-young-urban-adults-asthma
January 01, 2023 - J allergy Clin Immunol Pract 2016 Jan-Feb;4(1):89-95. PMID: 26441151. … J Allergy Clin Immunol Pract 2016 Nov -Dec;4(6):1135-42. PMID: 27286777.
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digital.ahrq.gov/national-webinars/digital-healthcare-innovations-engage-and-empower-patients-their-care
October 11, 2023 - Jariwala, M.D., FAAAAI
Professor, Division of Allergy & Immunology
Albert Einstein College