| Structured vs. Unstructured: Factors Affecting Adverse Drug Reaction Documentation in an EMR Repository. | |
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MedLine Citation:
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PMID: 22195188 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Adverse reactions to medications to which the patient was known to be intolerant are common. Electronic decision support can prevent them but only if history of adverse reactions to medications is recorded in structured format.We have conducted a retrospective study of 31,531 patients with adverse reactions to statins documented in the notes, as identified with natural language processing. The software identified statin adverse reactions with sensitivity of 86.5% and precision of 91.9%. Only 9020 of these patients had an adverse reaction to a statin recorded in structured format. In multivariable analysis the strongest predictor of structured documentation was utilization of EMR functionality that integrated the medication list with the structured medication adverse reaction repository (odds ratio 48.6, p < 0.0001). Integration of information flow between EMR modules can help improve documentation and potentially prevent adverse drug events. |
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Authors:
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Stephen Skentzos; Maria Shubina; Jorge Plutzky; Alexander Turchin |
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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: 1270-9 Citation Subset: IM |
Affiliation:
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Brigham and Women's Hospital, Inc. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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