-
digital.ahrq.gov/sites/default/files/docs/page/CongressionalBudgetOffice.pdf
January 01, 2009 - Remind physicians about appropriate preventive care;
B Identify harmful drug interactions or possible allergic … reactions to prescribed medicines, and
B Help physicians manage patients with complex
chronic conditions … Most EHRs (with or
without a CPOE feature) automatically check for allergy
and drug interactions and … the
health plan’s and the pharmacy’s systems typically check
for drug interactions and possible allergic … reactions.
-
digital.ahrq.gov/sites/default/files/docs/publication/r18hs018226-sequist-final-report-2013.pdf
January 01, 2013 - creatinine ratio >
0.15, or a spot urine albumin/creatinine ratio > 30 mcg/mg, and no documented drug allergy … prescription within the last 12 months for patients
with an LDL cholesterol >100 mg/dL and no documented drug allergy
-
digital.ahrq.gov/sites/default/files/docs/page/medicaid_chip_quality_measurement_strategies__hitech__chipra__and_the_affordable_care_act_5.pdf
January 04, 2021 - $10,000 patient care revenue
• Standard data exchange formats for
– CCD, Lab, Radiology, e-Prescribing, Allergies
-
digital.ahrq.gov/sites/default/files/docs/quality-metrics-slides-042811.pdf
January 01, 2011 - Numerator (e.g., satisfied measure): meds,
screening tests, blood pressure, etc
Exceptions: diagnoses, allergies … Quantitative Data– System Use, User Satisfaction
and Clinical Quality Measures (% pts with Known
Allergies
-
digital.ahrq.gov/sites/default/files/docs/publication/r18hs017248-adams-final-report-2011.pdf
January 01, 2011 - Assessment Assess whether current med list (including doses) is
correct, assess current medication allergies … , If positive:
counsel family to tell MD that med list is inaccurate
and/or about allergies
2. … (0-
11yrs)
Outcome(s) % of families with accurate EHR med list, % of families
with accurate EHR allergy
-
digital.ahrq.gov/sites/default/files/docs/publication/r18hs018168-johnson-final-report-2013.pdf
January 01, 2013 - were recruited from a variety of settings, including the adolescent medical clinic, the
asthma and allergy … with high volumes of patients who were diagnosed with asthma
(adolescent medical clinic, asthma and allergy … The Journal of allergy and
clinical immunology. Jan 2004;113(1):59-65.
18.
-
digital.ahrq.gov/sites/default/files/docs/publication/r18hs017029-kaushal-final-report-2011.pdf
January 01, 2011 - The commercial system had
advanced CDS including provision of default dosages and alerts for allergies … The
commercial system had advanced CDS including provision of default dosages and alerts for
allergies
-
digital.ahrq.gov/sites/default/files/docs/citation/healthitandlabordersimplementationhandbook.pdf
November 01, 2011 - Staff can add data for clinical
lists (such as medications, problems, allergies, directives, vital … , summary page, or flow sheet
• Medications – from medication list, summary page, or flow sheet
• Allergies … Prevent adverse events (e.g., drug-drug interaction, drug-allergy interaction)
E.
-
digital.ahrq.gov/sites/default/files/docs/publication/r18hs017037-ornstein-final-report-2010.pdf
January 01, 2010 - Medication safety decision support tools embedded in
the PP EHR include allergy, overdose by age, drug-drug
-
digital.ahrq.gov/sites/default/files/docs/survey/hit-provider-communication.pdf
October 21, 2015 - implement-i
ng
Don't know
Clinical decision support
Clinical guidelines
Clinical reminders
Drug allergy
-
digital.ahrq.gov/sites/default/files/docs/resource/B7_Archives_Pohl_HS17034_1013_1.pdf
February 14, 2011 - Exclusions: Patients with
the following conditions are excluded:
Allergy to Egg OR Allergy to
-
digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015319-sullivan-final-report-2007.pdf
January 01, 2007 - interactions, and drugs that required laboratory
monitoring occurred with a greater frequency than drug allergies … be one
categorized as a non-clinical error (illegibility) and two categorized as clinical errors (allergy … , and lack of appropriate
laboratory monitoring occurred more frequently than did errors involving allergies … , route, and frequency clarifications
were far more common than were drug-drug interaction or drug-allergy
-
digital.ahrq.gov/sites/default/files/docs/publication/r18hs020846-fricton-final-report-2016.pdf
January 01, 2016 - conditions display the EMR problem
list. 2) The medications display the EMR listed medications. 3) Allergies … display the EMR
listed allergies. 4) Labs display the EMR recorded blood pressures, HbA1C, and INR … NS NS
1 Some patients had multiple visits during study period
2Includes problem list, medication, allergy … NS NS
1Some patients had multiple visits during study period
2Includes problem list, medication, allergy
-
digital.ahrq.gov/sites/default/files/docs/publication/r03hs014625-ralston-final-report-2006.pdf
January 01, 2006 - their electronic medical record (EMR),
including laboratory studies, problem lists, medication
lists, allergy … health care team
Medical test results X
After-visit summaries X
Medical Conditions X
List of allergies … medical condition review (20),
appointment requests (10),
immunization review (10), and allergy
-
digital.ahrq.gov/sites/default/files/docs/citation/r18hs017059-wu-final-report-2010.pdf
January 01, 2010 - and radiology tests 26.0%
Documenting histories 24.7%
Documenting physical exams 23.4%
Documenting allergies … Respondents:
More Difficult
Monitoring medication safety at the point of prescribing (e.g.,
drug-allergy … 5.6 17.0
Documenting physical exams 73.8 20.0 6.1
Writing prescriptions 71.8 13.2 15.0
Documenting allergies
-
digital.ahrq.gov/sites/default/files/docs/citation/EHRVendorPracticesPerspectives.pdf
May 01, 2010 - athenaHealth staff and embedded into the
patient encounters, providing drug interaction alerts, drug allergy … electronic decision support at
the time of order entry (the Multum® expert database checks against patient allergies … transmits prescriptions to the pharmacy, manages refill
requests, checks formulary eligibility, and checks allergy
-
digital.ahrq.gov/sites/default/files/docs/vulnerable-populations-slides-060313.pdf
June 03, 2013 - ▪ Documents why a vaccine was not given
▪ Allows access to important clinical
information, e.g., allergies … Screenshot: “Up To Date” Alert
Screenshot: “Up To Date: Next Shot Due” Alert
Screenshot: “Documented Egg Allergy
-
digital.ahrq.gov/sites/default/files/docs/reduce-medication-errors-slides-082614.pdf
August 26, 2014 - medical conditions other than the one for which he or she was
to receive the intended drug
► No drug allergies … e.g., urticaria, nephritis)
• Specific drugs often used to address ADEs (e.g., diphenhdyramine
for allergy
-
digital.ahrq.gov/sites/default/files/docs/July%20Teleconference%20Transcript.pdf
April 25, 2013 - did not
take the antibiotics because I mistakenly prescribed augmentin when he had the
penicillin allergy … And then some
severe dose alert overrides and then many, many allergy overrides. … of checking for
potential errors and potentially avoiding some callbacks due to patient reported
allergies
-
digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015270-hayden-final-report-2008.pdf
January 01, 2008 - Of the many types of warnings reported, we concentrated on
understanding allergy warnings, interaction … and
how serious it might have been.
24
The seven priority warnings include:
• Allergy … During the
evaluation period we issued 78,628 doses of medication and never once did the allergy warning … The team wanted to know if this is because there were actually no potential allergy errors
or if the