nearly one third of ophthalmology sufferers' EHRs may also now not mirror essentially the most accurate and present remedy counsel, based on a analyze published in JAMA Ophthalmology.
Ann Arbor-primarily based school of Michigan researchers analyzed remedy information in EHRs of 53 patients treated in a tertiary care, referral educational medical middle's ophthalmology department between July 2015 and August 2018. The patients had microbial keratitis, an an infection of the cornea, and were handled until disease resolution.
Of the 247 medications recognized, 23 p.c of prescribed drugs had been different between the progress notes and the formal EHR-based medication heritage. Thirty-two p.c of sufferers had at least one medication mismatch stated of their EHR, in line with the document.
motives for the remedy discrepancies encompass medications not prescribed during the EHR ordering device (forty three.9 p.c), backyard medicinal drugs no longer recorded within the internal EHR treatment list (40.four percent) and medicinal drugs that were prescribed in the course of the EHR ordering device and within the formal list however no longer described within the scientific observe (15.eight %).
"This stage of inconsistency is a purple flag," Maria Woodward, MD, lead examine author and assistant professor of ophthalmology at college of Michigan, pointed out in a information liberate. "patients who count on the after-discuss with abstract could be at risk for avoidable medication blunders that can also have an effect on their healing or adventure medicine toxicity."
examine authors concluded that to enhance accuracy of medication assistance for patients and researchers, EHR developers should still create utility options that aim to decrease medical documentation burdens and make it less demanding to reconcile names and dosages of medicinal drugs.
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