Improving Allergy Documentation: A Retrospective Electronic Health Record System-Wide Patient Safety Initiative.

ABSTRACT:

Objectives

Documentation of allergies in a coded, non-free-text format in the electronic health record (EHR) triggers clinical decision support to prevent adverse events. Health system-wide patient safety initiatives to improve EHR allergy documentation by specifically decreasing free-text allergy entries have not been reported. The goal of this initiative was to systematically reduce free-text allergen entries in the EHR allergy module.

Methods

We assessed free-text allergy entries in a commercial EHR used at a multihospital integrated health care system in the greater Boston area. Using both manual and automated methods, a multidisciplinary consensus group prioritized high-risk and frequently used free-text allergens for conversion to coded entries, added new allergen entr

SUBMITTER: Li L 

PROVIDER: S-EPMC7704710 | biostudies-literature | 2022 Jan

REPOSITORIES: biostudies-literature