Journal of the American Medical Informatics Association : JAMIA
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J Am Med Inform Assoc · May 2005
Comparative StudyParents as partners in obtaining the medication history.
Patient-centered information management may overcome barriers that impede high-quality, safe care in the emergency department (ED). The utility of parents' report of medication data via a multimedia, touch screen interface, the asthma kiosk, was investigated. Our specific aims were (1) to estimate the validity of parents' electronically entered medication history for asthma and (2) to compare the parents' kiosk entries regarding medications to the documentation of ED physicians and nurses. ⋯ Parents can provide an independent source of medication data that improves on current documentation for key variables that impact quality and safety in emergency asthma care.
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J Am Med Inform Assoc · May 2005
A trial of automated decision support alerts for contraindicated medications using computerized physician order entry.
Automated clinical decision support has shown promise in reducing medication errors; however, clinicians often do not comply with alerts. Because renal insufficiency is a common source of medication errors, the authors studied a trial of alerts designed to reduce inpatient administration of medications contraindicated due to renal insufficiency. ⋯ Alerts were effective in decreasing the ordering and administration of drugs contraindicated due to renal insufficiency. Compliance with the alerts was higher in male patients, increased with the duration of housestaff training, and increased in patients with more severe renal dysfunction.