-
digital.ahrq.gov/ahrq-funded-projects/planning-rural-prescription-medication-network
January 01, 2023 - The planning period established an electronic repository to which medication and allergy lists from rural
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digital.ahrq.gov/sites/default/files/docs/page/CDSC%20From%20Demonstration%20to%20Standard%20Practice%20-%20December%202011.pdf
December 06, 2011 - PHS Firewall
Data Fetching
Services
(Data Repositories)
Classification Services
(Problems, Meds, Allergies … ,
other Value Sets)
Translation Services
(Problems, Meds, Allergies)
ECRS
CCD Factory
CDS – … needed
CDS – Terminologies
• Large numbers of reference objects for
reasoning:
– Problems, Meds, Allergies
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digital.ahrq.gov/sites/default/files/docs/resource/b1_forrest_017042_archives_2.pdf
January 11, 2011 - Visits in the Past 14 Days
No Antibiotics in the Past Month
No Penicillin/Amoxicillin Allergy
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/computerized-physician-order-1
January 01, 2004 - developed at Vanderbilt that provides clinicians with several types of decision support including drug allergy
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digital.ahrq.gov/sites/default/files/docs/activity/rural_trial_of_clinic_order_entry_with_decision_support_2009_update_pdf_2.pdf
January 01, 2009 - 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
-
digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/determinants-physician-use
September 01, 2005 - maintenance of a medication list, printing and renewing prescriptions, and checking of drug-drug and drug-allergy
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/pharmacy-intervention-program
January 01, 1995 - Forty-one percent decreased toxicity, 35% increased efficacy, 17% decreased cost, 16% avoided allergy
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/sequist-t-et-al-2005
January 01, 2005 - algorithm searched all laboratory and radiology results as well as the problem list, medication list, and allergy … "This electronic record allows physicians to maintain patient problem, medication, and allergy lists
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digital.ahrq.gov/sites/default/files/docs/page/patient_portals_to_health_information___using_health_it_to_engage_medicaid_chip_patients_and_families_in_health_care_5.pdf
April 05, 2012 - 13
Patient Portal Typical Functions
More common
• Chart info
• Lab results
• Medication and allergy … Images
Unusual
• Notes
(All have access, security features)
14
15
Patient Medication and Allergy … Resources
Personal Health Record (PHR) Use
Patient Portal Typical Functions
Patient Medication and Allergy
-
digital.ahrq.gov/ahrq-funded-projects/conducting-measurement-activities-health-information-technology-initiative/annual-summary/2010
January 01, 2010 - population had adopted at least one of six types of CDS (clinical guidelines, clinical reminders, drug allergy … dosing support) were adopted at a lower rate than CDS technologies that correct courses of action (drug-allergy
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/experience/morrow-j-2004-davies
January 01, 2004 - Medication interaction and allergy alerts prompt physicians to consider the effects of certain drug combinations … problem and medication lists; generate preventative care reminders; receive medication interaction, allergy
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digital.ahrq.gov/ahrq-funded-projects/past-initiatives/transforming-healthcare-quality-through-health-it/east-clevelands-huron
August 31, 2007 - of drug orders were cancelled or modified after the system generated an automated alert of possible allergy … In the past, these allergies may have been detected by a pharmacist who would have had to call the physician
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/evaluation-reported-medication
January 01, 2006 - version 3.04 which includes patient lists, CPOE to 22 departments, and basic decision support including allergy
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/physician-characteristics
July 01, 2006 - laboratory and radiology orders; provides hundreds of order sets; and alerts pharmacists of potential drug-allergy
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digital.ahrq.gov/sites/default/files/docs/implementation/McConnochie.ppt
May 01, 2005 - Based on a diagnosis of upper respiratory allergy, she was appropriately placed on an oral antihistamine … At this time she not only had her allergies to contend with but sinusitis and impetigo at the corners
-
digital.ahrq.gov/sites/default/files/docs/activity/conducting_measurement_activities_for_health_information_technology_initiative_2010_pdf__2.pdf
January 01, 2010 - population had
adopted at least one of six types of CDS (clinical guidelines, clinical reminders, drug allergy … dosing support) were adopted at a lower
rate than CDS technologies that correct courses of action (drug-allergy
-
digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/computer-assisted-management
January 22, 1998 - Allergy alerts were generated 35 times in the intervention period compared with 146 in the control period
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digital.ahrq.gov/ahrq-funded-projects/health-information-technology-center-education-and-research-therapeutics
January 01, 2023 - Evaluation of 'definite' anaphylaxis drug allergy alert overrides in inpatient and outpatient settings … Decision Support System
A cross-sectional observational study of high override rates of drug allergy … A cross-sectional observational study of high override rates of drug allergy alerts in inpatient and … Population: Physician
An International Evaluation of User Perceptions of Drug-Drug and Drug-Allergy … An International Evaluation of User Perceptions of Drug-Drug and Drug-Allergy Interaction Alerts.
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digital.ahrq.gov/organization/childrens-hospital-boston
January 01, 2023 - Evaluated the completeness and accuracy of information on symptoms, disease conditions, medications, and allergies
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digital.ahrq.gov/ahrq-funded-projects/past-initiatives/state-and-regional-demonstration-projects/rhode-island
January 01, 2023 - Pharmacy
Summary of prescription medications dispensed, summary of medication history
Allergies … screening
Newborn hearing
Immunization
Future data enhancements
Radiology
EKG
All allergies