| Evaluation of medication list completeness, safety, and annotations. | |
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MedLine Citation:
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PMID: 22195166 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Clinical documents frequently contain a list of a patient's medications. Missing information about the dosage, route, or frequency of a medication impairs clinical communication and may harm patients. We examined 253 medication lists. There were 181 lists (72%) with at least one medication missing a dose, route, or frequency. Missing information was judged to be potentially harmful in 47 of the lists (19% of 253) by three physician reviewers (kappa=0.69). We also observed that many lists contained additional information included as annotations, prompting a secondary thematic analysis of the annotations. Fifty-five of the 253 lists (22%) contained one or more annotations. The most frequent types of annotations were comments about the patient's medical history, the clinician's treatment plan changes, and the patient's adherence to a medication. Future development of electronic medication reconciliation tools to improve medication list completeness should also support annotating the medication list in a flexible manner. |
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Authors:
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Michael C Owen; Nancy M Chang; David H Chong; David K Vawdrey |
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Publication Detail:
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Type: Journal Article Date: 2011-10-22 |
Journal Detail:
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Title: AMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium Volume: 2011 ISSN: 1942-597X ISO Abbreviation: AMIA Annu Symp Proc Publication Date: 2011 |
Date Detail:
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Created Date: 2011-12-23 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101209213 Medline TA: AMIA Annu Symp Proc Country: United States |
Other Details:
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Languages: eng Pagination: 1055-61 Citation Subset: IM |
Affiliation:
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Columbia University, New York, NY. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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