| Beliefs of ambulatory care physicians about accuracy of patient medication records and technology-enhanced solutions to improve accuracy. | |
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MedLine Citation:
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PMID: 20854355 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The continuing problem of inaccurate medication records and resultant harm from medication errors has prompted the Institute of Medicine and others to encourage information technology (IT) solutions to improve medication list accuracy. There are few studies on how ambulatory care documentation contributes to medication list inaccuracies and medication reconciliation failures. To address medication reconciliation issues in ambulatory care, office-based physicians in a region with a high adoption rate for electronic medical records (EMRs) were surveyed about current reconciliation practices, the need for redesigning reconciliation processes, and acceptable IT solutions for improving availability of medication information. Physicians selected from a list of potential IT platforms that would create a single reconciled record of prescription medications, nonprescription medications, and supplements accessible wherever patients go. The two most popular platforms were either an aggregated list within existing EMRs accessible by inpatient and outpatient providers regardless of their EMR system, or a web-based repository that was not integrated into an EMR. Respondents felt that implementation of such platforms would not require major changes to clinical workflow, perhaps due to the region's existing familiarity with health IT. Leveraging community acceptance of health IT could result in rapid implementation of universally accessible medication list platforms. |
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Authors:
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Douglas L Weeks; Cynthia F Corbett; Glen Stream |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Journal for healthcare quality : official publication of the National Association for Healthcare Quality Volume: 32 ISSN: 1062-2551 ISO Abbreviation: J Healthc Qual Publication Date: 2010 Sep-Oct |
Date Detail:
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Created Date: 2010-09-21 Completed Date: 2010-11-23 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9202994 Medline TA: J Healthc Qual Country: United States |
Other Details:
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Languages: eng Pagination: 12-21 Citation Subset: H |
Copyright Information:
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© 2010 National Association for Healthcare Quality. |
Affiliation:
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Inland Northwest Health Services, Spokane, WA, USA. weeksdl@wsu.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Ambulatory Care* Attitude of Health Personnel* Electronic Health Records Health Care Surveys Humans Medical Records Medication Adherence* Physicians Self Report* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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