A comparison of two user-friendly methods to identify and support correction of misspelled medications.

Autor:	Dasaro CR; World Trade Center Health Program General Responder Data Center, Department of Environmental Medicine and Climate Science, Icahn School of Medicine at Mount Sinai, 17 East 102 Street, 2 Floor, New York, NY 10029, United States of America., Sabra A; World Trade Center Health Program General Responder Data Center, Department of Environmental Medicine and Climate Science, Icahn School of Medicine at Mount Sinai, 17 East 102 Street, 2 Floor, New York, NY 10029, United States of America., Jeon Y; World Trade Center Health Program General Responder Data Center, Department of Environmental Medicine and Climate Science, Icahn School of Medicine at Mount Sinai, 17 East 102 Street, 2 Floor, New York, NY 10029, United States of America., Williams TA; World Trade Center Health Program General Responder Data Center, Department of Environmental Medicine and Climate Science, Icahn School of Medicine at Mount Sinai, 17 East 102 Street, 2 Floor, New York, NY 10029, United States of America., Sloan NL; World Trade Center Health Program General Responder Data Center, Department of Environmental Medicine and Climate Science, Icahn School of Medicine at Mount Sinai, 17 East 102 Street, 2 Floor, New York, NY 10029, United States of America., Todd AC; World Trade Center Health Program General Responder Data Center, Department of Environmental Medicine and Climate Science, Icahn School of Medicine at Mount Sinai, 17 East 102 Street, 2 Floor, New York, NY 10029, United States of America., Teitelbaum SL; World Trade Center Health Program General Responder Data Center, Department of Environmental Medicine and Climate Science, Icahn School of Medicine at Mount Sinai, 17 East 102 Street, 2 Floor, New York, NY 10029, United States of America.
Jazyk:	angličtina
Zdroj:	Preventive medicine reports [Prev Med Rep] 2024 May 17; Vol. 43, pp. 102765. Date of Electronic Publication: 2024 May 17 (Print Publication: 2024).
DOI:	10.1016/j.pmedr.2024.102765
Abstrakt:	Objective: To identify and support correction of misspelled medication names recorded as free text, we compared the relative effectiveness of two user-friendly methods, used without reliance on clinical knowledge. Methods: Leveraging the SAS® COMPGED function, fuzzy string search programs examined 1.8 million medication records from 183,600 World Trade Center General Responder Cohort monitoring visits conducted in New York and New Jersey between 7/16/2002 and 3/31/2021, producing replicable generalized edit distance scores between the reported and correct spelling. Scores < 120 were selected as optimal and compared to Stedman's 2020 Plus Medical/Pharmaceutical Spell Checker first suggested word, used as the comparative standard because it employs both spelling and phonetic similarities to suggest matching words. We coded each methods' results as identifying or not identifying the medications within each visit. Results: Most types of medications (94.4 % anxiety, 98.4 % asthma and 94.6 % ulcer/gastroesophageal reflux disease) were correctly spelled. Cross tabulations assessed the agreement (anxiety 99.9 %, asthma 99.6 % and 98.4 % ulcer/ gastroesophageal reflux disease), false positive (respectively 0.02 %, 0.03 % and 2.0 %) and false negative (respectively 1.9 %, 0.5 % and 1.0 %) values. Scores < 120 occasionally correctly identified medications missed by the spell checker. We observed no difference in medication misspellings across socio-economically and culturally diverse patient characteristics. Conclusions: Both methods efficiently identified most misspelled medications, greatly minimizing the review and rectification needed. The fuzzy method is more universally applicable for condition-specific medications identification, but requires more programming skills. The spell checker is inexpensive, but benefits from modest programming skills and is only available in some languages. Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. (© 2024 The Authors.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu